Surgical and supportive management of bilateral perineal hernia in a shih tzu dog

Perineal hernia is a condition characterized by weakening and separation of the muscles and fascia that support the pelvic diaphragm. The formation of a hernia ring may result from a congenital defect during embryonic development or traumatic injury. The standard treatment for this condition is hernioplasty, a surgical procedure aimed at repairing and reducing the size of the hernia ring caused by muscle weakness. A 12-year-old Shih Tzu presented to Klinik Hewan Jogja, Indonesia with a history of constipation. Physical examination revealed a mass in the dorsal pelvic region, which was identified as an abnormal accumulation of fecal material. Comprehensive diagnostic evaluations, including hematology, serum biochemistry, and radiography, were performed to confirm the diagnosis of bilateral perineal hernia. Surgical correction through hernioplasty was performed to close the hernia ring. Postoperative management consisted of antibiotic and analgesic therapy, supportive supplementation, and dietary regulation.