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一只狗行改良临时性结肠造口术用于治疗会阴疝修补术后并发症直肠感染。

Modified temporary colostomy in a dog for treatment of rectal infection after complication of perineal herniorrhaphy.

作者信息

da Silva Paloma Helena Sanches, de Oliveira Pereira Renato Dornas, França Anna Paula Botelho, Caixeta Nathalia Estevão, Monteiro Lívia Mariana Lopes, Dos Santos Scarlath Ohana Penna, Dos Santos Horta Rodrigo

机构信息

Department of Veterinary Clinic and Surgery, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.

出版信息

Open Vet J. 2024 Nov;14(11):3120-3126. doi: 10.5455/OVJ.2024.v14.i11.42. Epub 2024 Nov 30.

DOI:10.5455/OVJ.2024.v14.i11.42
PMID:39737014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682770/
Abstract

BACKGROUND

Surgeries performed on the gastrointestinal system represent a significant caseload among small animal surgeries. Colostomy aims to temporarily or permanently divert the gastrointestinal tract but it is not commonly performed in veterinary medicine. Information regarding such procedures is scarce and the surgical technique is poorly described. Thus, the main objective of this study is to report a modified temporary colostomy performed in a dog after the development of rectocutaneous fistulas in the perineum as a surgical complication of unilateral perineal herniorrhaphy.

CASE DESCRIPTION

An 8-year-old male Lhasa Apso dog was attended due to the appearance of rectocutaneous fistulas with fecal content draining, as a complication of a recent perineal herniorrhaphy. A modified temporary colostomy was created by positioning the intestinal segment parallel to the lateral abdominal wall as a rescue procedure to allow healing of the perineum for later definitive repair of the hernia.

CONCLUSION

The modified temporary colostomy allowed healing of the perineum by temporarily diverting the flow of fecal material.

摘要

背景

胃肠道手术在小动物手术中占相当大的病例量。结肠造口术旨在暂时或永久改变胃肠道的走向，但在兽医学中并不常用。关于此类手术的信息匮乏，且手术技术描述欠佳。因此，本研究的主要目的是报告一只狗在单侧会阴疝修补术后出现会阴直肠皮肤瘘作为手术并发症后实施的改良暂时性结肠造口术。

病例描述

一只8岁雄性拉萨犬因近期会阴疝修补术后出现带有粪便排出的直肠皮肤瘘而前来就诊。通过将肠段平行于侧腹壁放置创建了改良暂时性结肠造口术，作为一种挽救措施，以使会阴愈合，以便日后对疝进行最终修复。

结论

改良暂时性结肠造口术通过暂时改变粪便流向使会阴得以愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/f01616916208/OpenVetJ-14-3120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/b63597d2264c/OpenVetJ-14-3120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/fee07cfd5d12/OpenVetJ-14-3120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/f01616916208/OpenVetJ-14-3120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/b63597d2264c/OpenVetJ-14-3120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/fee07cfd5d12/OpenVetJ-14-3120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/11682770/f01616916208/OpenVetJ-14-3120-g003.jpg

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Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study.腹腔镜结直肠手术中临时性回肠造口术与横结肠造口术的比较：一项回顾性研究。
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Skin bridge loop stoma: outcome in 45 patients in comparison with stoma made on a plastic rod.
皮肤桥环式造口：45 例患者的结果与塑料棒造口的比较。
Int J Colorectal Dis. 2019 Dec;34(12):2195-2197. doi: 10.1007/s00384-019-03415-x. Epub 2019 Nov 16.
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Temporary end-on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull-through procedure in a dog.临时端侧结肠造口术治疗犬经肛门直肠拖出术后吻合口裂开
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Complications after Loop Ileostomy Closure: A Retrospective Analysis of 132 Patients.回肠造口关闭术后的并发症：132例患者的回顾性分析
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Use of a temporary incontinent end-on colostomy in a cat for the management of rectocutaneous fistulas associated with atresia ani.在一只猫身上使用临时性末端造口术来处理与肛门闭锁相关的直肠皮肤瘘。
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