Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs

Veterinary Surgery : VS
Hervé N BrissotBernard M Bouvy

Abstract

To evaluate the value of laparotomy as the initial step in the treatment of bilateral or complicated perineal hernia (PH) in dogs. Retrospective study. Forty-one dogs with PH. Dogs with bilateral or complicated PH treated by a 2-step approach between November 1997 and December 2001 were studied. Inclusion criteria for complicated PH were: recurrence of PH, unilateral PH with a major rectal dilatation, PH with a concurrent surgical prostatic disease, and PH with retroflexed bladder. Colopexy, vas deferens pexy, cystopexy, and prostatic omentalization were performed during laparotomy as needed. Later, PH was performed by internal obturator muscle flap (IOMF) or if there was a perineal rent or weakness on the contralateral side, appositional herniorrhaphy was performed. Outcome was followed for >/=6 months. PH were bilateral (20 dogs) or unilateral (21). Twenty-one (51%) dogs had prostatic disease (clinical or ultrasonography diagnosis; 17 confirmed histologically) and 12 (29%) had urinary bladder retroflexion. Forty-one colopexies, 32 vas deferens pexies, 6 cystopexies, and 9 prostatic surgeries (omentalization or perineal cyst resection) were performed. PH was performed 2-20 days (median, 6 days) later: 61 IOMF transpositions, 1...Continue Reading

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Citations

Apr 26, 2013·The Journal of Veterinary Medical Science·Shi-Xia ZhangLong Pan
Jan 15, 2015·Journal of the American Veterinary Medical Association·Magen Shaughnessy, Eric Monnet
Oct 2, 2014·Veterinary Surgery : VS·W Alexander AlvarezJ Brad Case
Sep 10, 2015·Journal of Zoo and Wildlife Medicine : Official Publication of the American Association of Zoo Veterinarians·Noémie SummaAmeet Singh
Mar 5, 2015·The Journal of Small Animal Practice·E MorelloP Buracco
May 15, 2018·Journal of the American Animal Hospital Association·Sukhjit Singh Gill, Robert D Barstad
Nov 16, 2021·Journal of the American Veterinary Medical Association·Ashley E IodenceJanet A Grimes

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