RESUMO

A hérnia perineal resulta do enfraquecimento e separação dos músculos que formam o diafragma pélvico, promovendo deslocamento caudal de órgãos abdominais ou pélvicos no períneo. Os sinais clínicos mais comuns incluem tumefação da região perineal, tenesmo, disquesia, incontinência urinaria e/ou fecal, anúria e êmese devido a envolvimento urinário e/ou intestinal. O diagnóstico baseia-se no histórico clínico, anamnese, exame físico e exames complementares como radiografia simples ou contrastada e ultrassonografia. O objetivo desse trabalho foi relatar a eficácia do uso da tela de polipropileno na correção de hérnia perineal em paciente da espécie canina. Foi encaminhado ao Hospital Veterinário Metropolitano (HVM) de Caucaia, um canino, da raça Pastor Alemão, macho, 36 kg e 7 anos de idade, apresentando sintomas como apatia, anorexia, tenesmo e aumento da região perianal. A suspeita clínica de hérnia perianal foi confirmada pelo exame ultrassonográfico. O tratamento cirúrgico foi indicado pela técnica de herniorrafia com fixação de tela de polipropileno. Durante o procedimento cirúrgico foi observado um nódulo em meio as estruturas, o qual foi retirado e enviado ao estudo histopatológico. O resultado indicou um quadro de necrose de tecido adiposo (adiponecrose). Para o fechamento do orifício da hérnia, utilizou-se tela de polipropileno fixada com nylon 2.0 em padrão simples interrompido e, posteriormente, foi realizada a orquiectomia. No pósoperatório, fez-se uso de amoxicicilina, cetoprofeno e tramadol. O paciente recebeu alta após 48 horas seguidas do ato cirúrgico, e corridos 12 dias, o animal não apresentou recidiva. Diante do caso relatado, pode-se concluir que a técnica de herniorrafia perineal com tela de polipropileno, associada à orquiectomia, constitui-se em procedimento eficaz sem apresentação de recidivas.(AU)

Perineal hernia results from the weakening and separation of the muscles that form thepelvic diaphragm, promoting caudal displacement of abdominal or pelvic organs in the perineum. The most common clinical signs include perineal region swelling, tenesmus, dyskinesia, urinary and / or fecal incontinence, anuria and emesis due to urinary and / or intestinal involvement. Diagnosis is based on clinical history, anamnesis, physical examination and complementary exams such as simple or contrast radiography and ultrasonography. The objective of this study was to report the surgical treatment for the correction of perineal hernia in a dog through the use of synthetic polypropylene mesh. A canine, German Shepherd dog, male, 36 kg and 7 years old, was submitted to the Metropolitan Veterinary Hospital (HVM), presenting symptoms of apathy, anorexia, tenesmus and an increase in the perianal region. Clinical suspicion of perianal hernia was confirmed by ultrasonographic examination. The surgical treatment was indicated by the herniorrhaphy technique with polypropylene mesh fixation. During the surgical procedure, a nodule was observed between the structures, which was removed and sent to the histopathological study. The result indicated an adipose tissue necrosis (adiponecrosis). In order to close the hernia hole, a polypropylene mesh was fixed with nylon 2.0 in a simple interrupted pattern and then the orchiectomy was performed. Postoperatively, amoxicillin, ketoprofen and tramadol were used. The patient was discharged 48 hours after the surgical procedure, and after 12 days, the animal did not present a recurrence. In view of thereported case, it can be concluded that the technique of perineal herniorrhaphy with polypropylene mesh, associated with orchiectomy, constitutes an effective procedure without relapses.(AU)

Assuntos

RESUMO

A hérnia perineal resulta do enfraquecimento e separação dos músculos que formam o diafragma pélvico, promovendo deslocamento caudal de órgãos abdominais ou pélvicos no períneo. Os sinais clínicos mais comuns incluem tumefação da região perineal, tenesmo, disquesia, incontinência urinaria e/ou fecal, anúria e êmese devido a envolvimento urinário e/ou intestinal. O diagnóstico baseia-se no histórico clínico, anamnese, exame físico e exames complementares como radiografia simples ou contrastada e ultrassonografia. O objetivo desse trabalho foi relatar a eficácia do uso da tela de polipropileno na correção de hérnia perineal em paciente da espécie canina. Foi encaminhado ao Hospital Veterinário Metropolitano (HVM) de Caucaia, um canino, da raça Pastor Alemão, macho, 36 kg e 7 anos de idade, apresentando sintomas como apatia, anorexia, tenesmo e aumento da região perianal. A suspeita clínica de hérnia perianal foi confirmada pelo exame ultrassonográfico. O tratamento cirúrgico foi indicado pela técnica de herniorrafia com fixação de tela de polipropileno. Durante o procedimento cirúrgico foi observado um nódulo em meio as estruturas, o qual foi retirado e enviado ao estudo histopatológico. O resultado indicou um quadro de necrose de tecido adiposo (adiponecrose). Para o fechamento do orifício da hérnia, utilizou-se tela de polipropileno fixada com nylon 2.0 em padrão simples interrompido e, posteriormente, foi realizada a orquiectomia. No pósoperatório, fez-se uso de amoxicicilina, cetoprofeno e tramadol. O paciente recebeu alta após 48 horas seguidas do ato cirúrgico, e corridos 12 dias, o animal não apresentou recidiva. Diante do caso relatado, pode-se concluir que a técnica de herniorrafia perineal com tela de polipropileno, associada à orquiectomia, constitui-se em procedimento eficaz sem apresentação de recidivas.

