{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T01:03:10Z","timestamp":1772326990347,"version":"3.50.1"},"reference-count":48,"publisher":"American Animal Hospital Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Perineal wounds in dogs present a challenge due to limited local availability of skin for closure and constant exposure to fecal contaminants. This report describes temporary rectal stenting in two dogs following severe perineal wounds. Dog 1 presented with a 4 \u00d7 4 cm full-thickness perineal slough secondary to multiple rectal perforations. A 12 mm internal diameter endotracheal tube was placed per-rectum as a temporary stent to minimize fecal contamination. The stent was removed 18 days after placement, and the perineal wound had healed at 32 days post-stent placement, when a minor rectal stricture associated with mild, intermittent tenesmus was detected. Long-term outcome was deemed good. Dog 2 presented with multiple necrotic wounds with myiasis, circumferentially surrounding the anus and extending along the tail. A 14 mm internal diameter endotracheal tube was placed per-rectum. The perineal and tail wounds were managed with surgical debridement and wet-to-dry and honey dressings prior to caudectomy and negative pressure wound therapy (NPWT). Delayed secondary wound closure and stent removal were performed on day six without complication. Long-term outcome was deemed excellent. Temporary rectal stenting may be a useful technique for fecal diversion to facilitate resolution of complex perineal injuries, including rectal perforation.<\/jats:p>","DOI":"10.5326\/jaaha-ms-6350","type":"journal-article","created":{"date-parts":[[2016,9,29]],"date-time":"2016-09-29T12:32:29Z","timestamp":1475152349000},"page":"385-391","source":"Crossref","is-referenced-by-count":1,"title":["Temporary Rectal Stenting for Management of Severe Perineal Wounds in Two Dogs"],"prefix":"10.5326","volume":"52","author":[{"given":"Owen T.","family":"Skinner","sequence":"first","affiliation":[{"name":"From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura C.","family":"Cuddy","sequence":"additional","affiliation":[{"name":"From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James G.","family":"Coisman","sequence":"additional","affiliation":[{"name":"From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Covey","sequence":"additional","affiliation":[{"name":"From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary W.","family":"Ellison","sequence":"additional","affiliation":[{"name":"From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (O.T.S., G.W.E.); Joint Base Lewis-McChord Veterinary Center, Tacoma, Washington (J.G.C.); Department of Surgery, Section of Veterinary Clinical Studies, School of Veterinary Medicine, University College Dublin, Dublin, Ireland (L.C.C.); and Oakland Veterinary Referral Services, Bloomfield Hills, Michigan (J.L.C.)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3280","reference":[{"key":"i1547-3317-52-6-385-b01","series-title":"Vet Clin North Am Small Anim Pract","first-page":"913","article-title":"Tail and Perineal Wounds","volume":"36","author":"Bellah \n              JR.","year":"2006","unstructured":"Bellah \n              JR. \n            \n          \n          Tail and Perineal Wounds. Vet Clin North Am Small Anim Pract2006;36:913\u201329."},{"key":"i1547-3317-52-6-385-b02","series-title":"World J Surg","first-page":"895","article-title":"Management of complex perineal injuries","volume":"27","author":"Kudsk \n              KA,","year":"2003","unstructured":"Kudsk \n              KA, \n            \n            \n              Hanna \n              MK. \n            \n          \n          Management of complex perineal injuries. 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Urol Int2011;86:167\u201372."},{"key":"i1547-3317-52-6-385-b05","series-title":"Intensive Care Med","first-page":"1345","article-title":"Vacuum-assisted closure in the treatment of perineal necrotizing skin and soft tissue infections","volume":"34","author":"Bronchard \n              R,","year":"2008","unstructured":"Bronchard \n              R, \n            \n            \n              Vaumas \n              C, \n            \n            \n              Lasocki \n              S, \n            \n            et al. \n          Vacuum-assisted closure in the treatment of perineal necrotizing skin and soft tissue infections. Intensive Care Med2008;34:1345\u20137."},{"key":"i1547-3317-52-6-385-b06","series-title":"Injury","first-page":"533","article-title":"Prevention of pelvic sepsis in major open pelviperineal injury","volume":"43","author":"Govaert \n              G,","year":"2012","unstructured":"Govaert \n              G, \n            \n            \n              Siriwardhane \n              M, \n            \n            \n              Hatzifotis \n              M, \n            \n            et al. \n          Prevention of pelvic sepsis in major open pelviperineal injury. Injury2012;43:533\u20136."},{"key":"i1547-3317-52-6-385-b07","series-title":"Dis Colon Rectum","first-page":"1017","article-title":"A nonsurgical means of fecal diversion: the Zassi Bowel Management System","volume":"50","author":"Keshava \n              A,","year":"2007","unstructured":"Keshava \n              A, \n            \n            \n              Renwick \n              A, \n            \n            \n              Stewart \n              P, \n            \n            et al. \n          A nonsurgical means of fecal diversion: the Zassi Bowel Management System. Dis Colon Rectum2007;50:1017\u201322."