Anesthesia Case of the Month

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

“…17 In the author's experience (KMT), staged procedures increase costs for the owner, while intraoperative repositioning increases the need for intraoperative technical support and surgical time and cost. Additionally, position changes under anesthesia can increase the risk of gastroesophageal reflux and hypotension 18,19 and a head-down perineal position may reduce total respiratory compliance. 20 As with feline perineal urethrostomy, 21 placement of the patient in dorsal recumbency permits concurrent abdominal and perineal approaches, facilitating correction of complicated hernias while avoiding the problems previously mentioned.…”