Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions.
Authors: Rossignol Fabrice, Mespoulhes-Rivière Céline, Vitte Amélie, Lechartier Antoine, Boening Karl Joseph
Journal: Veterinary surgery : VS
Summary
# Editorial Summary: Standing Laparoscopic Inguinal Hernioplasty Using Cyanoacrylate in Stallions Acquired strangulated inguinal herniation carries significant risk of recurrence in stallions, and traditional surgical approaches have limitations in breeding animals. Rossignol and colleagues treated ten stallions with prior strangulated inguinal herniation using standing laparoscopic hernioplasty, applying n-butyl-2-cyanoacrylate directly into the inguinal canal whilst carefully controlling spread with mechanical retraction and contralateral visualisation to ensure complete vaginal ring closure. Over a follow-up period of 1–4 years, zero recurrences occurred, with no major complications and notably good cosmetic outcomes; seven breeding stallions retained full fertility. This technique addresses a genuine clinical gap by offering an effective preventative approach to recurrent inguinal herniation whilst preserving reproductive function and allowing rapid return to work. For practitioners managing stallions with hernia history, this represents a viable alternative to conventional repair, though the procedure requires standing laparoscopic expertise and familiarity with cyanoacrylate handling in an abdominal environment.
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Practical Takeaways
- •This standing laparoscopic technique offers a promising alternative to traditional hernia repair with no recurrence observed, potentially reducing recovery time and complications compared to recumbent surgery
- •Stallion fertility is preserved with this approach, making it suitable for valuable breeding animals requiring hernia prevention
- •The technique appears safe and practical for field or clinic use, though long-term data beyond 4 years and larger sample sizes would strengthen clinical confidence
Key Findings
- •Standing laparoscopic inguinal hernioplasty using cyanoacrylate achieved 0% recurrence rate over 1-4 years follow-up in 10 stallions with previous strangulated inguinal hernia
- •No major complications occurred with the cyanoacrylate technique and cosmetic outcomes were excellent
- •Seven breeding stallions retained fertility after the procedure with all horses returning to intended use