Vol. 9, Issue 10, Part A (2025)
Reconstructive sliding flap surgery and castration in a pony with extensive gore injury wound concurrent with testicular evisceration
M Gokulakrishnan, C Sowbharenya, A Senthilkumar and Sujith S
A 2-year-old intact male pony was presented to LAC-OP-Surgery Unit at VC&RI, Theni with the history of extensive deep lacerated wound on the latero-medial aspect of the right thigh region caused by a wild buffalo. Clinical examination revealed profuse bleeding with deep ulcerative wounds on the latero-medial aspect from the right thigh region to the medial left thigh with prolapsed right testicle with severed spermatic cord and extensive tissue damage. Emergency haemostasis with Tamponade was done and routine biochemical test was done to rule out organ health and for management of intra operative shock. The case necessitated immediate surgical intervention, since the profiles were not alarming. Standard safe anaesthetic protocol was administered following pre stabilization against shock. Animal was positioned in right lateral recumbency and the prolapsed testicle was excised as per standard operating procedures and the contra lateral testicle was also castrated. Following which, debridement and exuberant lavaging protocols were performed. Since the vitality of the right latero-medial skin was healthy with intact vascular subdermal plexus, reconstructive procedure involving a sliding single pedicle flap was done. The patency of the penile and pelvic urethra was ascertained through a foley catheter which revealed intact urethral lumen. After completion of reconstructive procedure an indwelling drain was placed on the medial aspect of the thigh to facilitate post operative drainage of exudates. Following anaesthesia recovery, the pony was medicated with Inj.Ceftriaxone 10mg/kg, Inj.Flunixin 1.1 mg/kg for 7days, periodic dressing was advised to perform on the alternative days and pony had uneventful recovery.
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