},{"key":"i1547-3317-52-6-385-b08","series-title":"Dis Colon Rectum","first-page":"1203","article-title":"Colon and Rectal Injuries","volume":"49","author":"Cleary \n              RK,","year":"2006","unstructured":"Cleary \n              RK, \n            \n            \n              Pomerantz \n              RA, \n            \n            \n              Lampman \n              RM. \n            \n          \n          Colon and Rectal Injuries. Dis Colon Rectum2006;49:1203\u201322."},{"key":"i1547-3317-52-6-385-b09","series-title":"J Am Vet Med Assoc","first-page":"1292","article-title":"Rectal perforation, rectocutaneous fistula formation, and enterocutaneous fistula formation after pelvic trauma in a dog","volume":"205","author":"Tobias \n              KM.","year":"1994","unstructured":"Tobias \n              KM. \n            \n          \n          Rectal perforation, rectocutaneous fistula formation, and enterocutaneous fistula formation after pelvic trauma in a dog. J Am Vet Med Assoc1994;205:1292\u20136."},{"key":"i1547-3317-52-6-385-b10","series-title":"Vet Surg","first-page":"270","article-title":"Use of colostomy to manage rectal disease in dogs","volume":"26","author":"Hardie \n              EM,","year":"1997","unstructured":"Hardie \n              EM, \n            \n            \n              Gilson \n              SD. \n            \n          \n          Use of colostomy to manage rectal disease in dogs. 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Vet Surg1999;28:348\u201354."},{"key":"i1547-3317-52-6-385-b12","series-title":"J Small Anim Pract","first-page":"363","article-title":"Use of an incontinent end-on colostomy in a dog with annular rectal adenocarcinoma","volume":"44","author":"Kumagai \n              D,","year":"2003","unstructured":"Kumagai \n              D, \n            \n            \n              Shimada \n              T, \n            \n            \n              Yamate \n              J, \n            \n            et al. \n          Use of an incontinent end-on colostomy in a dog with annular rectal adenocarcinoma. J Small Anim Pract2003;44:363\u20136."},{"key":"i1547-3317-52-6-385-b13","series-title":"Burns","first-page":"840","article-title":"A non-surgical device for faecal diversion in the management of perineal burns","volume":"34","author":"Bordes \n              J,","year":"2008","unstructured":"Bordes \n              J, \n            \n            \n              Goutorbe \n              P, \n            \n            \n              Asencio \n              Y, \n            \n            et al. \n          A non-surgical device for faecal diversion in the management of perineal burns. Burns2008;34:840\u20134."},{"key":"i1547-3317-52-6-385-b14","series-title":"J Clin Gastroenterol","first-page":"27","article-title":"Usual therapy improves perianal Crohn's disease as measured by a new disease activity index. 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J Vet Emerg Crit Care (San Antonio)2011;21:104\u201322"},{"key":"i1547-3317-52-6-385-b17","series-title":"Invest Radiol","first-page":"48","article-title":"Rectal balloons: complications, causes, and recommendations","volume":"14","author":"Nelson \n              JA,","year":"1979","unstructured":"Nelson \n              JA, \n            \n            \n              Daniels \n              AU, \n            \n            \n              Dodds \n              WJ. \n            \n          \n          Rectal balloons: complications, causes, and recommendations. Invest Radiol1979;14:48\u201359."},{"key":"i1547-3317-52-6-385-b18","series-title":"Dis Colon Rectum","first-page":"1745","article-title":"Vacuum-Assisted Closure of Complex Perineal Wounds","volume":"47","author":"Schaffzin \n              DM,","year":"2004","unstructured":"Schaffzin \n              DM, \n            \n            \n              Douglas \n              JM, \n            \n            \n              Stahl \n              TJ, \n            \n            et al. \n          Vacuum-Assisted Closure of Complex Perineal Wounds. Dis Colon Rectum2004;47:1745\u20138."},{"key":"i1547-3317-52-6-385-b19","series-title":"Eur J Dermatol","first-page":"501","article-title":"Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia","volume":"20","author":"Negosanti \n              L,","year":"2010","unstructured":"Negosanti \n              L, \n            \n            \n              Aceti \n              A, \n            \n            \n              Bianchi \n              T, \n            \n            et al. \n          Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia. Eur J Dermatol2010;20:501\u20133."},{"key":"i1547-3317-52-6-385-b20","series-title":"World J Surg Onc","first-page":"67","article-title":"Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system","volume":"6","author":"Kumar \n              S,","year":"2008","unstructured":"Kumar \n              S, \n            \n            \n              O'Donnell \n              ME, \n            \n            \n              Khan \n              K, \n            \n            et al. \n          Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system. World J Surg Onc2008;6:67."