Ulsan S Animal Medical Center, Ulsan, Republic of Korea (Park); S Animal Cancer Center, Yangsan, Republic of Korea (Park); Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, Republic of Korea (Moon, Kim, Lee, Jeong).
Can Vet J. 2022 Jun;63(6):593-596.
A 2.5-kg castrated male Maltese dog, suspected to be older than 10 y, was presented with a prolapsed mass at the anus. This had occurred on 2 previous occasions within the last 4 mo and had been managed with manual reduction and purse-string sutures. The rectal prolapse had viable tissue and was reducible but resulted in straining and fecal accumulation. Colopexy (with intracorporeal sutures) was performed laparoscopically using 3 ports; the distal colon was retracted cranially and attached to the abdominal wall with 3 simple interrupted sutures in a single row. The dog recovered uneventfully, had good appetite and normal activity, did not strain, and defecated without issues. There were no wound-healing complications and at 12-month post-operative examination, the patient was in good condition without clinical signs. Based on this case report, laparoscopic colopexy is clinically practical for management of rectal prolapse in small-breed dogs.
一只 2.5 公斤重的雄性已去势马尔济斯犬，疑年龄超过 10 岁，肛门处脱出一肿块。该犬在过去 4 个月内已发生过 2 次类似情况，通过手动复位和荷包缝合进行了治疗。直肠脱垂组织有活力且可复位，但复位后会出现用力和粪便堆积。通过腹腔镜使用 3 个端口进行结肠固定术（采用体腔内缝线）；将远端结肠向头侧牵拉，并使用 3 个简单间断缝线在单排中与腹壁固定。该犬恢复顺利，食欲良好，活动正常，无用力迹象，排便正常。无伤口愈合并发症，在术后 12 个月检查时，该犬状况良好，无临床症状。基于该病例报告，腹腔镜结肠固定术对于小型犬直肠脱垂的治疗具有临床实用性。
