Line 27: |
Line 27: |
| | | |
| ==Intestinal Eventration== | | ==Intestinal Eventration== |
− | This complication is '''rare''' and generally only occurs following an '''open''' castration. It may occur either as a result of '''straining post-operatively''' in the presence of '''large inguinal rings''', or '''secondary to a hernia''' present prior to castration. It will normally occur in the first 24 hours post-op. | + | This complication is '''rare''' and generally only occurs following an '''open''' castration, however it is lifethreatening and immediate action is required. It may occur either as a result of '''straining post-operatively''' in the presence of '''large inguinal rings''', or '''secondary to a hernia''' present prior to castration. It will normally occur in the first 24 hours post-op, but can occur up to one week following surgery. |
| | | |
| ===Treatment=== | | ===Treatment=== |
Line 33: |
Line 33: |
| * Wrap in a moist clean sheet and rubbish bag to prevent further contamination | | * Wrap in a moist clean sheet and rubbish bag to prevent further contamination |
| * Wash the intestines with warm saline and antibiotic solution | | * Wash the intestines with warm saline and antibiotic solution |
− | * Identify the vaginal tunic and feed the intestines back through the inguinal ring with or without extending the inguinal ring cranially | + | * Identify the vaginal tunic and feed the intestines back through the inguinal ring with or without extending the inguinal ring cranially via a midline laparotomy |
| * Suture closed or pack the external inguinal ring | | * Suture closed or pack the external inguinal ring |
| * If the bowel is compromised or damaged it may require resection. | | * If the bowel is compromised or damaged it may require resection. |
| + | * Systemic antibiotics, anti-endotoxins and fluids should be administered. |
| | | |
| '''2) If extended to ground and trodden''': | | '''2) If extended to ground and trodden''': |
| * Hopeless prognosis | | * Hopeless prognosis |
− | * Euthanasia the only appropriate treatment | + | * Euthanasia the only appropriate treatment |
| | | |
| =Oedema= | | =Oedema= |