Veterinary Medical Center (Hashimoto) and Laboratory of Veterinary Surgery, Graduate School of Agricultural and Life Sciences (Nakagawa, Nishimura), The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.
Can J Vet Res. 2023 Oct;87(4):282-289.
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.
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 只雄性小型犬(体重 < 15kg)使用 SMT 修复会阴疝的并发症和预后。在研究开始之前,分析了 2013 年 3 月至 2022 年 6 月期间在东京大学兽医医疗中心接受 SMT 的所有小型犬的病历,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,但所有病例在几天内都得到解决。研究期间的复发率(中位数:265d)为 9.1%。本研究结果表明,与其他会阴疝手术相比,半腱肌移位术更具侵袭性。然而,当单独使用内收肌肌移位术进行修复预计会很困难时,如内收肌严重萎缩或向腹侧疝出,或有内收肌移位术手术史时,SMT 是一种有效的替代方法。