{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:31:14Z","timestamp":1769733074839,"version":"3.49.0"},"reference-count":25,"publisher":"American Veterinary Medical Association (AVMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2015,5,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>Case Description<\/jats:bold>\u2014A 4-month-old Hampshire ram underwent open right inguinal herniorrhaphy and unilateral castration following herniation that developed after a kick injury. Seven months later, the ram was reevaluated because of scrotal swelling of 1 month's duration as well as suspected left inguinal hernia.<\/jats:p>\n<jats:p><jats:bold>Clinical Findings<\/jats:bold>\u2014The ram had marked scrotal swelling. Palpation of the left testicle revealed no abnormalities. Ultrasonographic examination revealed heterogenous tissue within the cranial and medial portions of the scrotum with pronounced accumulation of hypoechoic fluid at the scrotal apex. Examination findings indicated left-sided indirect inguinal herniation of omentum.<\/jats:p>\n<jats:p><jats:bold>Treatment and Outcome<\/jats:bold>\u2014To preserve fertility, left inguinal hernioplasty without castration was performed. The ram was anesthetized and placed in dorsal recumbency, and laparoscopic abdominal evaluation revealed omental entrapment within the left inguinal ring. The omentum was removed, and a polypropylene mesh was secured over the internal inguinal ring with an articulating hernia stapler. Following mesh placement, a dorsally based peritoneal flap was elevated and secured over the mesh repair. The ram recovered well from surgery; there was no repeated herniation following the surgical correction, and the ram was able to breed successfully without complication.<\/jats:p>\n<jats:p><jats:bold>Clinical Relevance<\/jats:bold>\u2014Laparoscopic mesh hernioplasty can be successful in rams with inguinal hernias when preservation of fertility is preferred.<\/jats:p>","DOI":"10.2460\/javma.246.10.1118","type":"journal-article","created":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T14:35:35Z","timestamp":1430490935000},"page":"1118-1121","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopic inguinal hernioplasty in a ram"],"prefix":"10.2460","volume":"246","author":[{"given":"Alexander J.","family":"Daniel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremiah T.","family":"Easley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy N.","family":"Holt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Huhn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen S.","family":"Hackett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Surgical treatment of a unilateral scrotal hernia in a ram\u2014a case report","first-page":"145","volume":"80","author":"Radi\u0161i\u0107","year":"2010"},{"key":"ref2","series-title":"Occurrence of congenital disorders in Swiss sheep","first-page":"27","volume":"55","author":"Greber","year":"2013"},{"key":"ref3","series-title":"Surgical treatment for different forms of hernias in sheep and goats","first-page":"185","volume":"8","author":"Al-Sobayil","year":"2007"},{"key":"ref4","series-title":"Scrotal hernia in 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ram","first-page":"135","volume":"21","author":"Ramakrishna","year":"1982"},{"key":"ref12","series-title":"Oscheocele in a ram","first-page":"105","volume":"14","author":"Singh","year":"1975"},{"key":"ref13","series-title":"Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions","first-page":"6","volume":"43","author":"Rossignol","year":"2014"},{"key":"ref14","series-title":"Laparoscopic mesh incisional hernioplasty in five horses","first-page":"318","volume":"38","author":"Caron","year":"2009"},{"key":"ref15","series-title":"Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis","first-page":"91","volume":"33","author":"Mari\u00ebn","year":"2001"},{"key":"ref16","series-title":"Intracorporeal suture closure of the internal inguinal and vaginal rings in foals and horses","first-page":"126","volume":"37","author":"Caron","year":"2008"},{"key":"ref17","series-title":"Standing laparoscopic peritoneal flap hernioplasty technique for preventing recurrence of acquired strangulating inguinal herniation in stallions","first-page":"292","volume":"41","author":"Wilderjans","year":"2012"},{"key":"ref18","series-title":"Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap","first-page":"557","volume":"36","author":"Rossignol","year":"2007"},{"key":"ref19","series-title":"Mechanical properties of mesh materials used for hernia repair and soft tissue augmentation","first-page":"e46978","volume":"7","author":"Pott","year":"2012"},{"key":"ref20","series-title":"Hand-assisted laparoscopic surgery","first-page":"133","volume":"138","author":"Targarona","year":"2003"},{"key":"ref21","series-title":"Use of a hand-assisted laparoscopic surgical technique for closure of an extensive mesojejunal rent in a horse","first-page":"1166","volume":"243","author":"Witte","year":"2013"},{"key":"ref22","series-title":"Standing hand-assisted laparoscopic treatment of left dorsal displacement of the large colon and closure of the nephrosplenic space","first-page":"595","volume":"42","author":"Mu\u0148oz","year":"2013"},{"key":"ref23","series-title":"Standing hand-assisted laparoscopic ovariectomy in 65 mares","first-page":"90","volume":"40","author":"Goodin","year":"2011"},{"key":"ref24","series-title":"Hand-assisted laparoscopic left nephrectomy in standing horses","first-page":"206","volume":"32","author":"Keoughan","year":"2003"},{"key":"ref25","series-title":"Effects of carbon dioxide insufflation and body position on blood gas values in horses anesthetized for laparoscopy","first-page":"549","volume":"28","author":"Hofmeister","year":"2008"}],"container-title":["Journal of the American Veterinary Medical 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