Changes

===Treatment===

===Treatment===

'''Small''' pieces of tissue may be cut away under '''sedation''' if they are '''fresh'''; '''larger''' pieces may require removal under '''anaesthetic''' to ensure asepsis. After '''cleaning''' and '''disinfection''' of the protruding '''omentum''' and '''scrotal region''', the protruding omentum is '''drawn further exteriorly''', '''ligated''' and '''transected'''. The proximal stump is replaced into the abdomen by rectal manipulation.

'''Small''' pieces of tissue may be cut away under '''sedation''' if they are '''fresh'''; '''larger''' pieces may require removal under '''anaesthetic''' to ensure asepsis. In these cases the '''omentum''' and '''scrotum''' should be cleaned thoroughly and then the protruding omentum should be '''pulled further out of the wound''', then '''ligated''' and '''transected'''. Rectal manipulation can then be used to return the proximal stump into the abdomen.

===Prevention of recurrence===

===Prevention of recurrence===

'''Non-surgically''': the horse is placed on a sloping plank bridge or similar, with the hind quarters upwards and the front quarters downwards for some days.

'''Non-surgical''': the horse should be stood on a sloped plank, with the hind quarters raised higher than the front quarters for several days.

'''Surgically''': the edges of the incised vaginal tunic at the site of the scrotal wound are grasped using haemostatic forceps. Then, the vaginal tunic is freed from the surrounding skin and dartos, crushed as proximal as possible, ligated and transected distally.

'''Surgical''': the edges of the incised vaginal tunic at the site of the scrotal wound are grasped using haemostatic forceps. Then, the vaginal tunic should be separated from the surrounding skin and dartos fascia, then crushed proximally and ligated and transected distally.

==Intestinal Eventration==

==Intestinal Eventration==