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  5. Perineal hernia: Retrospective study (long term FU and risk factors for recurrence and complications)
European College of Veterinary Surgery
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Perineal hernia: Retrospective study (long term FU and risk factors for recurrence and complications)

Author(s):
Monnet E.
In: ECVS - Annual Scientific Meeting - Germany, 2015 by European College of Veterinary Surgeons
Updated:
JUL 02, 2015
Languages:
  • EN
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    Read

    Objective
    To evaluate the outcome of dogs with perineal hernia treated with transposition of the internal obturator muscle.

    Design
    Retrospective case series.

    Animals
    34 dogs.

    Procedures
    Medical records of dogs with perineal hernia surgically treated from 1998 to 2012 were reviewed. Diagnostic methods and surgical technique were recorded. Dogs were assigned preoperative and postoperative clinical sign scores. Complication and recurrence rates were evaluated over time. Risk factors were determined.

    Results
    Median follow-up time was 345 days (22 to 1,423 days). Complications were observed in 10 dogs. Tenesmus (10), dyschezia (8), fecal impaction (4), rectal prolapse (2), stranguria (4), hematochezia (2), urinary incontinence (2), diarrhea (1), urinary tract infection (1), and megacolon (1) occurred following surgery. Bladder retroflexion at the time of initial evaluation or surgery was not a risk factor for complication (hazard ratio, 1.72). One year after surgery, 51.2% dogs were free of complications. Three dogs developed a perineal hernia on the contralateral side between 35 and 95 days after surgery. The 1-year recurrence rate was 27.4%. Median time for recurrence was 28 days after surgery (range, 2 to 364 days). Postoperative tenesmus was a risk factor for the development of recurrence (hazard ratio, 2.27).

    Conclusions and Clinical Relevance
    Internal obturator muscle transposition was used for primary repair of perineal hernia in dogs. Recurrence has been recorded 1 year after surgery. Tenesmus was a risk factor for the development of recurrence after treatment of perineal hernia with internal obturator muscle transposition.

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    About

    How to reference this publication (Harvard system)?

    Monnet, E. (2015) “Perineal hernia: Retrospective study (long term FU and risk factors for recurrence and complications)”, ECVS - Annual Scientific Meeting - Germany, 2015. Available at: https://www.ivis.org/library/ecvs/ecvs-annual-scientific-meeting-germany-2015/perineal-hernia-retrospective-study-long-term-fu-and-risk-factors-for-recurrence-and-complications (Accessed: 21 March 2023).

    Author(s)

    • Eric Monnet

      Monnet E.

      Professor Small Animal Surgery
      DVM, PhD FAHA Dipl ACVS Dipl ECVS
      Department of Clinical Sciences, Colorado State University
      Read more about this author

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    © All text and images in this publication are copyright protected and cannot be reproduced or copied in any way.
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