Evaluation of semitendinosus muscle transposition for treatment of perineal hernias in 33 small-breed dogs.

Yuko Hashimoto, Takayuki Nakagawa, Ryohei Nishimura
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Abstract

Little is known about the perioperative complications and treatment outcomes of repairing perineal hernias using semitendinosus muscle transposition (SMT) in small-breed dogs. The objective of this study was to retrospectively evaluate the complications and prognosis of perineal hernia repair using SMT in 33 small, male dogs (weighing < 15 kg). Before the study began, the medical records of all small-breed dogs that underwent SMT from March 2013 to June 2022 at the Veterinary Medical Center, University of Tokyo were analyzed, and telephone interviews were conducted with their owners or referring physicians. Short-term complications were observed in 42.4% of the patients. Lameness was the most common complication, although all cases were resolved within a few days. The recurrence rate during the study period (median: 265 d) was 9.1%. The results of this study showed that transposition of the semitendinosus muscle is more invasive than other surgical procedures for perineal hernias. It is, however, an effective alternative when repair with internal obturator muscle transposition alone is expected to be difficult, such as severe atrophy of the internal obturator muscle or herniation in the ventral direction, and in cases with a history of surgery by transposition of the internal obturator muscle.

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半腱肌移位术治疗33只小型犬会阴疝的疗效评价。
关于使用半腱肌移位术(SMT)修复小型犬会阴疝的围手术期并发症和治疗结果知之甚少。本研究的目的是回顾性评估33只体重<15kg的小型公犬使用SMT进行会阴疝修补术的并发症和预后。在研究开始之前,对2013年3月至2022年6月在东京大学兽医中心接受SMT的所有小型犬的医疗记录进行了分析,并对其主人或转诊医生进行了电话采访。42.4%的患者出现短期并发症。跛行是最常见的并发症,尽管所有病例都在几天内得到了解决。研究期间(中位数:265天)的复发率为9.1%。本研究的结果表明,半腱肌移位治疗会阴疝比其他手术更具侵袭性。然而,当单独使用闭孔内肌转位修复预计很困难时,如闭孔内肌肉严重萎缩或腹面方向突出,以及在有闭孔内肌腱转位手术史的病例中,这是一种有效的替代方法。
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