Senin, 30 April 2012

ANIMAL HERNIA UTERI


Hernia uteri is a condition in which the parent livestock was pregnant, the uterus with the fetus is conceived into the cavity of the hernia. Hernia cavity is a cavity between the peritoneum and abdominal tendon with abdominal wall skin, this cavity is formed because of ruptura of peritoneum and layers of muscularis from the abdominal wall, while the floor of the abdominal wall skin is not disturbed. Hernia uteri often called histerocele which generally occurs at the end of pregnancy period.

There are three parts of hernia according to circumstances of hernia uteri, namely :
  1. Gate of hernia or hernia ring 
  2. Cavity of hernia 
  3. Contents of hernia consist the uterus with the fetus if the animal is pregnant or if the parent animal were not pregnant consist intestines. 
The type of hernia according to the place of hernia occurs divided into two kinds are : 
  1. Hernia ventralis. Occurring when the ring of hernia was in the base of the abdominal wall. Cases of hernia ventralis are often found in horses, cattle, sheep and goats. 
  2. Hernia inguinalis. Occurring when the ring of hernia that formed is channel of inguinal itself. Cases of hernia inguinalis are often found in dogs and pigs. 

There are several factors as the cause of hernia uteri, including : 
  1. Trauma caused goring with horn in abdominal by other animals. 
  2. Fell in the field of pastoral as a result of uneven ground. 
  3. Factor of fetus. 
Fetus too big, pregnant twins, or pregnancy accompanied by hidrops of fetal membranes, all these factors causing pressure of intraabdominal becomes very strong so that the peritoneum and abdominal muscles can not support the weight, it will result in ruptura of peritoneum and abdominal muscles that accompanied by the uterus and fetus into the cavity of hernia through the ring of hernia.

The symptoms of hernia uteri were : 
  1. The existence of a small swelling in the lower abdominal area that can quickly grow so that the abdominal wall almost to the ground. 
  2. Occurred edema around the ring of hernia caused by the pressure on the veins in this area. 
  3. Decrease in body condition during partus. 
  4. Decreased appetite. 
  5. If doing palpation on part of hernia will give pain reaction. 
  6. Temperature of body can rise. 
  7. Faster breathing. 
  8. Results of defecation becomes hard. 
Diagnosis can be made based on palpation of the lower abdomen found is swollen and may also be felt fetal movement. Differential diagnosis in the case of hernia uteri is a tumor in the abdominal wall, abscesses locally at lower abdominal wall.

Treatment of hernia uteri include : 

1. Before the birth period.
Treatment begins with the returning of the uterus and fetus into the cavity of abdominal from parent on position lying supine, previously can be attached the board on the bottom of the stomach that is bound in the mother's stomach, with the aim of the uterus and the fetus remained in the cavity of abdominal until it's time to give birth.

2. The process of birth.
Treatment can be done by laparotomy in the abdominal wall where hernias occur and in the uterine was made incision to remove the fetus and fetal membranes, and then ring of hernia covered with sutures between the peritoneum of tendon and the last of sutures between skin.

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