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Öğe Clinical and Surgical Evaluation of Perineal Hernia in Dogs: 41 Cases(Kafkas Univ, Veteriner Fakultesi Dergisi, 2010) Pekcan, Zeynep; Besalti, Omer; Sirin, Yusuf Sinan; Caliskan, MuratThe purpose of the study was to report the clinical and surgical records of perineal hernia and associated rectal pathology with epidural morphine analgesia in 41 dogs. Fourty one dogs suffered from perineal hernia were included into the study with the age varied from 4.5 to 16 years. Eleven dogs had bilateral while the other 30 had unilateral (17 right, 13 left) perineal hernia. The clinical signs were perianal swelling (n=41), severe tenesmus (n=19), dyschesia (n=9), proctitis (n=7), fecal incontinence (n=4), stranguria (n=2) and hematuria (n=1). Associated rectal pathologies were diverticulation (n=15), dilatation (n=4), deviation (n=3) and sacculation (n=1). The rectal diverticulum was corrected by extraluminal plication (n=12) or rectal resection (n=3). Internal obturator muscle flap transposition was used to repair the hernia in all cases. Postoperative pain was subjectively evaluated and scores were "no pain" in 10 cases, mild in 28 cases, moderate in 3 cases. Mean follow-up time was 27.3 months (range 4 months to 5 years) and the recurrence was observed only in three cases postoperatively. In conclusion, combined perineal herniorraphy with internal obturator muscle transposition and rectal wall repairment can be carried out at the same time and epidural morphine administration provide adequate analgesia for these operations.Öğe A retrospective study on traumatic diaphragmatic hernias in cats(Ankara Univ Press, 2011) Besalti, Omer; Pekcan, Zeynep; Caliskan, Murat; Aykut, Z. GamzeThe purpose of the study was to evaluate the clinical and surgical findings of traumatic diaphragmatic hernia in 52 cats and to determine the association with mortality rate. The medical and surgical records of fifty two cats that underwent surgical repair for traumatic diaphragmatic hernia were reviewed retrospectively. Survival rate was 82.7% (43/52) in cats. The most frequently herniated organ was liver (81%). This was followed by small intestines (67%), stomach (48%), omentum (38.5%), spleen (25%), pancreas (13.5%) and large intestines (8%) respectively. Thirty-one cases had acute and 21 cases had chronic diaphragmatic hernia and mortality rate was 16.1% and 19% respectively. Although the majority of the rupture was in the right side, death was not recorded in these cases. The mortality rates according to the rupture sites were 57% in central, 24% in ventral and 19% in the left side. On the other hand, it was recorded that the mortality rate was associated with the amount of organ herniation. The more excessive amount of organ herniation resulted in higher mortality rate. It was concluded that mortality rate could be related to the location of hernia, amount of herniated organs and time from trauma to the surgery.