CASE REPORT: SURGICAL TREATMENT OF PARAMEDIAN VENTRAL HERNIA IN MIXED BREED DOGS

Abstract

A paramedian ventral hernia is a condition in which an organ or intraabdominal tissue is exited through a ring on the ventral abdominal wall located on the paramedian side adjacent to the mammary area. This case study aims to find out how to diagnose and treat cases of paramedian ventral hernia in female dogs. A white mixed-breed female dog, 5 years old and weighing 4.9 kg with clinical signs of a lump in the ventral paramedian abdomen after 6 months of labor. A radiographic examination (X-ray) to support the diagnosis shows a radiolucent image of the lump area. The dog was diagnosed with a paramedian ventral hernia with a fausta prognosis that was suspected to contain fatty tissue (omentum). Treatment was carried out with hernioratory surgery to reposition the contents of the hernia into the abdominal cavity by induction of a combination of xylazine (1 mg/kg BW) and ketamine (5 mg/kg BW). The closure of the hernia ring is performed with a simple broken suture pattern, followed by subcutaneous suture with a subcutaneous suture pattern, and the skin is sutured with a simple broken suture pattern using a 2-0 Polyglycolic acid thread. Postoperatively, the antibiotic cefotaxime sodium (20 mg/kg BW, IV, q12h) was given for 3 consecutive days and continued with Cefixime (10 mg/kg BW, PO, q12h) for 5 days, and mefenamic acid analgesics (75 mg/kg BW, q8h, PO) for 3 days. In addition, dogs are also given antibiotic ointments containing neomycin sulfate and bacitracin zinc. On the 14th day, the dog was declared cured with a fused surgical wound and completely dried, normal appetite and drinking, defecation and fluent urination. It is recommended for owners not to underestimate this condition and immediately do tanning so as not to interfere with the dog's activities.