Equine acquired inguinal herniation – diagnosis and treatment in 62 cases

Main Article Content

Milomir Kovač
Ruslan Aliev
Tatjana Ippolitova
Zoran Tambur


Introduction. The medical records of 62 stallions with acquired inguinal herniation were reviewed (2007-2017).
Materials and Methods. The history, clinical and laboratory findings on admission to the clinic and methods of treatment have been summarized.
Results and Conclusions. The prevalence of inguinal hernia among horses with colic was 3.85 % (62/1609 cases). Indirect inguinal hernia was observed in 58 cases (93.54 %) and incarcerated inguinal hernia was observed in 55 horses (88.71 %). Hernia was found more frequently on the left side (36 cases) then on the right (26 cases). The majority of horses with acquired inguinal hernia were admitted to the clinic in the summer and spring (49/62), i.e. when air temperatures were high, significantly more (p<0.05) than in winter or autumn (13/62). Comparing the breed proportion of hernia cases with other horses with colic, disproportionately high percentages of trotter and thoroughbred horses were found with acquired inguinal herniation. Significant differences of the clinical and laboratory blood parameters were found when more time had passed from the onset of colic until the horses’ arrival at the clinic. There was a significant positive correlation between the duration of colic and the onset of gastric reflux, increase of hematocrit and heart rate. Six horses were conservatively and 55 horses surgically treated. The clinic discharge rate was 90.32% (56/62). Early diagnosis and admission to the veterinary clinic and emergency surgery is necessary for equine inguinal hernia. The conservative treatment was successful only in cases of incarcerated inguinal hernia with colic duration less than 4 hours. Equine acquired inguinal herniation carries a good prognosis if the affected horse is rapidly taken to a specialized facility where a conservative or surgical correction is performed promptly.


Download data is not yet available.

Article Details

How to Cite
Kovač, M., Aliev, R., Ippolitova, T., & Tambur, Z. (2018). Equine acquired inguinal herniation – diagnosis and treatment in 62 cases. Veterinarski Glasnik, 72(1), 22–34. https://doi.org/10.2298/VETGL171228006K
Full research article


Bartmann C. P., Brickwede I. 1999. Kolik durch Hernia inguinalis bei einem Wallach. Pferdeheilkunde, 4:19-322.

Coelho C. S. 2009. Retrospective study of inguinal hernia in horses: 28 cases. Proceedings of 11th Congress of the World Equine Veterinary Association. São Paulo. 27.

Cousty M. 2010. Inguinal rupture with herniation of the urinary bladder through the scrotal fascia in a Shetland pony foal. Equine Veterinary Education, 22:3-6. https://doi.org/10.2746/095777309X462

Huskamp B., Kopf N. 1997. Hernia inguinalis incarcerata beim Pferd. Der Praktische Tierarzt, 78:217.

Kovac M., Aliev R., Elizarova O., Ivanyatov E. 2015. Еtiology, diagnosis and treatment of equine post operation paralytic ileus. VetPharma, 4:26-28.

Kovac M., Huskamp B., Toth J. 2008. Prevalence, risk and therapy of postoperative ileus after intestinal surgery in the horse – Proceedings of 10th Congress of the World Equine Veterinary Association, Moscow, 56.

Marien, T. 2001. Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis. Equine Veterinary Journal, 33:91-99. https://doi.org/10.2746/042516401776767476

Mezerová J., Zdenek Z., Kabel R., Petr J. 2003. Hernia inguinalis incarcerata in horses: 43 cases. Pferdeheilkunde, 19:263-268.

Mezerová J., Zert Z., Kabes R., Ottova L. 2008. Analysis of therapeutic results and complications after colic surgery in 434 horses. Veterinarni Medicina 53, 12-28.

Reagle C. A., Yiannikouris S., Tibary A. A., Fransson B. A. 2013. Use of a barbed suture for laparoscopic closure of the internal inguinal rings in a horse. Journal of the American Veterinary Medical Association, 242:249-253. https://doi.org/10.2460/javma.242.2.249

Robinson E, Carmalt J. L. 2009. Inguinal Herniation of the ascending colon in a 6-monthold Standardbred colt. Veterinary Surgery, 38:1012–1013. https://doi.org/10.1111/j.1532- 950X.2009.00595.x

Rossignol F., Perrin R., Boening K.J. 2007. Laparoscopy hernioplasty in recumbent horses using transposition of a peritoneal flap. Veterinary Surgery, 36:557-562. https://doi.org/10.1111/j.1532-950X.2007.00282.x

Rossignol F., Mespoulhes-Rivière C., Vitte A., Boening K. J. 2014. Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of strangulated inguinal herniation in 10 stallions. Veterinary Surgery, 43:6-11. https://doi.org/10.1111/j.1532-950X.2013.12083.x

Schneider R. K., Milne D. W., Kohn C. W. 1982. Acquired inguinal hernia in the horse: a review of 27 cases. Journal of the American Veterinary Medical Association, 180:317-320.

Spurlock G. H., Robertson J. T. 1988. Congenital inguinal hernias associated with a rent in the common vaginal tunic in five foals. Journal of the American Veterinary Medical Association, 193:1087-1088.

Toth J., Hollerrieder J. 2002. Diagnosis and treatment of hernia inguinalis incarcerata. Magyar Allatorvosok Lapja, 124:71-81.

Van der Velden M. A. 1988a. Surgical treatment of acquired inguinal hernia in the horse: a review of 51 cases. Equine Veterinary Journal, 20:173-177. https://doi.org/10.1111/j.2042-3306.1988.tb01491.x

Van der Velden M. A. 1988b. Ruptured inguinal hernia in new-born colt foals: a review of 14 cases. Equine Veterinary Journal, 20:178-181. https://doi.org/10.1111/j.2042-3306.1988.tb01492.x

Wilderjans H., Simon O., Boussauw B. 2008. Strangulated hernias in 63 horses. Results of manual closed nonsurgical reduction followed by a delayed laparoscopic closure of the vaginal ring. In: Proceedings of the 10th International Congress of World Equine Veterinary Association, January 28 – February 1, 2008, Moscow, Russia, 360–364.

Weaver D. 1987. Acquired incarcerated inguinal hernia: A review of 13 horses. Canadian Veterinary Journal, 28:195-199.