RESUMO

Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles andfasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineumregion. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence ratesremain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU)from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the mostrelevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected.The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, bodymass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgicaltechniques, surgical wires used, recurrences and postoperative complications. Fishers exact test was applied to assess theinfluence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were themost affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent withthe most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was themost used and showed a high number of complications. The second most used technique was...(AU)

Assuntos

RESUMO

Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles andfasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineumregion. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence ratesremain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU)from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the mostrelevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected.The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, bodymass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgicaltechniques, surgical wires used, recurrences and postoperative complications. Fisher’s exact test was applied to assess theinfluence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were themost affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent withthe most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was themost used and showed a high number of complications. The second most used technique was...

Assuntos

RESUMO

Background: Hernias are changes with the displacement of organs from their normal anatomical location to a newly formedcavity, which can cause pain and dysfunction of the affected organ. The diagnosis can be obtained by palpation or by ultrasound.The treatment of choice is surgical and vision to promote the return of the organ to its normal anatomical position and theclosure of the hernial ring. When affixing the edges of the hernial ring is not possible, alternative techniques such as the useof biological or synthetic membranes should be sought. The aim of the present study is to report an atypical case of inguinalhernia with splenic incarceration, in which splenectomy and herniorrhaphy with a bovine phrenic center were performed.Case: An 8-year-old large mestizo male dog was referred to the Veterinary Hospital of Uberaba complaining of the appearance of a mass in the inguinal region that increased significantly in the last 15 days. On physical examination, there was anincrease in volume in the left inguinal region, irreducible and great pain sensitivity in the region. The hemogram showednormochromic normocytic anemia, hyperproteinemia and thrombocytopenia. No changes were observed in the biochemicalanalyzes. Urinalysis revealed the presence of protein and traces of occult blood. Ultrasound showed an enlarged spleen insidethe hernial sac, closing the diagnosis of inguinal hernia. The animal underwent a herniorrhaphy procedure associated with theuse of a biological membrane from a bovine phrenic center and splenectomy. In addition, contralateral inguinal hernia wasobserved. The animal remained hospitalized and under observation for three days. On return, after five days, the guardian..(AU)

Assuntos

RESUMO

Background: Hernias are changes with the displacement of organs from their normal anatomical location to a newly formedcavity, which can cause pain and dysfunction of the affected organ. The diagnosis can be obtained by palpation or by ultrasound.The treatment of choice is surgical and vision to promote the return of the organ to its normal anatomical position and theclosure of the hernial ring. When affixing the edges of the hernial ring is not possible, alternative techniques such as the useof biological or synthetic membranes should be sought. The aim of the present study is to report an atypical case of inguinalhernia with splenic incarceration, in which splenectomy and herniorrhaphy with a bovine phrenic center were performed.Case: An 8-year-old large mestizo male dog was referred to the Veterinary Hospital of Uberaba complaining of the appearance of a mass in the inguinal region that increased significantly in the last 15 days. On physical examination, there was anincrease in volume in the left inguinal region, irreducible and great pain sensitivity in the region. The hemogram showednormochromic normocytic anemia, hyperproteinemia and thrombocytopenia. No changes were observed in the biochemicalanalyzes. Urinalysis revealed the presence of protein and traces of occult blood. Ultrasound showed an enlarged spleen insidethe hernial sac, closing the diagnosis of inguinal hernia. The animal underwent a herniorrhaphy procedure associated with theuse of a biological membrane from a bovine phrenic center and splenectomy. In addition, contralateral inguinal hernia wasobserved. The animal remained hospitalized and under observation for three days. On return, after five days, the guardian..