},{"key":"i1547-3317-52-6-385-b21","series-title":"Injury","first-page":"S1","article-title":"Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus","volume":"42","author":"Krug \n              E,","year":"2011","unstructured":"Krug \n              E, \n            \n            \n              Berg \n              L, \n            \n            \n              Lee \n              C, \n            \n            et al. \n          Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus. 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Vet Clin North Am Small Anim Pract2006;36:913\u201329."},{"key":"i1547-3317-52-6-385-b02","series-title":"World J Surg","first-page":"895","article-title":"Management of complex perineal injuries","volume":"27","author":"Kudsk \n              KA,","year":"2003","unstructured":"Kudsk \n              KA, \n            \n            \n              Hanna \n              MK. \n            \n          \n          Management of complex perineal injuries. 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Injury2012;43:533\u20136."},{"key":"i1547-3317-52-6-385-b07","series-title":"Dis Colon Rectum","first-page":"1017","article-title":"A nonsurgical means of fecal diversion: the Zassi Bowel Management System","volume":"50","author":"Keshava \n              A,","year":"2007","unstructured":"Keshava \n              A, \n            \n            \n              Renwick \n              A, \n            \n            \n              Stewart \n              P, \n            \n            et al. \n          A nonsurgical means of fecal diversion: the Zassi Bowel Management System. Dis Colon Rectum2007;50:1017\u201322."},{"key":"i1547-3317-52-6-385-b08","series-title":"Dis Colon Rectum","first-page":"1203","article-title":"Colon and Rectal Injuries","volume":"49","author":"Cleary \n              RK,","year":"2006","unstructured":"Cleary \n              RK, \n            \n            \n              Pomerantz \n              RA, \n            \n            \n              Lampman \n              RM. \n            \n          \n          Colon and Rectal Injuries. 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J Small Anim Pract2003;44:363\u20136."},{"key":"i1547-3317-52-6-385-b13","series-title":"Burns","first-page":"840","article-title":"A non-surgical device for faecal diversion in the management of perineal burns","volume":"34","author":"Bordes \n              J,","year":"2008","unstructured":"Bordes \n              J, \n            \n            \n              Goutorbe \n              P, \n            \n            \n              Asencio \n              Y, \n            \n            et al. \n          A non-surgical device for faecal diversion in the management of perineal burns. Burns2008;34:840\u20134."},{"key":"i1547-3317-52-6-385-b14","series-title":"J Clin Gastroenterol","first-page":"27","article-title":"Usual therapy improves perianal Crohn's disease as measured by a new disease activity index. 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J Am Vet Med Assoc2011;239:222\u20137."},{"key":"i1547-3317-52-6-385-b16","series-title":"J Vet Emerg Crit Care (San Antonio)","first-page":"104","article-title":"Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals","volume":"21","author":"Lisciandro \n              GR.","year":"2011","unstructured":"Lisciandro \n              GR. \n            \n          \n          Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals. J Vet Emerg Crit Care (San Antonio)2011;21:104\u201322"},{"key":"i1547-3317-52-6-385-b17","series-title":"Invest Radiol","first-page":"48","article-title":"Rectal balloons: complications, causes, and recommendations","volume":"14","author":"Nelson \n              JA,","year":"1979","unstructured":"Nelson \n              JA, \n            \n            \n              Daniels \n              AU, \n            \n            \n              Dodds \n              WJ. \n            \n          \n          Rectal balloons: complications, causes, and recommendations. Invest Radiol1979;14:48\u201359."},{"key":"i1547-3317-52-6-385-b18","series-title":"Dis Colon Rectum","first-page":"1745","article-title":"Vacuum-Assisted Closure of Complex Perineal Wounds","volume":"47","author":"Schaffzin \n              DM,","year":"2004","unstructured":"Schaffzin \n              DM, \n            \n            \n              Douglas \n              JM, \n            \n            \n              Stahl \n              TJ, \n            \n            et al. \n          Vacuum-Assisted Closure of Complex Perineal Wounds. Dis Colon Rectum2004;47:1745\u20138."},{"key":"i1547-3317-52-6-385-b19","series-title":"Eur J Dermatol","first-page":"501","article-title":"Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia","volume":"20","author":"Negosanti \n              L,","year":"2010","unstructured":"Negosanti \n              L, \n            \n            \n              Aceti \n              A, \n            \n            \n              Bianchi \n              T, \n            \n            et al. \n          Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia. 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