Complications and outcomes following rectal pull-through surgery in dogs with rectal masses: 74 cases (2000–2013)

Abstract

Dogs with rectal diseases that underwent RPT surgery had a high incidence of complications; however, those dogs had good local tumor control and survival times. The risk and impact of postsurgical complications on the quality of life and oncological outcomes should be discussed with owners before RPT surgery is performed in dogs with rectal masses.

Prevalence of and risk factors for intraoperative gastroesophageal reflux and postanesthetic vomiting and diarrhea in dogs undergoing general anesthesia

“…However, little information is available regarding the incidence of postsurgical diarrhea in dogs. In veterinary medicine, diarrhea has been associated with invasive and endoscopic procedures of the gastrointestinal tract and the use of corticosteroids and nonsteroidal anti‐inflammatory drugs (NSAIDs) during the perianesthetic period . Diarrhea does not usually cause severe complications, compared to GER or vomiting, but can cause contamination of surgical wounds or devices such as catheters, chest tubes, or abdominal and subcutaneous drains.…”

Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog

“…Transanal rectal pull‐through is a well‐described procedure for the excision of rectal malignancy despite the high incidence of postoperative complications (78%) . Dehiscence is a possible complication, and its incidence increases with resected margins ≥6 cm .…”

“…Transanal rectal pull-through is a well-described procedure for the excision of rectal malignancy despite the high incidence of postoperative complications (78%). 6,7,16 Dehiscence is a possible complication, and its incidence increases with resected margins ≥6 cm. 2,17,18 Furthermore, inexperience with the surgical technique, poor suture placement, tension, and infection could be potential causes of dehiscence of the anastomotic site.…”

“…Surgical resection is the treatment of choice, and the transanal rectal pull‐through with full‐thickness colorectal amputation and anastomosis from the cranial and distal rectal stumps is one of the most common procedures used . Transanal rectal pull‐through may be associated with postoperative complications such as tenesmus, stricture, dehiscence, and fecal incontinence . Dehiscence after transanal rectal pull‐through can be catastrophic and challenging .…”

“…[3][4][5][6] Transanal rectal pull-through may be associated with postoperative complications such as tenesmus, stricture, dehiscence, and fecal incontinence. 6,7 Dehiscence after transanal rectal pull-through can be catastrophic and challenging. 3,6 In human medicine, stenosis or dehiscence after colorectal/transanal rectal pull-through can be treated by a colostomy that bypasses the distal gastrointestinal tract.…”