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Este artigo tem como objetivo relatar o caso de reparação cirúrgica de uma fenda palatina congênita em uma potra com a utilização de pericárdio bovino conservado em glicerina a 98%. Um equino, fêmea, com 6 dias de vida foi atendido em uma propriedade apresentando dificuldade de deglutição e refluxo de leite pelas narinas, o qual foi diagnosticado com fenda palatina secundária. O animal foi submetido a palatoplastia com acesso cirúrgico por bucotomia lateral, porém 5 dias após o procedimento, houve deiscência da sutura. Optou-se então pela utilização de membrana biológica para a reconstrução do palato. O acesso a cavidade bucal por bucotomia possibilitou a sutura da fenda palatina e a colocação de pericárdio bovino com adesivo tecidual de etil-cianoacrilato. A técnica utilizada mostrou-se eficiente, uma vez que o animal apresentou boa adaptação e não houve deiscência de pontos após a segunda intervenção. A utilização de pericárdio bovino mostrou-se viável nesse caso palatoplastia, visto que a não realização da reconstrução torna-se incompatível a manutenção da vida.

This paper aims to report a case of surgical repair of congenital cleft palate in foal using bovine pericardium preserved in glycerin 98%. One female horse, with 6 days of life examined at the property with difficulty swallowing and milk reflux nostrils, which was diagnosed with secondary cleft palate. The animal was subjected to palatoplasty with surgical access by bucotomia, but five days after the procedure, there was suture dehiscence. It was then decided by the use of biological membrane for the reconstruction of the palate. Access to the oral cavity by bucotomia possible suturing the cleft palate and placement of bovine pericardium with tissue adhesive the basis of ethyl-cyanoacrylate. The technique used was efficient, since the animal showed good adaptation and no dehiscence points after the second intervention. Thus demonstrating a use a viable option bovine pericardium in palatoplasty surgeries since missing the reconstruction becomes inconsistent maintenance of life.

Este artículo tiene como objetivo informar el caso de reparación quirúrgica de un paladar hendido congénito en un potro utilizando pericardio bovino preservado con glicerina 98%. Una potra de 6 días de edad fue tratada en una granja con dificultad para tragar y reflujo de leche a través de las fosas nasales, que fue diagnosticada como paladar hendido secundario. El animal se sometió a una palatoplastia con acceso quirúrgico por bucotomía lateral, pero 5 días después del procedimiento, hubo dehiscencia de sutura. Luego se decidió utilizar una membrana biológica para la reconstrucción del paladar, el acceso a la cavidad bucal por bucotomía permitió suturar el paladar hendido y colocación de pericardio bovino con adhesivo tisular de cianoacrilato de etilo. La técnica utilizada demostró ser eficiente, una vez que el animal mostró una buena adaptación y no hubo dehiscencia de puntos después de la segunda intervención. EI uso de pericardio bovino fue viable eneste caso de palatoplastia, ya que la realización de la reconstrucción se vuelve incompatible con el mantenimiento de la vida.

Assuntos

RESUMO

Este artigo tem como objetivo relatar o caso de reparação cirúrgica de uma fenda palatina congênita em uma potra com a utilização de pericárdio bovino conservado em glicerina a 98%. Um equino, fêmea, com 6 dias de vida foi atendido em uma propriedade apresentando dificuldade de deglutição e refluxo de leite pelas narinas, o qual foi diagnosticado com fenda palatina secundária. O animal foi submetido a palatoplastia com acesso cirúrgico por bucotomia lateral, porém 5 dias após o procedimento, houve deiscência da sutura. Optou-se então pela utilização de membrana biológica para a reconstrução do palato. O acesso a cavidade bucal por bucotomia possibilitou a sutura da fenda palatina e a colocação de pericárdio bovino com adesivo tecidual de etil-cianoacrilato. A técnica utilizada mostrou-se eficiente, uma vez que o animal apresentou boa adaptação e não houve deiscência de pontos após a segunda intervenção. A utilização de pericárdio bovino mostrou-se viável nesse caso palatoplastia, visto que a não realização da reconstrução torna-se incompatível a manutenção da vida.(AU)

This paper aims to report a case of surgical repair of congenital cleft palate in foal using bovine pericardium preserved in glycerin 98%. One female horse, with 6 days of life examined at the property with difficulty swallowing and milk reflux nostrils, which was diagnosed with secondary cleft palate. The animal was subjected to palatoplasty with surgical access by bucotomia, but five days after the procedure, there was suture dehiscence. It was then decided by the use of biological membrane for the reconstruction of the palate. Access to the oral cavity by bucotomia possible suturing the cleft palate and placement of bovine pericardium with tissue adhesive the basis of ethyl-cyanoacrylate. The technique used was efficient, since the animal showed good adaptation and no dehiscence points after the second intervention. Thus demonstrating a use a viable option bovine pericardium in palatoplasty surgeries since missing the reconstruction becomes inconsistent maintenance of life.(AU)

