Hérnia perineal em cães / Perineal hernia in dogs

Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles andfasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineumregion. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence ratesremain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU)from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the mostrelevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected.The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, bodymass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgicaltechniques, surgical wires used, recurrences and postoperative complications. Fishers exact test was applied to assess theinfluence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were themost affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent withthe most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was themost used and showed a high number of complications. The second most used technique was...(AU)

Hérnia perineal em cães / Perineal hernia in dogs

Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles andfasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineumregion. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence ratesremain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU)from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the mostrelevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected.The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, bodymass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgicaltechniques, surgical wires used, recurrences and postoperative complications. Fisher’s exact test was applied to assess theinfluence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were themost affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent withthe most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was themost used and showed a high number of complications. The second most used technique was...

Hérnia inguinal com encarceramento esplênico em cão macho / Inguinal hernia with splenic incarceration in a male dog

Background: Hernias are changes with the displacement of organs from their normal anatomical location to a newly formedcavity, which can cause pain and dysfunction of the affected organ. The diagnosis can be obtained by palpation or by ultrasound.The treatment of choice is surgical and vision to promote the return of the organ to its normal anatomical position and theclosure of the hernial ring. When affixing the edges of the hernial ring is not possible, alternative techniques such as the useof biological or synthetic membranes should be sought. The aim of the present study is to report an atypical case of inguinalhernia with splenic incarceration, in which splenectomy and herniorrhaphy with a bovine phrenic center were performed.Case: An 8-year-old large mestizo male dog was referred to the Veterinary Hospital of Uberaba complaining of the appearance of a mass in the inguinal region that increased significantly in the last 15 days. On physical examination, there was anincrease in volume in the left inguinal region, irreducible and great pain sensitivity in the region. The hemogram showednormochromic normocytic anemia, hyperproteinemia and thrombocytopenia. No changes were observed in the biochemicalanalyzes. Urinalysis revealed the presence of protein and traces of occult blood. Ultrasound showed an enlarged spleen insidethe hernial sac, closing the diagnosis of inguinal hernia. The animal underwent a herniorrhaphy procedure associated with theuse of a biological membrane from a bovine phrenic center and splenectomy. In addition, contralateral inguinal hernia wasobserved. The animal remained hospitalized and under observation for three days. On return, after five days, the guardian..(AU)

Hérnia inguinal com encarceramento esplênico em cão macho / Inguinal hernia with splenic incarceration in a male dog

Background: Hernias are changes with the displacement of organs from their normal anatomical location to a newly formedcavity, which can cause pain and dysfunction of the affected organ. The diagnosis can be obtained by palpation or by ultrasound.The treatment of choice is surgical and vision to promote the return of the organ to its normal anatomical position and theclosure of the hernial ring. When affixing the edges of the hernial ring is not possible, alternative techniques such as the useof biological or synthetic membranes should be sought. The aim of the present study is to report an atypical case of inguinalhernia with splenic incarceration, in which splenectomy and herniorrhaphy with a bovine phrenic center were performed.Case: An 8-year-old large mestizo male dog was referred to the Veterinary Hospital of Uberaba complaining of the appearance of a mass in the inguinal region that increased significantly in the last 15 days. On physical examination, there was anincrease in volume in the left inguinal region, irreducible and great pain sensitivity in the region. The hemogram showednormochromic normocytic anemia, hyperproteinemia and thrombocytopenia. No changes were observed in the biochemicalanalyzes. Urinalysis revealed the presence of protein and traces of occult blood. Ultrasound showed an enlarged spleen insidethe hernial sac, closing the diagnosis of inguinal hernia. The animal underwent a herniorrhaphy procedure associated with theuse of a biological membrane from a bovine phrenic center and splenectomy. In addition, contralateral inguinal hernia wasobserved. The animal remained hospitalized and under observation for three days. On return, after five days, the guardian..