Prevention of perineal hernia recurrences by four-in-one procedure in dogs: Obturator internus muscle transposition, castration, cystopexy and colopexy Köpeklerde Perineal Fitiklarin Saǧaltiminda Dört Tekniǧin Bir Arada Kullanilmasinin Nüksleri Önlemedeki Etkinliǧi: Obturator Internus Kas Transpozisyonu, Kastrasyon, Sistopeksi ve Kolopeksi

KARABAĞLI M.

Ataturk Universitesi Veteriner Bilimleri Dergisi, cilt.12, sa.3, ss.259-268, 2017 (Scopus, TRDizin)

Özet

Perineal hernia is caudal dispacemet of intraabdominal structure and organs such as the urinary bladder, intestines, retroperitoneal fat or prostate to the perineal region because of weakness and deficiency of pelvic diaphragm. In treatment, different muscle transposition tecniques, various prosthetic implants and biomaterials are used beside of traditional herniography. Eleven male dog with different age and breed was included in this study. These patients were brought by the complaints of perineal swelling, blood in feces, painful defecation and stronguria. Perineal hernia diagnosis was made by clinical examination and rectal palpation. Perineal hernias was treated by obturator internus muscle transposition, castration, cystopexy and colopexy in the same session in 10 of 11 patient and the postoperative complications and short and long term recurrence was evaluated. In one patient, owner of the dog did not give permission to castration since he wanted to use his dog for breeding. At the end of the study, postoperative long term reccurrence was not determined in 10 of 11 patient. No significant postoperative complications were noted. As a result, in the treatment of perineal hernias that have postoperative recurrence rates up to 36-48%, it was concluded that simultaneous using of obturator internus muscle transposition, castration, cystopexy and colopexy can be useful in preventing postoperative long term recurrence in dogs.