Este artículo tiene como objetivo informar el caso de reparación quirúrgica de un paladar hendido congénito en un potro utilizando pericardio bovino preservado con glicerina 98%. Una potra de 6 días de edad fue tratada en una granja con dificultad para tragar y reflujo de leche a través de las fosas nasales, que fue diagnosticada como paladar hendido secundario. El animal se sometió a una palatoplastia con acceso quirúrgico por bucotomía lateral, pero 5 días después del procedimiento, hubo dehiscencia de sutura. Luego se decidió utilizar una membrana biológica para la reconstrucción del paladar, el acceso a la cavidad bucal por bucotomía permitió suturar el paladar hendido y colocación de pericardio bovino con adhesivo tisular de cianoacrilato de etilo. La técnica utilizada demostró ser eficiente, una vez que el animal mostró una buena adaptación y no hubo dehiscencia de puntos después de la segunda intervención. EI uso de pericardio bovino fue viable eneste caso de palatoplastia, ya que la realización de la reconstrucción se vuelve incompatible con el mantenimiento de la vida.(AU)

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RESUMO

Um equino macho, com 6 anos de idade, foi atendido no Hospital Veterinário, com carcinoma de células escamosa, após o animal ter sido previamente tratado com quimioterápico 5 Fluorouracil tópico para reduzir a ferida, após o tratamento foi realizado a excisão cirúrgica do tumor, e na lesão resultante do procedimento cirúrgico, foi realizado o curativo com pericárdio bovino conservado em glicerina a 98%, o tratamento durou 30 dias com boa remissão da ferida, apresentando boa contração da ferida, sem produção de secreção. O pericárdio bovino é uma opção barata e de fácil conservação em feridas extensas em equinos.(AU)

A 6-year-old male horse was treated at the Veterinary Hospital with squamous cell carcinoma after the animal had been previously treated with topical Fluorouracil 5 to reduce the wound, after the treatment the tumor was excised surgically, and in the lesion resulting from the surgical procedure, the dressing was performed with 98% glycerin preserved bovine pericardium, the treatment lasted for 30 days with good wound remission, showing good contraction of the wound, without secretion. The bovine pericardium is an inexpensive and easy-care option in extensive wounds on horses.(AU)

Assuntos

RESUMO

Um equino macho, com 6 anos de idade, foi atendido no Hospital Veterinário, com carcinoma de células escamosa, após o animal ter sido previamente tratado com quimioterápico 5 Fluorouracil tópico para reduzir a ferida, após o tratamento foi realizado a excisão cirúrgica do tumor, e na lesão resultante do procedimento cirúrgico, foi realizado o curativo com pericárdio bovino conservado em glicerina a 98%, o tratamento durou 30 dias com boa remissão da ferida, apresentando boa contração da ferida, sem produção de secreção. O pericárdio bovino é uma opção barata e de fácil conservação em feridas extensas em equinos.

A 6-year-old male horse was treated at the Veterinary Hospital with squamous cell carcinoma after the animal had been previously treated with topical Fluorouracil 5 to reduce the wound, after the treatment the tumor was excised surgically, and in the lesion resulting from the surgical procedure, the dressing was performed with 98% glycerin preserved bovine pericardium, the treatment lasted for 30 days with good wound remission, showing good contraction of the wound, without secretion. The bovine pericardium is an inexpensive and easy-care option in extensive wounds on horses.

