Use of Autogenous Fascia Lata Graft for Perineal Herniorrhaphy in Dogs

Bongartz, Alexandre; Carofiglio, Francesca; Balligand, Marc; Heimann, Marianne; Hamaide, Annick

doi:10.1111/j.1532-950x.2005.00062.x

Cited by 57 publications

(101 citation statements)

References 36 publications

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“…Cães inteiros apresentam uma taxa de recorrência 2,7 vezes superior à dos cães castrados (MORTARI; RAHAL, 2005), sendo que receptores para hormônios androgênicos estão presentes na musculatura do diafragma pélvico, e o aumento de di-hidrotestosterona circulante possa levar a atrofia deste (ACAUI, 2001). Embora essa indicação de tratamento seja comprovada, é possível verificar cães machos operados de hérnia perineal, não castrados (BONGARTZ et al;2005). Os animais desse estudo foram orquiectomizados, pois esse procedimento diminui o índice de recidiva pós-operatório (ANDERSON et al, 1998;HOSGOOD et al, 1995), Em um trabalho realizado por D'Assis e colaboradores (2010) foi observado hipertrofia prostática em cães com hérnia perineal, justificando o emprego da orquiectomia associado a herniorrafia perineal.…”

Section: Discussionunclassified

Utilização De Pericárdio Bovino Conservado Em Glicerina 98% Na Herniorrafia Perineal Em Cães – Relato De 12 Casos

Marques

Russo

Ibañez³

2016

ArqVet

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RUSSO, C.; IBAÑEZ, J. F. Utilização de pericárdio bovino conservado em glicerina 98% na herniorrafia perineal em cães -relato de 12 casos. Arq. Ciênc. Vet. Zool. UNIPAR, Umuarama, v. 18, n. 3, p. 185-190, jul./set. 2015. RESUMO:A hérnia perineal é uma afecção de alta ocorrência na clínica de pequenos animais. A doença ocorre com maior frequência em cães machos, idosos e não castrados. A etiopatogenia é multifatorial e leva à atrofia da musculatura do diafragma pélvico. Os sinais clínicos dependem muito do conteúdo herniário. O diagnóstico é realizado pelo exame físico e exames complementares. O tratamento clínico é utilizado até o animal ter condição para realização do procedimento cirúrgico que é o de eleição. Várias técnicas cirúrgicas têm sido estudadas para diminuir os índices de recidiva. A utilização de membranas biológicas pode ser usada causando sustentação do diafragma pélvico atrofiado. O pericárdio bovino preservado é muito utilizado para falhas musculares e melhorar a sustentação de tecidos. Vários métodos de preservação de membranas têm sidos utilizados, com grande destaque para glicerina 98%. Foram avaliados 12 cães machos com hérnia perineal, na qual foi utilizado o pericárdio bovino conservado em glicerina 98% associado à técnica tradicional para a herniorrafia e orquiectomia pré-escrotal. Os cães sem raça definida foram os mais acometidos. Em cinco animais foram acometidos ambos os lados do diafragma pélvico. Somente um animal apresentou recidiva. O pericárdio bovino conservado em glicerina 98% possibilitou baixos índices de recidiva nos casos descritos. PALAVRAS-CHAVE: Biomaterial. Canino. Cirurgia. Diafragma pélvico. Hérnia. USE OF BOVINE PERICARDIUM PRESERVED IN 98% GLYCERINE IN PERINEAL HERNIORRHAPHY IN DOGS -12 CASE STUDIESABSTRACT: A perineal hernia is a condition of high occurrence in small animal clinics. The disease occurs more frequently in male, elderly and unneutered dogs. The pathogenesis is multifactorial, which leads to atrophy of the muscles of the pelvic diaphragm. Clinical signs depend much of the hernia contents. The diagnosis is made by physical examination and complementary tests. Clinical treatment is used until the animal presents condition for the surgical procedure, which is the election. Several surgical techniques have been studied to reduce the relapse rates. Biological membranes can be used to support the stunted pelvic diaphragm. The preserved bovine pericardium is widely used for muscle failure and to improve tissue support. Various membrane preservation methods have been used, with emphasis to 98% glycerin. A total of 12 male dogs with perineal hernia, in which the bovine pericardium preserved in 98% glycerin associated with the traditional technique of hernia repair and pre scrotal orchiectomy were evaluated. The mongrel dogs were the most affected. In five animals, both side of the pelvic diaphragm were affected. Only one animal had recurrence. The bovine pericardium preserved in 98% glycerin allowed low recurrence rates in the cases described. KEYWORDS: Biomate...

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Section: Discussionunclassified

Utilização De Pericárdio Bovino Conservado Em Glicerina 98% Na Herniorrafia Perineal Em Cães – Relato De 12 Casos

Marques

Russo

Ibañez³

2016

ArqVet

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“…There are many different techniques of perineal hernia repair, of which the two most widely accepted are anatomical reduction technique which was performed in this case and internal obturator trauma. Closure of the hernia defect by transposition of the superficial gluteal muscle (Spreull and Frankland, 1980), semitendinosus muscle (Chambers and Rawlings, 1991) and fascialata (Bongartz et al, 2005) has been reported by various surgeons. Similarly synthetic materials like polypropylene mesh have also been used successfully for repair of perineal hernia in dogs (Szabo et al, 2007).…”

Section: Treatment and Discussionmentioning

confidence: 99%

A Rare Case of Lipoma of Vagina along with Perineal Hernia in a Female Dog and Surgical Treatment

Kumar

Lakshmi

Reddy

et al. 2017

IJAVST

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A 10 year old female dog was presented with history of difficulty in defecation, perineal swelling and swollen mass in the vaginal region. Physical examination showed characteristic signs of hernia on right side of the perineum. Under general anaesthesia surgery was performed and entire growth on the vaginal wall was excised completely. Another incision over the perineal swelling revealed pelvic fat herniation. After reducing the contents, herniorrhaphy was performed by suturing the pelvic diaphragm muscles and skin sutures were applied. Histopathologically, vaginal mass contained numerous polyhydral cells and each cell contains fat globule and nucleus pushed to mature fat cells. These findings confirmed as a case of lipoma. This is a record of successful management of an uncommon case of perineal hernia along with lipoma in a female dog.

