PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to describe the technique for the surgical repair of perineal hernia (PH) in dogs using a polypropylene mesh (PM) and to evaluate its outcomes.
UNASSIGNED: All dogs were placed in the Trendelenburg position. Castration and caudal celiotomy for cystopexy and colopexy were performed as needed. Ipsilateral perianal incision was performed in the affected hernia side. A PM was formed a cone-shape with suturing and placed in hernial foramen. The PH was repaired with suturing between PH and pelvic diaphragm including the sacrotuberous ligament, internal obturator muscle, and external anal sphincter muscle. The medical records of all dogs were reviewed to evaluate signalment, perioperative findings, postoperative complications, and prognosis.
UNASSIGNED: Of the 22 dogs, 15 were intact, and 7 were previously neutered. The median age and body weight were 10 years and 6.8 kg, respectively. The PH reconstruction using a cone-shaped PM was feasible in all dogs. The median operative time was 60.5 min for unilateral PH and 109 min for bilateral PH. Major postoperative complications occurred in seven dogs (32%), and three dogs (14%) had a recurrence of PH. In the long-term (> 2 weeks) follow-up period, 16 dogs (73%) had an excellent prognosis.
UNASSIGNED: Our study suggests that PH reconstruction surgery using a cone-shaped PM may be a viable treatment method for PH in dogs. Therefore, a cone-shaped PM could serve as an alternative treatment option for canine PH reconstruction.
UNASSIGNED: All dogs were placed in the Trendelenburg position. Castration and caudal celiotomy for cystopexy and colopexy were performed as needed. Ipsilateral perianal incision was performed in the affected hernia side. A PM was formed a cone-shape with suturing and placed in hernial foramen. The PH was repaired with suturing between PH and pelvic diaphragm including the sacrotuberous ligament, internal obturator muscle, and external anal sphincter muscle. The medical records of all dogs were reviewed to evaluate signalment, perioperative findings, postoperative complications, and prognosis.
UNASSIGNED: Of the 22 dogs, 15 were intact, and 7 were previously neutered. The median age and body weight were 10 years and 6.8 kg, respectively. The PH reconstruction using a cone-shaped PM was feasible in all dogs. The median operative time was 60.5 min for unilateral PH and 109 min for bilateral PH. Major postoperative complications occurred in seven dogs (32%), and three dogs (14%) had a recurrence of PH. In the long-term (> 2 weeks) follow-up period, 16 dogs (73%) had an excellent prognosis.
UNASSIGNED: Our study suggests that PH reconstruction surgery using a cone-shaped PM may be a viable treatment method for PH in dogs. Therefore, a cone-shaped PM could serve as an alternative treatment option for canine PH reconstruction.
摘要：
■本研究旨在描述使用聚丙烯网片（PM）对狗的会阴疝（PH）进行手术修复的技术，并评估其结果。
■将所有狗置于特伦德伦堡位置。根据需要进行了膀胱切开和结肠切开的去势和尾切开术。在受影响的疝侧进行了同侧肛周切口。通过缝合将PM形成圆锥形，并放置在疝孔中。通过缝合PH和骨盆膈包括骶结节韧带修复PH。闭孔内肌，和肛门外括约肌.对所有狗的医疗记录进行了审查，以评估信号，围手术期发现，术后并发症,和预后。
■在22只狗中,15个完好无损，和7以前被绝育。中位年龄和体重分别为10岁和6.8公斤，分别。使用锥形PM的PH重建在所有狗中都是可行的。单侧PH的中位手术时间为60.5分钟，双侧PH的中位手术时间为109分钟。主要的术后并发症发生在七只狗（32％），三只狗（14％）的PH复发。在长期（>2周）随访期间，16只(73%)犬预后优越。
■我们的研究表明，使用锥形PM的PH重建手术可能是狗中PH的可行治疗方法。因此,锥形PM可以作为犬PH重建的替代治疗选择。
■将所有狗置于特伦德伦堡位置。根据需要进行了膀胱切开和结肠切开的去势和尾切开术。在受影响的疝侧进行了同侧肛周切口。通过缝合将PM形成圆锥形，并放置在疝孔中。通过缝合PH和骨盆膈包括骶结节韧带修复PH。闭孔内肌，和肛门外括约肌.对所有狗的医疗记录进行了审查，以评估信号，围手术期发现，术后并发症,和预后。
■在22只狗中,15个完好无损，和7以前被绝育。中位年龄和体重分别为10岁和6.8公斤，分别。使用锥形PM的PH重建在所有狗中都是可行的。单侧PH的中位手术时间为60.5分钟，双侧PH的中位手术时间为109分钟。主要的术后并发症发生在七只狗（32％），三只狗（14％）的PH复发。在长期（>2周）随访期间，16只(73%)犬预后优越。
■我们的研究表明，使用锥形PM的PH重建手术可能是狗中PH的可行治疗方法。因此,锥形PM可以作为犬PH重建的替代治疗选择。
