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Surgical Management of Rectovaginal Fistula in a Mare

机译:母马直肠阴道瘘的外科治疗

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Rectovaginal fistula (RVF) is an opening between the rectum and vagina which results in chronic contamination of the vagina with the faecal material. RVF is a relatively common injury sustained during foaling (Jalim and Mckinnon, 2010). Fistula most commonly occurs secondary to dystocia and usually in primiparous mares. These may be caused by foal's nose or more commonly a foot (or both) being forced through the dorsum of the vestibule of vagina into the rectum. Spontaneous retraction or manual replacement of foal's head or extremity into the correct position limits the injury to a RVF, but ifparturition proceeds before correction the result is usually a third degree laceration. Conservative management of RVF may allow them to granulate and close by wound contraction (Colbern et al, 1985); however most will require surgical repair. This paperdescribes a case of successful surgical management of rectovaginal fistula in a mare.
机译:直肠阴道瘘(RVF)是直肠和阴道之间的开口,导致粪便材料长期污染阴道。 RVF是马驹受伤期间相对较常见的伤害(Jalim和Mckinnon,2010)。瘘管最常发生在难产后,通常发生在初产母马中。这可能是由于小马驹的鼻子,或更常见的是一只脚(或两只脚)被迫穿过阴道前庭的背部进入直肠。自发性回缩或人工替换小马驹的头部或四肢到正确的位置限制了RVF的损伤,但是如果在分娩之前进行分娩,通常结果是三度撕裂伤。 RVF的保守治疗可以使它们通过伤口收缩而形成颗粒并闭合(Colbern等,1985);但是大多数将需要手术修复。本文描述了一例母马直肠阴道瘘手术成功的病例。

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