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首页> 外文期刊>Journal of Equine Veterinary Science >Equine Perineal and Vulvar Conformation Correction Using a Modification of Pouret's Technique
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Equine Perineal and Vulvar Conformation Correction Using a Modification of Pouret's Technique

机译：马的会阴和外阴构象校正使用Pouret技术的修改

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An incompetent vulvar seal leads to reproductive failure, and a surgical intervention might be required. The present paper describes modifications to Pouret's surgery. We suggest the use of a simple interrupted vertical mattress suture, which avoids seroma. Eighteen Brazilian Jumping Horse mares, older than 20 years and barren for 3-5 consecutive years, underwent modified Pouret's surgery. A horizontal skin incision of 3-4 cm was made half way between the anus and upper commissure of the vulva. The submucosal and connective tissue were dissected, and the rectovaginal shelf was split horizontally by sectioning the muscular and ligamentous connections between the anus, vulva, caudal portion of the rectum, and vagina until the vulva was oriented vertically. The wound was changed from a horizontal plane to a vertical plane by placing the suture vertically using approximately eight interrupted U sutures distributed in two layers with polyamide thread. The modified Pouret's surgical technique provided a perfect coaptation of the vulvar lips and a correct perineal position. Those mares that presented with horizontally tipped vulvar lips due to advanced age and stretching of the pelvic tissues by multiple foaling had their vulvas replaced. Also, the surgical procedure was easy to perform. As to fertility, of the 18 initial mares, 14 were inseminated, and all became pregnant. Thus, it was possible to conclude that the anatomical changes performed throughout the surgical procedure predisposed to a better vulvar coaptation, correcting the pneumovagina. (c) 2014 Elsevier Inc. All rights reserved.
机译：外阴封闭不全会导致生殖衰竭，可能需要进行外科手术。本文介绍了对Pouret手术的修改。我们建议使用简单的间断垂直床垫缝合线，以免发生血清肿。进行了改良的Pouret手术的18头巴西跳马母马，年龄超过20岁，并且连续3-5年贫瘠。在肛门和外阴上半部之间的中间切一个3-4 cm的水平皮肤切口。解剖粘膜下和结缔组织，并通过切开肛门，外阴，直肠的尾部和阴道之间的肌肉和韧带连接，水平横断直肠阴道架子，直到外阴垂直放置。通过使用分布在两层中的约8条间断U形缝线和聚酰胺线将缝线垂直放置，可将伤口从水平面变为垂直平面。改良的Pouret手术技术使外阴唇完美接合，并提供正确的会阴位置。那些由于年龄高大而出现水平倾斜的外阴嘴唇的母马，以及由于多次驹驹而使骨盆组织伸展的外阴被替换了。而且，外科手术容易进行。至于生育能力，最初的18匹母马中，有14匹被授精，并且全部怀孕。因此，有可能得出这样的结论，即在整个外科手术过程中进行的解剖学改变预示着更好的外阴接合，从而纠正了肺气肿。 （c）2014 Elsevier Inc.保留所有权利。

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