COMPARATIVE STUDY OF AUTOLOGOUS TUNICA VAGINALIS AND SYNTHETIC MESH GRAFTING FOR REPAIR OF PERINEAL HERNIA IN MALE DOGS
DOI:
https://doi.org/10.48165/abr.2025.27.01.44Keywords:
Autologous tunica vaginalis, hernioplasty, male dogs, perineal hernia polypropylene meshAbstract
Perineal hernia is frequently encountered in intact male dogs. While various surgical approaches exist, this study was aimed to compare the outcomes of autologous tunica vaginalis hernioplasty and polypropylene mesh hernioplasty in twelve dogs, divided equally into two groups. Seven dogs had bilateral perineal hernias, while five dogs had unilateral hernia, of which four were on the right side and one on the left side. The omentum was the most commonly herniated structure (50%), followed by the prostate, urinary bladder, and rectum. Recurrence was observed in two dogs treated with tunica vaginalis grafts and in three dogs treated with polypropylene mesh. In conclusion, the tunica vaginalis grafting technique demonstrated lower recurrence rates, suggesting greater therapeutic efficacy. Nonetheless, further research involving larger sample sizes and targeted management of postoperative complications such as tenesmus, straining, and urinary incontinence could enhance the overall success of the procedure.
Downloads
References
Al-Akraa, A.M. (2015). Standard herniorrhaphy, polypropylene mesh and tension band for repair of perineal hernia in dogs. International Journal of Advanced Research, 3(10), 174–181.
Anjitha, K.B., Mahesh, V., Nagaraja, B.N., Kshama, M.A., Anil Kumar, M.C., & Chandana, L. (2023). Incidence of perineal hernia in dogs. The Pharma Innovation Journal, 12(8S), 2036–2038.
Bernardé, A., Rochereau, P., Matres-Lorenzo, L., & Brissot, H. (2018). Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs. Journal of Small Animal Practice, 59(12), 734–741.
Cinti, F., Rossanese, M., & Pisani, G. (2021). A novel technique to incorporate the sacrotuberous ligament in perineal herniorrhaphy in 47 dogs. Veterinary Surgery, 50(5), 1023–1031.
Ferreira, F., & Delgado, E. (2003). Hérnias perineais nos pequenos animais [Perineal hernias in small animals]. Revista Portuguesa de Ciências Veterinárias, 98(545), 3–9.
Grand, J., Bureau, S., & Monnet, E. (2013). Effects of urinary bladder retroflexion and surgical technique on postoperative complication rates and long-term outcome in dogs with perineal hernia: 41 cases (2002–2009). Journal of the American Veterinary Medical Association, 243(10), 1442–1447.
Guerios, S., Orms, K., & Serrano, M.A. (2020). Autologous tunica vaginalis graft to repair perineal hernia in shelter dogs. Veterinary and Animal Science, 9, 100122. https://doi.org/10.1016/j.vas.2020.100122
Heishima, T., Ishigaki, K., Seki, M., Teshima, K., Yoshida, O., Iida, K., et al. (2023). Retrospective analysis of perineal herniorrhaphy with cone-shaped polypropylene mesh in dogs: Technique description and outcome. Frontiers in Veterinary Science, 10, 1279776. https://doi.org/10.3389/fvets.2023.1279776
Karatas, A., Ozlu, T., Ozyalvacli, G., Tosun, M., Cetinkaya, A., Donmez, M.E., et al. (2014). Intraperitoneal Nigella sativa for prevention of postoperative intra-abdominal adhesions in rats. Journal of Investigative Surgery, 27(6), 319–326.
Khatri-Chhetri, N., Khatri-Chhetri, R., Chung, C.S., Chern, R.S., & Chien, C.H. (2016). The spatial relationship and surface projection of canine sciatic nerve and sacrotuberous ligament: A perineal hernia repair perspective. PLoS One, 11(3), e0152078. https://doi.org/10.1371/journal.pone.0152078
Malik, V., Purohit, S., Panday, R.P., & Singh, B. (2012). Surgical management of perineal hernia using nylon mesh in a buffalo. Indian Journal of Veterinary Surgery, 33(1), 71.
Moraes, P., Facin, A., Rosa-Ballaben, N., Zanetti, N., & Dias, L. (2017). Reinforcement of the pelvic diaphragm using a purse-string suture in dogs: Description of technique. Arquivo Brasileiro de Medicina Veterinária e Zootecnia, 69(1), 89–94.
Ninu, A.R., Krishnaveni, N., & Kalaiselvan, E. (2024). Rectal diverticulum and perineal hernia in dogs: A review of four cases. International Journal of Veterinary Sciences and Animal Husbandry, 9(1), 1319–1321.
Parmar, D.K., Sutaria, P.T., Desai, M.J., Makwana, G.M., & Mevada, R. (2024). Perineal hernia in large animal: A review. International Journal of Veterinary Sciences and Animal Husbandry, 9(2), 773–775.
Pratummintra, K., Chuthatep, S., Banlunara, W., & Kalpravidh, M. (2013). Perineal hernia repair using an autologous tunica vaginalis communis in nine intact male dogs. The Journal of Veterinary Medical Science, 75(3), 337–341.
Ragni, R.A., & Moore, A.H. (2011). Perineal hernia. Companion Animal, 16(8), 21–29.
Shaughnessy, M., & Monnet, E. (2015). Internal obturator muscle transposition for treatment of perineal hernia in dogs: 34 cases (1998–2012). Journal of the American Veterinary Medical Association, 246(3), 321–326.
Singh, R., Sangwan, V., Devi, N.U., Mohindroo, J., & Pathak, D. (2021). Ultrasonographic and radiographic assessment of prostate gland in perineal hernia dogs. Indian Journal of Animal Research, 55(5), 568–574.
Stoll, M.R., Cook, J.L., Pope, E.R., Carson, W.L., & Kreeger, J.M. (2002). The use of porcine small intestinal submucosa as a biomaterial for perineal herniorrhaphy in the dog. Veterinary Surgery, 31(4), 379–390.
Zerwes, M.B.C., Stopiglia, A.J., Matera, J.M., Fantoni, D.T., Sterman, F.A., & Lacerda, P.M.O. (2011). Avaliação do tratamento cirúrgico da hérnia perineal em cães com o reforço de membrana de pericárdio equino preservado em glicerina a 98%. Brazilian Journal of Veterinary Research and Animal Science, 48(3), 220–227.
