Abstract

A two-year-old crossbred female dog was presented to the Department of Veterinary Gynaecology and Obstetrics, Veterinary College, Gadag, Karnataka, with a history of bilateral reproductive trauma to the genitalia. Physically the dog was active; feeding and voiding habits were normal. Except for the torn external genitalia and absence of bleeding the animal was normal. In line with the procedure for correction of breached vulva, the surgical site was aseptically prepared, anaesthetised with the pre-anesthetic drug Inj. Atropine @ 0.04 mg/kg b.wt. and induction of anaesthesia was done with Inj. Xylazine @ 1 mg/kg b.wt. and Inj. Ketamine 10 mg/kg b.wt. I/M, administered intramuscularly as an induction dose and Ketamine and Midazolam at a ratio of 1:2 was used for maintenance of anaesthesia. The dog was positioned on dorso-ventral recumbency and urethral patency was maintained using a sterile 7-inch atraumatic, flexible catheter during the surgery. Commissural vulvoplasty was performed in a layered manner from the interior to exterior. Meticulous debridement was done until capillary bleeding and ruptured lips were closed in a synchronous manner in keeping with the normal anatomy of the vulva by using interrupted Lembert sutures. Inj. Meloxicam and Inj. Cefotaxime were administered as a pre-emptive analgesic and for antibiotic coverage, respectively. Postoperatively, the owner was advised to give Serratiopeptidase 10 mg twice daily orally and Amoxycillin-Sulbactam combination at the rate of 20 mg per kg body weight, twice daily for three days. Wound dressing was done once in two days. On day 15 postoperative, the original appearance of vulva was restored.

Keywords : Bilateral tear, vulval labia, surgical management, vulvoplasty