Conclusão

Apesar da hérnia perineal se encontrar bem documentada, com uma vasta literatura bibliográfica, existem discordâncias entre autores sobre os mais diversos aspetos que englobam estas hérnias. Este estudo permitiu apoiar a maior prevalência desta patologia em animais de idade mais avançada. Alguns autores sugerem que a castração precoce poderá ter um papel fundamental na prevenção do desenvolvimento da HP, sendo que neste estudo 71%

dos cães machos eram não-castrados, facto este que sustenta a probabilidade relatada. A partir da informação recolhida por contato telefónico até Setembro de 2018 não foram registadas recidivas.

A escolha da técnica clássica e da aplicação da malha de polipropileno baseou-se na experiência pessoal dos cirurgiões, que defendiam a técnica clássica como primeira escolha, por ser de fácil execução e não requerer muito tempo de técnica cirúrgica, uma vez que se tratavam de pacientes mais maduros ou geriátricos, o tempo de anestesia pode ser um fator crítico. Quanto à aplicação da malha de polipropileno, era considerada uma técnica coadjuvante nos casos em que o método clássico era considerado ineficaz. Com base nos dados recolhidos e tal como supramencionado nos contatos telefónicos posteriormente realizados, constatou-se que a técnica clássica isolada ou com a aplicação da malha de polipropileno, revelou ser eficaz, pois registaram-se poucas complicações pós-cirúrgicas e taxa de recorrência nula.

É de realçar ainda, a importância da assepsia durante a preparação do paciente para o procedimento cirúrgico. Em qualquer técnica cirúrgica, a realização de uma boa assépsia é fundamental, considerando que a região perineal tem um risco acrescido de contaminação fecal e tendo em conta que se tratam de pacientes geriátricos, é essencial prevenir infeções, seja no momento da cirurgia ou no pós-cirúrgico. Para tal, além da boa assepsia a administração de AB de largo espectro revelou ser fulcral no sucesso da herniorrafia e no bem-estar do animal.

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