Perineal hernia repair in the dog by transposition of the internal obturator muscle

Sjollema, B.; Sluijs, F.J. van

doi:10.1080/01652176.1989.9694191

Cited by 29 publications

(43 citation statements)

References 7 publications

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“…() who reported that 78% of their cases (all of which did not receive abdominal surgical interventions) were free of clinical signs 6 to 88 months after surgery. As previously reported, most of the complications developed within the first 3 months after surgery (Sjollema & van Sluijs , Shaughnessy & Monnet ). Three dogs still had persistent clinical signs related to PH>24 months after surgery.…”

Section: Discussionsupporting

confidence: 75%

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Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs

Bernardé¹,

Rochereau

Matres-Lorenzo³

et al. 2018

J of Small Animal Practice

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Objectives To report the short‐ and long‐term outcomes and recurrence rate in dogs treated for apparently unilateral perineal hernia with bilateral herniorrhaphy, castration, colopexy, vas deferens pexy with or without cystopexy in single‐stage procedures. Materials and Methods Thirty‐one client‐owned dogs with apparently unilateral perineal hernia were included. Perineal hernias were repaired bilaterally, incorporating internal obturator muscle transposition and the sacro‐tuberal ligament, combined with colopexy, vas deferens pexy with or without cystopexy. Preoperative pattern of defaecation, pattern of micturition and rectal alignment were recorded. Surgical time, bilateral surgical perineal findings, postoperative complications, short‐, middle‐ and long‐term (>24 months) scores and recurrence rate were documented. Results A hernia with ectopic tissue and weakness of the pelvic diaphragm was identified bilaterally in all dogs despite the unilateral clinical presentation. The procedure combination was achieved uneventfully in all dogs in 56 to 113 minutes (mean 73 minutes). Complication rate was low, consisting mostly of urinary disorders, most of which resolved within a few days. In all, 93% of dogs were free of clinical signs related to perineal hernia at long‐term follow‐up (mean 27 months). Recurrence rate was 0%. Clinical Significance Our surgical findings suggest that perineal hernia in dogs might be considered a bilateral disease, even when the presentation is of apparently unilateral signs. Recurrence is rare following bilateral herniorrhaphy combined with colopexy and deferens pexy with or without cystopexy.

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Section: Discussionsupporting

confidence: 75%

“…, Shaughnessy & Monnet ). Recurrence rates are reported to range from 10 to 46% with primary herniorrhaphy, 0 to 33% with IOT and 10% when an abdominal procedure was combined with IOT in a two‐staged procedure (Sjollema & van Sluijs , Hosgood et al . , Brissot et al .…”

Section: Introductionmentioning

confidence: 99%

Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs

Bernardé¹,

Rochereau

Matres-Lorenzo³

et al. 2018

J of Small Animal Practice

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show abstract

“…The recurrence rates have been reported from zero to 18.75% after TIOM [11,19,24,27,28], and zero to 12.5% after the use of a polypropylene mesh [9,26,28]. Principally, a surgeon should avoid the technique using foreign material when one utilizing the patient's own tissue is possible [28].…”

Section: Discussionmentioning

confidence: 99%

“…Among the techniques attempted to avoid reherniation, transposition of the internal obturator muscle (TIOM) is the most reliable technique and considered now the conventional herniorrhaphy. The transposed muscle increases strength of the ventral perineum where most hernias occur [11,19,24,27,28]. The reports on the herniorrhaphy utilizing other patient's own tissues for closing the defect include transposition of the superficial gluteal muscle [22,29], semitendinosus muscle [8] and fascia lata [5].…”

mentioning

confidence: 99%

Perineal Hernia Repair Using an Autologous Tunica Vaginalis Communis in Nine Intact Male Dogs

Pratummintra

Chuthatep

Banlunara

et al. 2013

The Journal of Veterinary Medical Science

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ABSTRACT. Perineal hernia in dogs is very problematic and mostly requires surgical reconstruction of the weak pelvic diaphragm. Tissue or synthetic grafts have been used for the correction after failure of the conventional herniorrhaphy. Aim of this clinical trial was to assess the possible use of the autologous tunica vaginalis communis as a free graft for perineal hernia repair in intact male dogs. Seven unilateral and 2 bilateral perineal hernias in nine intact male dogs free from testicular and scrotal neoplasms were included in this study. The median surgical time for unilateral herniorrhaphy was 75 min. The median follow-up time was 13 months. The success of the autografting, based on no recurrence and comfort of the animals during urination and defecation, was found in ten of 11 hernias; giving a success rate of 90.91%. One hernia (9.09%) recurred 10 days after surgery. Histopathological examination of the apposing area between the graft and the adjacent tissue, taken during the repair of the recurred case at day 20, revealed neovascularization and connective tissue ingrowth. In conclusion, the tunica vaginalis autograft can be used for perineal herniorrhaphy in intact male dogs.

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“…Alternative techniques have been developed to improve hernial repair procedures and decrease the recurrence rate. Internal obturator muscle transposition (IOT) is currently the preferred surgical treatment (with recurrence rates between 2.4% and 19%), but repair can be difficult, particularly if the internal obturator muscle is atrophied [9,18]. Post-operative complications with the use of standard herniorrhaphy including IOT, and peripheral muscle autografts ( e.g.…”

mentioning

confidence: 99%

Use of canine small intestinal submucosa allograft for treating perineal hernias in two dogs

et al. 2012

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Here, we describe two dogs in which canine small intestinal submucosa (SIS) was implanted as a biomaterial scaffold during perineal herniorrhaphy. Both dogs had developed severe muscle weakness, unilaterally herniated rectal protrusions, and heart problems with potential anesthetic risks. Areas affected by the perineal hernia (PH) located between the internal obturator and external anal sphincter muscles were reconstructed with naïve canine SIS sheets. In 12 months, post-operative complications such as wound infections, sciatic paralysis, rectal prolapse, or recurrence of the hernia were not observed. Symptoms of defecatory tenesmus also improved. Neither case showed any signs of rejection or specific immune responses as determined by complete and differential cell counts. Our findings demonstrate that canine SIS can be used as a biomaterial scaffold for PH repair in dogs.

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Perineal hernia repair in the dog by transposition of the internal obturator muscle

Cited by 29 publications

References 7 publications

Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs

Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs

Perineal Hernia Repair Using an Autologous Tunica Vaginalis Communis in Nine Intact Male Dogs

Use of canine small intestinal submucosa allograft for treating perineal hernias in two dogs

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