Perineal hernia results from the weakening and separation of the muscles that form thepelvic diaphragm, promoting caudal displacement of abdominal or pelvic organs in the perineum. The most common clinical signs include perineal region swelling, tenesmus, dyskinesia, urinary and / or fecal incontinence, anuria and emesis due to urinary and / or intestinal involvement. Diagnosis is based on clinical history, anamnesis, physical examination and complementary exams such as simple or contrast radiography and ultrasonography. The objective of this study was to report the surgical treatment for the correction of perineal hernia in a dog through the use of synthetic polypropylene mesh. A canine, German Shepherd dog, male, 36 kg and 7 years old, was submitted to the Metropolitan Veterinary Hospital (HVM), presenting symptoms of apathy, anorexia, tenesmus and an increase in the perianal region. Clinical suspicion of perianal hernia was confirmed by ultrasonographic examination. The surgical treatment was indicated by the herniorrhaphy technique with polypropylene mesh fixation. During the surgical procedure, a nodule was observed between the structures, which was removed and sent to the histopathological study. The result indicated an adipose tissue necrosis (adiponecrosis). In order to close the hernia hole, a polypropylene mesh was fixed with nylon 2.0 in a simple interrupted pattern and then the orchiectomy was performed. Postoperatively, amoxicillin, ketoprofen and tramadol were used. The patient was discharged 48 hours after the surgical procedure, and after 12 days, the animal did not present a recurrence. In view of thereported case, it can be concluded that the technique of perineal herniorrhaphy with polypropylene mesh, associated with orchiectomy, constitutes an effective procedure without relapses.

Assuntos

RESUMO

Background: Testicular torsion is a rare condition in canines, affecting any animal, regardless of age and racial predisposition. The possible cause, when talking about young dogs, is often unreliable, and can be associated with traumatic processes or excessive physical activity. Dogs with spermatic cord twist usually show signs of acute and sudden pain in one of the testicles that can be propagated to the abdomen; besides edema, heat and scrotal flush. The absence of blood flow toward the affected testicle can be observed, however, the definitive diagnosis can only be confirmed through a surgical procedure or necropsy. This situation is considered a medical emergency that requires surgical intervention for resolution and has treatment of choice bilateral orchiectomy. The objective of this study was to report the case of a testicular torsion inside the scrotal pouch of a young dog.Case: A 6-month-old male Poodle dog, weighing 6.40 kg, was attended at the Metropolitan Veterinary Polyclinic, located in the municipality of Caucaia, Ceará, Brazil. During anamnesis it was reported by the owner of the animal an suddenly increase in volume of the scrotal pouch and right testicle. The physical examination observed normal mucous membranes, lymphadenopathy, capillary refill time of 2 s, temperature of 39.2°C, heart rate of 72 beats per minute and 68 breaths per minute. Hematologic test was requested, creatinine, dosage of ALT and ultrasound as complementary exams. The result of hemogram presented thrombocytopenia (150,000/mm3 ) and the presence of giant platelets. Besides, a biochemical series presented no alterations. On the Doppler ultrasound, the right testicle proved to show loss of normal structure, enlarged scrotum, hyperechoic epididymal region with adjacent liquid and absence of local vascularization.[...](AU)

Assuntos

RESUMO

Background: Testicular torsion is a rare condition in canines, affecting any animal, regardless of age and racial predisposition. The possible cause, when talking about young dogs, is often unreliable, and can be associated with traumatic processes or excessive physical activity. Dogs with spermatic cord twist usually show signs of acute and sudden pain in one of the testicles that can be propagated to the abdomen; besides edema, heat and scrotal flush. The absence of blood flow toward the affected testicle can be observed, however, the definitive diagnosis can only be confirmed through a surgical procedure or necropsy. This situation is considered a medical emergency that requires surgical intervention for resolution and has treatment of choice bilateral orchiectomy. The objective of this study was to report the case of a testicular torsion inside the scrotal pouch of a young dog.Case: A 6-month-old male Poodle dog, weighing 6.40 kg, was attended at the Metropolitan Veterinary Polyclinic, located in the municipality of Caucaia, Ceará, Brazil. During anamnesis it was reported by the owner of the animal an suddenly increase in volume of the scrotal pouch and right testicle. The physical examination observed normal mucous membranes, lymphadenopathy, capillary refill time of 2 s, temperature of 39.2°C, heart rate of 72 beats per minute and 68 breaths per minute. Hematologic test was requested, creatinine, dosage of ALT and ultrasound as complementary exams. The result of hemogram presented thrombocytopenia (150,000/mm3 ) and the presence of giant platelets. Besides, a biochemical series presented no alterations. On the Doppler ultrasound, the right testicle proved to show loss of normal structure, enlarged scrotum, hyperechoic epididymal region with adjacent liquid and absence of local vascularization.[...]

Assuntos