Canis ISSN: 2398-2942

Perineal surgical approach: lateral rectum / some pelvic structures

Contributor(s): Daniel Smeak

Introduction

  • Surgical access to lateral aspect of rectum and some pelvic structures.

Uses



Removal of rectal lesions
  • → Laterally located, benign, well encapsulated lesions, eg fibroleiomyoma, lipoma.
  • → Lesions attached to serosal surface of lateral rectum.
  • Laceration of lateral wall rectum.
  • Diverticulum removal.

Advantages

  • Simpler than resection and anastomotic techniques.
  • Less risk of complication, eg dehiscence, sepsis, fecal incontinence.
  • Suited to lesions amenable to local marginal resection.

Disadvantages

  • Limited access.
  • Lateral aspect of rectum only.
  • Cannot perform rectal resection.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Favorable prognosis when used for appropriate lesions.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Niles J D & Williams J M (1999) Perineal hernia with bladder retroflexion in a female cocker spaniel. JSAP 40 (2), 92-94 PubMed.

Other sources of information

  • Fossum (1997)Surgery of the perineum rectum and anus in small animal surgery.St Louis: Mosby. pp 335-344.


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