Page 2767 - Cote clinical veterinary advisor dogs and cats 4th

1439.e2 Perineal Hernia

Perineal Hernia
VetBooks.ir Perineal swelling

• History and clinical examination
• Complete blood count
• Serum biochemistry profile

Voluntarily urinating Acute perineal swelling,
congestion, edema
Urinalysis
Unable to urinate voluntarily
Rectal examination Enema
(preoperatively) Bladder displaced

Ultrasonography of perineal swelling
Emergency

Small to Large
moderate hernia hernia
Able to catheterize • Unable to catheterize
easily (with care) easily (with care)
• Castration • Perineal cystocentesis
• Hernia repair
Manual pressure to
reposition bladder
Standard repair Standard
(including and additional • Castration • Castration
internal procedures • Laparocolopexy • Hernia repair
obturator) if required Catheterize Still unable to
catheterize

Delayed hernia Immediate Correct fluid, Correct fluid, • Continue perineal
cystocentesis
repair hernia repair electrolyte, and electrolyte, and
acid-base acid-base • Correct fluid,
imbalances imbalances electrolyte,
and acid-base
imbalances

• Laparocystopexy
• Castration
• Perineal bladder
replacement
Delayed hernia Immediate • Hernia repair
repair hernia repair • Castration
(Modified from Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.)

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