Histeropexia no tratamento do prolapso uterino total em cadela Fila Brasileiro
Sampaio, Renato LinharesRezende, Rodrigo Supranzetti deMartin, IanRosado, Isabel RodriguesAlves, Endrigo Gabellini LeonelOliveira, Guilherme Carnevalli Antunes deOliveira, Arêssa Manúcia de
Background: Uterine prolapse is an obstetric emergency because the exposed tissue can present edema, devitalization oreven gangrene, depending on the evolution time and on the severity of circulatory changes. Haemorrhage due to the ruptureof ovarian or uterine vessels can evolve rapidly to hypovolemic shock. More rarely, secondary thromboembolism to theuterine strangulation can be developed, complication that can also lead to death. This study reports the case of a BrazilianMolosser bitch treated by reducing total uterine prolapse, complemented with hysteropexy, in order to prevent recurrenceand maintain its reproductive ability.Case: A 5-year-old Brazilian Molosser bitch was attended presenting double firm and tubular mass protruding through thevulva. The patient gave birth to five live pups, the last two of which needed to be pulled. Two days after parturition, she hadabdominal contraction when a mass protruded from the vagina. A total uterine prolapse was diagnosed, since both uterinehorns were found exposed and inverted, with exposition of the endometrium and the areas of placental implantation, togetherwith the body of the uterus. The tissue was apparently edematous and lightly parched, with the presence of strange bodies,but without signals of circulatory complications or lacerations. Due to interest of the guardian in preserving the reproductive ability, an internal reduction via ventral medial celiotomy and the fixation of the uterus in the lateral abdominal wall(hysteropexy) was chosen in order to diminish the possibility of relapse in future parturition.Discussion: The definitive treatment of the uterine prolapse can be realized through ovariohysterectomy when the exposeduterine tissue is highly compromised or there is vessel rupture or no reproductive purpose for the female. The amputation of everted tissue through the vulva is also an option, but the risk of intracavitary bleeding during tissue resectionmust be considered...(AU)
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