Temporary Rectal Stenting for Management of Severe Perineal Wounds in Two Dogs.
Perineal wounds in dogs present a challenge due to limited local availability of skin for closure and constant exposure to fecal contaminants. This report describes temporary rectal stenting in two dogs following severe perineal wounds. Dog 1 presented with a 4 × 4 cm full-thickness perineal slough secondary to multiple rectal perforations. A 12 mm internal diameter endotracheal tube was placed per-rectum as a temporary stent to minimize fecal contamination. The stent was removed 18 days after placement, and the perineal wound had healed at 32 days post-stent placement, when a minor rectal stricture associated with mild, intermittent tenesmus was detected. Long-term outcome was deemed good. Dog 2 presented with multiple necrotic wounds with myiasis, circumferentially surrounding the anus and extending along the tail. A 14 mm internal diameter endotracheal tube was placed per-rectum. The perineal and tail wounds were managed with surgical debridement and wet-to-dry and honey dressings prior to caudectomy and negative pressure wound therapy (NPWT). Delayed secondary wound closure and stent removal were performed on day six without complication. Long-term outcome was deemed excellent. Temporary rectal stenting may be a useful technique for fecal diversion to facilitate resolution of complex perineal injuries, including rectal perforation.
From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.).
Owen T
OT
Skinner
From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.).
Laura C
LC
Cuddy
From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.).
James G
JG
Coisman
From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.).
Jennifer L
JL
Covey
From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.).
Gary W
GW
Ellison
D000818:Animals; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D008297:Male; D010502:Perineum / Q000293:injuries*; D012007:Rectum / Q000293:injuries*; D015607:Stents / Q000662:veterinary*; D014945:Wound Healing; D014947:Wounds and Injuries / Q000628:therapy / Q000662:veterinary*