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13 January, 2016
  Focus: Small animals - dogs, cats, guinea pigs, hamsters, turtles & rabbits
 


In 2013, an 82-year-old man, sound in mind and in good health brought in a terrapin with black and smelly prolapsed rectum. "No hope of repairing as the tissues are rotten and stinking," I usually push back the rectal tissues and suture up the anus for 7-14 days.  Euthanasia was performed.

If the purse-string suture is done early (within 1-2 days of rectal prolapse as for the 2011 case, images below), the outcome is excellent. I had written that case study some years ago and the images of this 2011 case are shown below.

 

"Holding in the rectum"  - rectal prolapse where the rectum falls out of the anus. New surgical technique is providing relief.  Ventral Mesh Rectopexy. A mesh (plastic or biodegradaable material) is sutured to the pelvic floor muscles on both sides of the rectum. The top end is sutured to the spine to lift up the rectum.

In women, the mesh is sutured to the top of the vaginal to prevent vaginal prolapse. At Singapore General Hospital, the fees range from $5,000 - $25,000. Recurrences are said to be low for this type of procedure as compared to other surgeries. Therapy to retrain the pelvic floor muscles in human is advised. This will not apply to animals.

REFERENCE:  The Straits Times Jan 17, 2013 pg 12-14 "Mind Your Body" has details of various surgeries in people. Reading what the human surgeons do and the latest advances in surgery may be of some use to veterinary surgeons as some techniques can apply to veterinary surgery.

Blog: Rectal prolapse in turtles


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Asiahomes
All rights reserved.  January 13, 2016
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