Page 225 - Manual of Equine Field Surgery
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Perinea! Body Reconstruction (Episioplasty) 221
moderate to severely abnormal perinea! confer-
mation. Occasionally, pneumovagina does not
resolve following Caslick's procedure or perineal
body reconstruction. In these cases, perineal body
transection may be warranted.2
COMPLICATIONS
j
Minimal complications are associated with this
procedure; however, dehiscence and suture sinus
tract development are possible. Excessive ventral
closure may result in urovagina, Unpredictable
vulvar tearing may occur if episiotomy is not per-
formed before parturition.
Figure 40-4 Caslick's procedure is performed to
oversew the submucosal perineal tissues and appose the
vulvar lips. REFERENCES
1. Beard '\tv: Standing urogenital sLrrgery, Vet Clin N Am
EXPECTED OUTCOME Equine Pract 7:669, 1991.
2. Trotter GW, McKinnon AO: Surgery for abnormal
Adequate reconstruction of the mare's perineal vulvar and perineal conformation in the mare, Vet
region alleviates pneumovagina in most cases of Clin 1V Am Equine Pract 4:389, 1988.
