Equine Perineal and Vulvar Conformation Correction Using a Modification of Pouret's Technique

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dc.contributor.authorPapa, Frederico Ozanam [UNESP]
dc.contributor.authorMelo, Cely M.
dc.contributor.authorMonteiro, Gabriel A.
dc.contributor.authorPapa, Patricia M.
dc.contributor.authorGuasti, Priscilla N.
dc.contributor.authorMaziero, Rosiara Rosária D.
dc.contributor.authorDerussi, Ana Augusta P.
dc.contributor.authorMagalhães, Luis Carlos O.
dc.contributor.authorMartin, José Carlos
dc.contributor.authorMartin, Ian
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:30:50Z
dc.date.available2014-05-27T11:30:50Z
dc.date.issued2013-10-07
dc.description.abstractAn 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. © 2013 Elsevier Inc. All rights reserved.en
dc.identifierhttp://dx.doi.org/10.1016/j.jevs.2013.07.019
dc.identifier.citationJournal of Equine Veterinary Science.
dc.identifier.doi10.1016/j.jevs.2013.07.019
dc.identifier.issn0737-0806
dc.identifier.lattes0640158639112242
dc.identifier.scopus2-s2.0-84884824108
dc.identifier.urihttp://hdl.handle.net/11449/76792
dc.identifier.wosWOS:000333656900019
dc.language.isoeng
dc.relation.ispartofJournal of Equine Veterinary Science
dc.relation.ispartofjcr0.880
dc.relation.ispartofsjr0,390
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectEndometritis
dc.subjectMares
dc.subjectPneumovagina
dc.subjectReproductive failure
dc.subjectReproductive surgery
dc.subjectVulvoplasty
dc.titleEquine Perineal and Vulvar Conformation Correction Using a Modification of Pouret's Techniqueen
dc.typeArtigo
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
unesp.author.lattes0640158639112242
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina Veterinária e Zootecnia, Botucatupt
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Artigos - Reprodução Animal e Radiologia Veterinária - FMVZ