INGUINAL HERNIA IN A MONGREL PUPPY - A RESCUE STORY

I believe a lot in miracles. Nothing ever happen by chance and there is a time and reason for every single leaf falling on ground. Many times a single action of kindness bring back the most hopeless condition in an animal's life. I strongly believe that  all we need are eyes and heart which are " truly alive". The joy of bringing back a wagging tail to life is beyond words to express. 

This is another rescue story of a puppy. 

This homeless pup was found abandoned, crying with pain on road side with a huge painful swelling on the inguinal region. We rescued this pup and an emergency herniorrhaphy under a well planned balanced anesthetic regime saved the life of the pup. The puppy had an uneventful recovery . Inguinal hernia needs immediate attention. In pups this starts as a swelling on the groin and majority cases this will be congenital. As age advances the prognosis of the condition worsens. This puppy was identified with a congenital inguinal hernia. He responded well to the surgery.

You can watch this video below

The two important abdominal hernias in puppies are Umbilical hernia and Inguinal hernia. An inguinal hernia is a condition in which the abdominal contents protrude through the inguinal canal or inguinal ring, an opening which occurs in the muscle wall in the groin area.

 The muscles Sartorius ,Pectineus , Adductor and fascia of external abdominis obliques forms the external inguinal ring boundary. In congenital development defect, the inguinal ring will be ill developed making the intestine and viscera herniating through the  improperly closed external inguinal ring.

As the puppy start growing the hernia contents increases and strangulation at the level of the ring is a common sequelae. The condition is severely painful. Early identification of case and herniorrhaphy is the only treatment option.

Symptoms seen with a complicated inguinal hernia may include: Swelling in the groin area, which may become painful and warm to the touch, pain, frequent attempts to urinate, lack of appetite and depression, the situation can become life-threatening.

Inguinal hernias can usually be diagnosed by finding the swelling caused by the hernia on a physical examination. However, sometimes contrast radiographs (X-rays) or an abdominal ultrasound are needed to determine which abdominal contents, if any, are entrapped.

Herniorrhaphy is the only solution and the success of the surgery is more in young animals.

Interrupted sutures with chromic catgut or polyglactin 910 suture materials follwoed by a subcuticular sutures give sufficient tension handling of the inguinal ring. Balanced anesthetic protocol with premedication with triflupromazine followed by induction with a higher dilution of 12.5 % thio pentone soduim and maintenance with  isoflurane or sevoflurane anesthesia is the best to deal with inguinal hernia correction in puppies.

The joy of recovery is beyond words to express. The puppy got attached with me and all those budding vets ., the internees who took care of him very well till recovery. I feel blessed and whole heartedly thank god for making me capable to save innocent lives.  

The stain of pain and fear is rooted in all living beings . A little gesture and a thoughtful moment by our actions and deeds brings unbelievable difference in the lives of the animals. I am certain that every one who read this segment will definitely agree with me  and spread the small yet invaluable  message of kindness and compassion. 

Until he extends the circle of his compassion to all living things, man will not himself find peace.                                                                                                                     -Albert Schweitzer

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