한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제26권6호
  • /
  • Pages.632-636
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  • 2009
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개에서 내폐쇄근 변위술을 이용한 회음탈장 정복 3예

The Use of Internal Obturator Transposition for Perineal Herniorrhaphy in Three Dogs

  • 윤헌영 (건국대학교 수의과대학 수의외과학 교실) ;
  • 강명곤 (한강 동물병원) ;
  • 정순욱 (건국대학교 수의과대학 수의외과학 교실)
  • Yoon, Hun-Young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Myung-Gon (Hangang Animal Hospital) ;
  • Jeong, Soon-Wuk (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University)
  • 발행 : 2009.12.31
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초록

회음부 팽대 병력을 보이는 세 마리 개가 건국대학교 부속 동물병원과 한강 동물병원에 내원하였다. 회음부 팽대 외에 다른 증상이 없었으며 신체 검사에서 두 마리는 환납성 한 마리는 비 환납성임을 확인 하였다. 일반 방사선 사진에서 골반강 또는 복강 내 장기가 탈장 낭 내에 없음을 확인하였다. 회음 탈장의 교정을 위해 내폐쇄근 변위 탈장 봉합술 실시 하였다. 한 마리에서 수술 후 지방을 함유하고 있는 대측 탈장이 확인되었다. 수술 후 정기 점진은 수의사의 신체 검사 혹은 보호자와의 전화 통화를 통해 실시 되었으며 세 마리 모두에서 수술과 관련한 좌골 신경 손상, 직장 탈출, 수술 부위 열개, 회음 탈장 재발과 같은 합병 증상이 없음을 확인하였다.

Three dogs presented to the Veterinary Medical Teaching Hospital of the University of Konkuk and Hangang Animal Hospital with a history of perineal swelling. No tenesmus, stranguria, or any clinical signs other than the swelling was observed by the owners in three dogs. On physical examination, the swelling was observed unilaterally in two dogs and bilaterally in a dog. Digital palpation to the swelling confirmed reducible perineal herniation in two dogs and irreducible perineal herniation in a dog. Plain radiographs revealed that no pelvic or abdominal contents other than the fat were displaced into subcutaneous perineal region in three dogs. Internal obturator transposition herniorrhaphy was performed for correction of perineal herniation in three dogs. Contralateral herniation involving fat was noted after surgery in a dog. The follow-up information was based on physical examination by veterinarians or telephone interview with owners. The owners reported that there was no evidence of complications related to surgery such as sciatic nerve injury, rectal prolapse, wound dehiscence, or perineal hernia recurrence in all dogs.

키워드

참고문헌

  1. Bellenger CR, Canfield RB. In: Slatter D (ed), Text book of small animal of surgery, 3rd ed. Philadelphia: Saunders. 2003: 487-498
  2. Bellenger CR, Canfield RB. In: Slatter D (ed), Text book of small animal of surgery, 3rd ed. Philadelphia: Saunders. 2003: 487-498
  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, Dupr\acute{e} 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. 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
  7. Hayes HM, Wilson GP, Tarone RE. The epidemiologic features of perineal hernia in 771 dogs. J Am Anim Hosp Asso 1978; 14:703-707
  8. 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
  9. Hosgood G, Hedlund CS, Pechman RD, Dean PW. Perineal herniorrhaphy: perioperative data from 100 dogs. J Am Anim Hosp Asso 1995; 31:331-342
  10. 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
  11. Matthiesen DT. Diagnosis and management of complications occurring after perineal herniorrhaphy in dogs. Compend Contin Educ Pract Vet 1989; 11: 797-822
  12. 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
  13. 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
  14. Sjollema BE, Van-sluus FJ. Perineal hernia repair in the dog by transposition of the internal obturator muscle II: complications and results in 100 patients. Vet Q 1989; 11: 18-23 https://doi.org/10.1080/01652176.1989.9694191
  15. Sontas BH, Apaydin S\ddot{O}, 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
  16. 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
  17. 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
  18. 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
  19. Fossum TW. Perineal hernia. In: Small animal surgery, 3rd ed. St. Louis: Mosby. 2007: 515-520