Use of Autogenous Fascia Lata Graft for Perineal Herniorrhaphy in Dogs
To evaluate the effectiveness of a herniorrhaphy technique, using an autogenous fascia lata graft (FLG) for perineal hernia (PH) repair in dogs. Study Design
Prospective clinical study. Animals
Twelve dogs with PH. Method
PHs were repaired with FLG harvested from the dog's ipsilateral thigh and sutured directly into the perineal defect. Correction of associated conditions, and castration were performed. Surgical time, pain, inflammation, pattern of defecation, lameness, hospitalization time, postoperative complications, and owner satisfaction were recorded. Histopathologic examination was performed in 1 dog euthanatized 10 months after repair. Results
Hernia did not recur (mean follow-up, 5.8 months). Lameness was the most frequent minor complication, and was resolved within a few days. Transient rectal prolapse occurred in 2 dogs with bilateral PH. The mean (±SD) hospitalization was 1.8±0.9 days, and the surgical time was 76.5±9.8 minutes. Histopathologic examination in 1 dog revealed perfect integration of FLG into adjacent tissues without substantial tissue reaction. Conclusions
FLG reconstruction of PH is a simple, effective method of treatment. Clinical Relevance
FLG can be used without major complications for primary repair of PH, as an augmentation procedure when the internal obturator muscle is thin or friable, or when herniation has recurred after another repair technique.
Document Type: Research Article
Affiliations: Herstal Small Animal Veterinary Clinic, Herstal, Belgium; the Department of Clinical Sciences, College of Veterinary Medicine, University of Liège, Belgium; and Loverval Pathology Institute, Loverval, Belgium.
Publication date: July 1, 2005