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Abstract
Perineal hernia occurs frequently in aged collies as a result of weakening of the pelvic diaphragmatic muscle or its total failure, thereby allowing displacement of abdominal contents into the perineum. Surgical management include subtotal colectomy, colotomy, internal obturator muscle transposition and perineal herniorrhaphy. This report highlights a case of perineal hernia associated with megacolon as well as its successful management in a dog. A seven years old, male Rough Collie was presented with a complaint of right perineal swelling that has lasted for a week as well as inappetance and absence of defecation. Physical examination was unremarkable except for 3% dehydration and a firm, large perineal non-reducible swelling. Plain abdominal radiography revealed perineal hernia with megacolon. Serum chemistry showed azotaemia. Emergency surgical intervention involving colotomy, perineal herniorrhaphy with incisional colopexy were conducted. Post-operative care included ceftriaxone injection at 50mg/kg intramuscularly, intravenous fluid infusion, one week fasting, daily wound dressing, Nutriplus® gel supplementation and administration of recovery diet post-fasting. Thus, surgical management using traditional perineal herniorrhaphy, colotomy with colopexy was effective in correcting the perineal hernia with megacolon.
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- Abedi, G., Asghari, A., Alizadeh, R.andShayan, N. (2012). Colon Surgical Stabilization on Psoases Muscles for Treatment of Megacolon in Dog. Glob Vet. 9(2): 232-236.
- Dietrich, E.S., Bieser, U., Frank, U., Schwarzer, G. andDaschner, F.D. (2002). Ceftriaxone versus other cephalosporins for perioperative antibiotic prophylaxis: A meta-analysis of 43 randomized controlled trials. Chemotherapy; 48(1): 49-56.
- Fossum, T.W. (2018). Small Animal Surgery, fifth edition: Elsevier Health Sciences, Philadelphia pp 331.
- Lee, A.J. et al. (2012). Use of canine small intestinal submucosa allograft for treating perineal hernias in two dogs. J. Vet. Sci. 13(3): 327-330.
- Machado, Â. V. d. L. P., Lugoch, G., dos Santos, A. P. I., Gonçalves, M. E. P., de Oliveira, M. T., Viela, J. A. P. and Beckmann, B. V. (2020). Perineal Hernia in a Bitch. Acta Sci. Vet. 48: 1-5.
- Mortari, C.A., Rahal, S.C., Resende, L.A., Dal-pai-silva, M., Mamprim, M.J., Corrêa, M.A. and Antunes, S.H. (2005). Electromyographical, Ultrasonographical and Morphological Modifications in Semitendinous Muscle after Transposition as Ventral Perineal Muscle Flap. J. Vet. Med. 52(7): 359-365.
- Rayhanabad, J., Sassani, P.and Abbas, M. (2009). Laparoscopic Repair of Perineal Hernia. JSLS-J SocLaparoend, 13(2): 237-241.
- Reddan, S. (2014). Herniorrhaphy of a unilateral perineal hernia and castration. Vet.Nurs. J., 29(1): 14-16.
- Segev, G., Nivy, R., Kass, P.H., and Cowgill, L.D. (2013). A Retrospective Study of Acute Kidney Injury in Cats and Development of a Novel Clinical Scoring System for Predicting Outcome for Cats Managed by Haemodialysis. J.Vet. Intern. Med. 27(4): 830-839.
- Prokić, B., Todorović, V., Mitrović, O., Vignjević, S.andSavić-Stevanović, V. (2010). Etiopathogenesis, diagnosis and therapy of acquired megacolon in dogs. Acta Vet. 60(2-3): 273-284.
- Vnuk, D., Lipar, M., Matičić, D., Smolec, O., Pećin, M.andBrkić, A. (2008). Comparison of standard perineal herniorrhaphy and transposition of the internal obturator muscle for perineal hernia repair in the dog. Vet. Archiv. 28: 197-208.
References
Abedi, G., Asghari, A., Alizadeh, R.andShayan, N. (2012). Colon Surgical Stabilization on Psoases Muscles for Treatment of Megacolon in Dog. Glob Vet. 9(2): 232-236.
Dietrich, E.S., Bieser, U., Frank, U., Schwarzer, G. andDaschner, F.D. (2002). Ceftriaxone versus other cephalosporins for perioperative antibiotic prophylaxis: A meta-analysis of 43 randomized controlled trials. Chemotherapy; 48(1): 49-56.
Fossum, T.W. (2018). Small Animal Surgery, fifth edition: Elsevier Health Sciences, Philadelphia pp 331.
Lee, A.J. et al. (2012). Use of canine small intestinal submucosa allograft for treating perineal hernias in two dogs. J. Vet. Sci. 13(3): 327-330.
Machado, Â. V. d. L. P., Lugoch, G., dos Santos, A. P. I., Gonçalves, M. E. P., de Oliveira, M. T., Viela, J. A. P. and Beckmann, B. V. (2020). Perineal Hernia in a Bitch. Acta Sci. Vet. 48: 1-5.
Mortari, C.A., Rahal, S.C., Resende, L.A., Dal-pai-silva, M., Mamprim, M.J., Corrêa, M.A. and Antunes, S.H. (2005). Electromyographical, Ultrasonographical and Morphological Modifications in Semitendinous Muscle after Transposition as Ventral Perineal Muscle Flap. J. Vet. Med. 52(7): 359-365.
Rayhanabad, J., Sassani, P.and Abbas, M. (2009). Laparoscopic Repair of Perineal Hernia. JSLS-J SocLaparoend, 13(2): 237-241.
Reddan, S. (2014). Herniorrhaphy of a unilateral perineal hernia and castration. Vet.Nurs. J., 29(1): 14-16.
Segev, G., Nivy, R., Kass, P.H., and Cowgill, L.D. (2013). A Retrospective Study of Acute Kidney Injury in Cats and Development of a Novel Clinical Scoring System for Predicting Outcome for Cats Managed by Haemodialysis. J.Vet. Intern. Med. 27(4): 830-839.
Prokić, B., Todorović, V., Mitrović, O., Vignjević, S.andSavić-Stevanović, V. (2010). Etiopathogenesis, diagnosis and therapy of acquired megacolon in dogs. Acta Vet. 60(2-3): 273-284.
Vnuk, D., Lipar, M., Matičić, D., Smolec, O., Pećin, M.andBrkić, A. (2008). Comparison of standard perineal herniorrhaphy and transposition of the internal obturator muscle for perineal hernia repair in the dog. Vet. Archiv. 28: 197-208.