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“…Rectal prolapse can also occur after repair of perineal hernias because of tenesmus, especially in dogs with bilateral hernia, complicated by rectal sacculation 5,12 . Bongartz et al 7 reported 2 rectal prolapse in 12 dogs; they thought that simultaneous bilateral procedures might induce more pain, and stricture of the pelvic diaphragm lead to an increased effort during defecation. In the present study, both unilateral and bilateral perineal hernia were treated at the same operation, there were no severe pain inducing persistent tenesmus, and no prolapse recorded associated with pain.…”

Section: 610mentioning

confidence: 99%

“…Perineal hernia is characterized by disruption of the middle-aged or aged intact male dogs [1][2][3][4][5][6][7] . Approximately pelvic diaphragm and herniation of the abdominal or 59% of the perineal hernias are unilateral while 41% are pelvic organs into the ischiorectal fossa especially in bilateral 6 .…”

Section: Introductionmentioning

confidence: 99%

Köpeklerde Perineal Herninin Klinik ve Cerrahi Değerlendirilmesi: 41 Olgu

Pekcan¹,

Beşaltı²,

Şirin³

et al. 2009

Kafkas Univ Vet Fak Derg

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SummaryThe purpose of the study was to report the clinical and surgical records of perineal hernia and associated rectal pathology with epidural morphine analgesia in 41 dogs. Fourty one dogs suffered from perineal hernia were included into the study with the age varied from 4.5 to 16 years. Eleven dogs had bilateral while the other 30 had unilateral (17 right, 13 left) perineal hernia. The clinical signs were perianal swelling (n=41), severe tenesmus (n=19), dyschesia (n=9), proctitis (n=7), fecal incontinence (n=4), stranguria (n=2) and hematuria (n=1). Associated rectal pathologies were diverticulation (n=15), dilatation (n=4), deviation (n=3) and sacculation (n=1). The rectal diverticulum was corrected by extraluminal plication (n=12) or rectal resection (n=3). Internal obturator muscle flap transposition was used to repair the hernia in all cases. Postoperative pain was subjectively evaluated and scores were "no pain" in 10 cases, mild in 28 cases, moderate in 3 cases. Mean follow-up time was 27.3 months (range 4 months to 5 years) and the recurrence was observed only in three cases postoperatively. In conclusion, combined perineal herniorraphy with internal obturator muscle transposition and rectal wall repairment can be carried out at the same time and epidural morphine administration provide adequate analgesia for these operations. Keywords: Perineal hernia, Rectal pathology, Pain, Dog Köpeklerde Perineal Herninin Klinik ve Cerrahi Değerlendirilmesi: 41 Olgu ÖzetBu çalışmanın amacı 41 köpekte perineal herni ve eşlik eden rektal patolojilerin klinik ve operatif bulgularını postoperatif ağrı skorları ile birlikte sunmaktır. Perineal herni tanısı konulan, yaşları 4.5 ile 16 arasında değişen 41 köpek çalışma kapsamına alındı. 11 köpekte bilateral, 30 köpekte unilateral (17 sağ, 13 sol) perineal herni tespit edildi. Klinik semptomlar perineal şişkinlik (n=41), şiddetli tenesmus (n=19), ağrılı defekasyon (n=9), proktitis (n=7), fekal inkontinens (n=4), stranguri(n=2) ve hematuri (n=1) idi. Bunlara eşlik eden rektal patolojiler divertikülasyon (n=15), dilatasyon (n=4), deviasyon (n=3) ve sakkulasyon (n=1) idi. Rektal divertikülasyon ekstraluminal plikasyon (n=12) veya rektal rezeksiyon (n=3) ile düzeltildi. Perineal herninin onarımında tüm olgularda internal obturator kas flebi kullanıldı. Postoperatif ağrı subjektif olarak değerlendirildi. Buna göre 10 olguda ağrının olmadığı, 28 olguda hafif ve 3 olguda orta düzeyde ağrı olduğu kaydedildi. Ortalama 27.3 aylık (4 ay-5 yıl) takip süresinde 3 olguda nüks tespit edildi. Sonuç olarak, internal obturator kas flebi ile perineal herninin onarılabileceği, aynı operasyonda rektal duvar patolojilerinin düzeltilebileceği ve bu operasyonlarda epidural morfin uygulamasının yeterli düzeyde analjezi sağladığı kaydedildi.

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Use of Autogenous Fascia Lata Graft for Perineal Herniorrhaphy in Dogs

Abstract: FLG can be used without major complications for primary repair of PH, as an augmentation procedure when the internal obturator muscle is thin or friable, or when herniation has recurred after another repair technique.

Cited by 57 publications

References 36 publications

Utilização De Pericárdio Bovino Conservado Em Glicerina 98% Na Herniorrafia Perineal Em Cães – Relato De 12 Casos

Utilização De Pericárdio Bovino Conservado Em Glicerina 98% Na Herniorrafia Perineal Em Cães – Relato De 12 Casos

A Rare Case of Lipoma of Vagina along with Perineal Hernia in a Female Dog and Surgical Treatment

Köpeklerde Perineal Herninin Klinik ve Cerrahi Değerlendirilmesi: 41 Olgu

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