Assuntos

RESUMO

As membranas biológicas e implantes sintéticos vêm sendo pesquisados com o objetivo de avaliar sua eficiência e ausência de efeitos indesejáveis, (como rejeição e resposta inflamatória exacerbada)na reparação de alterações anatômicas congênitas ou adquiridas. Dentre as membranas biológicas utilizadas, o pericárdio bovino é utilizado devido a algumas características desejáveis, como baixo custo e um nível insignificante de complicações. A glicerina a 98% é bastante utilizada para a preservação do pericárdio bovino devido a suas características químicas e biológicas. Assim sendo, este trabalho tem por objetivo mostrar a diversidade de indicação da utilização do pericárdio bovino conservado em glicerina 98% em 22 pacientes submetidos a procedimentos cirúrgicos em cães. Os resultados obtidos foram satisfatórios, não observando rejeição ao implante.(AU)

The biological membranes and synthetic implants have been studied aiming to evaluate it sefficiency and absence of un desirable effects such as rejection and exacerbated inflammatory response in the repair of congenital or acquired anatomical changes. Among the biological membranes used bovine pericardium is used mainly due to some desirable characteristics such as low cost and negligible level of complications. A 98% glycerin is widely used for the preservation of bovine pericardium because of its chemical and biological characteristics. Thus, this work aims to show the diversity of indication of theuse of bovine pericardium preserved in glycerol 98% in 22 patients undergoing surgical procedures indogs. The results observed is satisfactory and don't see rejection of the implant ar another undesirable complications.(AU)

Las membranas biológicas y los implantes sintéticos han sido estudiados con el objetivo de evaluar su eficacia y falta de efectos indeseables, tales como rechazo y exacerbada respuesta inflamatoria en la reparación de los cambios anatómicos congénitos o adquiridos. Entre las membranas biológicas utilizadas pericardio bovino se utiliza principalmente debido ai bajo costo y las un nivel insignificante de complicaciones. Un glicerina 98% es ampliamente utilizado para la preservación de pericardio bovino para dividir sus características químicas y biológicas. Para tanto, este trabajo pretende mostrar la diversidad de la indicación dei uso de pericardio bovino conservado en glicerol ai 98% en 22 pacientes sometidos a procedimientos quirúrgicos en los perros. Los resultados fureran buenos y no observaron rechazo dei implante.(AU)

Assuntos

RESUMO

As membranas biológicas e implantes sintéticos vêm sendo pesquisados com o objetivo de avaliar sua eficiência e ausência de efeitos indesejáveis, (como rejeição e resposta inflamatória exacerbada)na reparação de alterações anatômicas congênitas ou adquiridas. Dentre as membranas biológicas utilizadas, o pericárdio bovino é utilizado devido a algumas características desejáveis, como baixo custo e um nível insignificante de complicações. A glicerina a 98% é bastante utilizada para a preservação do pericárdio bovino devido a suas características químicas e biológicas. Assim sendo, este trabalho tem por objetivo mostrar a diversidade de indicação da utilização do pericárdio bovino conservado em glicerina 98% em 22 pacientes submetidos a procedimentos cirúrgicos em cães. Os resultados obtidos foram satisfatórios, não observando rejeição ao implante.

The biological membranes and synthetic implants have been studied aiming to evaluate it sefficiency and absence of un desirable effects such as rejection and exacerbated inflammatory response in the repair of congenital or acquired anatomical changes. Among the biological membranes used bovine pericardium is used mainly due to some desirable characteristics such as low cost and negligible level of complications. A 98% glycerin is widely used for the preservation of bovine pericardium because of its chemical and biological characteristics. Thus, this work aims to show the diversity of indication of theuse of bovine pericardium preserved in glycerol 98% in 22 patients undergoing surgical procedures indogs. The results observed is satisfactory and don't see rejection of the implant ar another undesirable complications.

Las membranas biológicas y los implantes sintéticos han sido estudiados con el objetivo de evaluar su eficacia y falta de efectos indeseables, tales como rechazo y exacerbada respuesta inflamatoria en la reparación de los cambios anatómicos congénitos o adquiridos. Entre las membranas biológicas utilizadas pericardio bovino se utiliza principalmente debido ai bajo costo y las un nivel insignificante de complicaciones. Un glicerina 98% es ampliamente utilizado para la preservación de pericardio bovino para dividir sus características químicas y biológicas. Para tanto, este trabajo pretende mostrar la diversidad de la indicación dei uso de pericardio bovino conservado en glicerol ai 98% en 22 pacientes sometidos a procedimientos quirúrgicos en los perros. Los resultados fureran buenos y no observaron rechazo dei implante.

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