2012
DOI: 10.4142/jvs.2012.13.3.327
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Use of canine small intestinal submucosa allograft for treating perineal hernias in two dogs

Abstract: 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 i… Show more

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Cited by 18 publications
(11 citation statements)
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“…ECM scaffolds have been successfully used in veterinary medicine to treat urinary incontinence and keratomalacia as well as degloving and tendon, ligament, and corneal injuries . Use of ECM for skeletal muscle regeneration, however, is limited, with only a few published case reports limited to umbilical, perineal, and ventral hernias . In human medicine, ECM materials have been increasingly used to augment repair of large musculotendinous injuries such as rotator cuff injury and Achilles tendinopathy .…”
Section: Introductionmentioning
confidence: 99%
“…ECM scaffolds have been successfully used in veterinary medicine to treat urinary incontinence and keratomalacia as well as degloving and tendon, ligament, and corneal injuries . Use of ECM for skeletal muscle regeneration, however, is limited, with only a few published case reports limited to umbilical, perineal, and ventral hernias . In human medicine, ECM materials have been increasingly used to augment repair of large musculotendinous injuries such as rotator cuff injury and Achilles tendinopathy .…”
Section: Introductionmentioning
confidence: 99%
“…The transposition of the internal obturator muscle (TIOM) is the most commonly recommended procedure to re‐establish the pelvic diaphragm (Hardie et al ). Other techniques have also been described (Burrows & Harvey , Spreull & Frankland , Stoll et al , Bongartz et al , Szabo et al , Lee et al , Pratummintra et al ). In cases of PH with major rectal sacculation, PH recurrence, retroflexed bladder and/or prostate herniation, herniorrhaphy may be combined with colo‐, cysto‐ and vas deferens pexy (Bilbrey et al , Brissot et al ).…”
Section: Introductionmentioning
confidence: 99%
“…In this study, a free graft of the autologous tunica vaginalis communis was used to fill in the pelvic diaphragm. Various biomaterials have been used to repair PH, including fascia lata, canine small intestine submucosa and tunica vaginalis communis ( Lee et al., 2012 ; Pratummintra et al., 2013 ; Guerios et al., 2017 ). Biomaterials are preferable over synthetic mesh materials, since fewer postoperative complications have been reported ( Gill and Barstad, 2018 ).…”
Section: Discussionmentioning
confidence: 99%
“…Surgical reconstruction of the pelvic diaphragm is usually recommended for PH repair. Surgical techniques including simple muscle apposition, muscle flap transposition (internal obturator muscle, superficial gluteal muscle, semitendinosus muscle) ( Mortari et al., 2005 ; Morello et al., 2015 ) and the use of implants or graft techniques (synthetic mesh, porcine small intestinal submucosa, canine small intestinal submucosa, autologous tunica vaginalis) have been described to treat PH ( Stoll et al., 2002 ; Tanaka et al., 2004 ; Szabo et al., 2007 ; Lee et al., 2012 ; Pratummintra et al., 2013 ; Guerios, et al., 2017 ). Some reports recommend a combination of colopexy, vasopexy and/or cystopexy, and perineal herniorrhaphy due to severe displacement of organs ( Gilley et al., 2003 ; Brissot et al., 2004 ).…”
Section: Introductionmentioning
confidence: 99%