Peer-reviewed veterinary case report
Outcome of internal obturator muscle surgery for perineal hernia
By Shaughnessy, Magen & Monnet, Eric·Published in Journal of the American Veterinary Medical Association·2015·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Internal obturator muscle transposition for treatment of perineal hernia in dogs: 34 cases (1998-2012).
- Species:
- dog
Plain-English summary
A group of 34 dogs with perineal hernias underwent surgery to move a muscle (internal obturator muscle transposition) to fix the problem. After the surgery, some dogs experienced complications like difficulty passing stool, urinary issues, and infections. About half of the dogs were free of complications one year later, but nearly 30% had a recurrence of the hernia within that time. The study found that having trouble with bowel movements after surgery was linked to a higher chance of the hernia coming back.
People also search for: dog perineal hernia surgery · dog bowel problems after surgery · dog hernia recurrence treatment
Abstract
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 techniques 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 (range, 22 to 1,423 days). Complications were observed in 10 dogs. Tenesmus (n = 9), dyschezia (7), fecal impaction (3), 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, 2.29). CONCLUSIONS AND CLINICAL RELEVANCE: Internal obturator muscle transposition was used for primary repair of perineal hernia in dogs. Recurrence was recorded as long as 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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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25587732/