TOA
PAYOH VETS
toapayohvets.com
Date:
14 March, 2013
Focus: Small
animals - dogs, cats, hamsters, guinea pigs & rabbits |
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Rectal prolapse in
terrapins and people
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:
14 March, 2013
|
toapayohvets.com
Be Kind To Pets
Veterinary Education
Project 2013-0131 |
Recently
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. If the purse-string
suture is done early (within 1-2 days of rectal
prolapse as for the 2011 case, image, left), the
outcome is excellent. I had written that case
study some years ago and the images of this 2011
case are shown below.
As for this terrapin with the gangrenous rectum,
euthanasia was done.
"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 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.
More Singaporeans are kinder towards terrapins,
rabbits and hamsters in 2012 and 2013 unlike 10
years ago. The younger generation loves their
companion animals much more than the baby boomer
generation. There are 51 veterinary practices as
at Feb 9, 2013. There were around 5 when I
started practice in 1982!
It is good for the pets and the pet lovers and
vets should have more time to devote to the
practice of veterinary medicine nowadays instead
of rushing 40 cases per vet per day as in some
busy practices. Successful diagnosis needs time
to build up the case scientifically and to
reflect and follow up. This can't be done if the
vet has to attend to 40 cases per day as in
hospitals.
Updates will be on this webpage:
http://www.bekindtopets.com/animals/20130209terrapin_rectal_prolapse_toapayohvets.htm
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Toa
Payoh Vets
Clinical Research |
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