Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Coexistence of Sciatic, Dorsal, and Caudal Perineal Hernias in a Dog

개에서 좌골, 등쪽, 뒤쪽 회음탈장의 동시 발생 증례

  • Yoon, Hun-Young (Department of Veterinary Surgery, College of Veterinary Medicine, and the Veterinary Science Research Institute, Konkuk University) ;
  • Jeong, Soon-Wuk (Department of Veterinary Surgery, College of Veterinary Medicine, and the Veterinary Science Research Institute, Konkuk University)
  • 윤헌영 (건국대학교 수의과대학 수의외과학 교실, 수의과학 연구소) ;
  • 정순욱 (건국대학교 수의과대학 수의외과학 교실, 수의과학 연구소)
  • Accepted : 2010.08.23
  • Published : 2010.10.30
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Abstract

A 5-year-old castrated male Chihuahua weighing 1.8 kg was presented for examination of a right perineal swelling. No clinical signs other than the swelling were observed by the owner. Digital palpation to the swelling confirmed right reducible perineal herniation. Dorsal perineal hernia was observed during surgery. A modified internal obturator transposition combined with a modified traditional perineal herniorrhaphy was performed for the perineal hernia repair. Contralateral herniation involving fat was noted a month after surgery. Coexistence of sciatic, dorsal, and caudal perineal hernias was observed during surgery. Aforementioned herniorrhaphy was performed for the perineal hernia repair. The follow-up information was based on physical examination by veterinarian. The owner reported that there was no evidence of complications related to surgery.

체중 1.8 kg 5년령 중성화 수컷 치와와 개가 오른쪽 회음부 팽대 평가를 위해 건국대학교 부속 동물병원에 내원하였다. 회음부 팽대 외에 다른 증상이 없었으며 신체 검사에서 환납성 회음탈장임을 확인 하였다. 회음 탈장 교정을 위해 수정 된 전통 탈장 봉합술과 수정 된 내폐쇄근 변위 탈장 봉합술을 동시에 실시 하였다. 수술 한달 후 보호자가 왼쪽 회음부 팽대를 보고하였고 수의사의 신체검사에서 왼쪽 회음탈장이 확인 되었다. 수술 중 좌골, 등쪽, 뒤쪽 회음탈장의 동시 발생이 관찰 되었으며 회음 탈장 교정을 위해 위와 동일한 탈장 봉합술을 실시하였다. 정기 점진은 수의사의 신체 검사 혹은 보호자와의 전화 통화를 통해 실시 되었으며 양측 수술 부위에서 수술과 관련한 합병 증상이 없음을 확인하였다.

Keywords

References

  1. Bellenger CR, Canfield RB. In: Slatter D (ed), Text book of small animal of surgery, 3rd ed. Philadelphia: Saunders. 2003: 487-498.
  2. Bilbrey SA, Smeak DD, Dehoff W. Fixation of the deferent ducts for retrodisplacement of the urinary bladder and prostate in canine perineal hernia. Vet Surg 1990; 19: 24-27. https://doi.org/10.1111/j.1532-950X.1990.tb01138.x
  3. Bongartz A, Carofiglio F, Balligand M, Heimann M, Hamaide A. Use of autogenous fascia lata graft for perineal herniorrhaphy in dogs. Vet Surg 2005; 34: 405-413. https://doi.org/10.1111/j.1532-950X.2005.00062.x
  4. Brissot HN, Dupré GP, Bouvy BM. Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs. Vet Surg 2004; 33: 412-421. https://doi.org/10.1111/j.1532-950X.2004.04060.x
  5. Burrows CF, Harvey CE. Perineal hernia in the dog. J Small Anim Pract 1973; 14:315-332. https://doi.org/10.1111/j.1748-5827.1973.tb06466.x
  6. Dorn AS, Cartee RE, Richardson DC. A preliminary comparison of perineal hernia in the dog and man. J Am Anim Hosp Asso 1982; 18: 624-632.
  7. Evans HE. In: Evans HE (ed), Miller's Anatomy of the Dog, 3rd ed. Philadelphia: WB Saunders. 1993: 450-451.
  8. Gilley RS, Caywood DD, Lulich JP, Bowersox TS. Treatment with a combined cystopexy-colopexy for dysuria and rectal prolapsed after bilateral perineal herniorrhaphy in a dog. J Am Vet Med Assoc 2003; 222: 1717-1721. https://doi.org/10.2460/javma.2003.222.1717
  9. Hayes HM, Wilson GP, Tarone RE. The epidemiologic features of perineal hernia in 771 dogs. J Am Anim Hosp Assoc 1978; 14:703-707.
  10. Head LL, Francis DA. Mineralized paraprostatic cyst as a potential contributing factor in the development of perineal hernias in a dog. J Am Vet Med Assoc 2002; 221: 533-535. https://doi.org/10.2460/javma.2002.221.533
  11. Hosgood G, Hedlund CS, Pechman RD, Dean PW. Perineal herniorrhaphy: perioperative data from 100 dogs. J Am Anim Hosp Assoc 1995; 31:331-342. https://doi.org/10.5326/15473317-31-4-331
  12. Lee HB, Choi SJ, Lee CH, Chon SK, Choi IH, Kim NS. Surgical corrections of perineal hernia by muscle transposition in dogs. J Vet Clin 2005; 22: 435-438.
  13. Matthiesen DT. Diagnosis and management of complications occurring after perineal herniorrhaphy in dogs. Compend Contin Educ Pract Vet 1989; 11: 797-822.
  14. Niles JD, Williams JM. Perineal hernia with bladder retroflexion in a female cocker spaniel. J Small Anim Pract 1999; 40: 92-94. https://doi.org/10.1111/j.1748-5827.1999.tb03045.x
  15. Rochat MC, Mann FA. Sciatic perineal hernia in two dogs. J Small Anim Pract 1998; 39: 240-243. https://doi.org/10.1111/j.1748-5827.1998.tb03642.x
  16. Sontas BH, Apaydin SO, Toydemir TSF, Kasikci G. Ekici H. Perineal hernia because of retroflexion of the urinary bladder in a Rottweiler bitch during pregnancy. J Small Anim Pract 2008; 49: 421-425. https://doi.org/10.1111/j.1748-5827.2008.00553.x
  17. Stoll MR, Cook JL, Pope ER, Carson, WL, Kreeger JM. The use of porcine small intestinal submucosa as a biomaterial for perineal herniorrhaphy in the dog. Vet Surg 2002; 31: 379-390. https://doi.org/10.1053/jvet.2002.33596
  18. Szabo S, Wilkens B, Radasch, RM. Use of polypropylene mesh in addition to internal obturator transposition: a review of 59 cases (2000-2004). J Am Anim Hosp Assoc 2007; 43: 136-142. https://doi.org/10.5326/0430136
  19. Welches CD, Scavelli TD, Aronsohn MG, Matthiesen DT. Perineal hernia in the cat: a retrospective study of 40 cases. J Am Anim Hosp Assoc 1992; 28: 431-438.
  20. Fossum TW. Perineal hernia. In: Small animal surgery, 3rd ed. St. Louis: Mosby. 2007: 515-520.