Modificação da técnica de aderência cirúrgica do pênis à parede abdominal ventral e avaliação do pós-operatório

Abstract

The penopexy technique was changed in order to obtain bull teasers. Reducing the dead space with wolf suture, the technique resulted in compression, stenosis and partial rupture of the urethra. The main observed complications were partial and total dehiscence of the surgical wound, necrosis of the tissue, subcutaneous abscesses, presence of purulent secretion, besides fibrosis of the tissue. In the attempt of isolating and identifying the possible microbial agents involved in the process samples of the purulent secretions that flowed of the wounds were collected by means of swabs roaked in 0,2%peptomatewater. Proteus mirabilis and Escherichia coli were isolated and identified The same procedure was adopted in the environment where the animals were operated and in the place where they stayed after the surgical act, being isolated and identified the Bacillus spp, Pseudomonas spp, Escherichia coli and Enterobacter spp. There was no bacterial growth in the suture material which belonged to the same lot of those used in the surgery, being discharged the hypothesis of contamination of the wounds due to the use of badly sterilized material or surgical instruments. The postoperative complication observed was the irritating action of the urine that, in function of the rupture of the urethra, was accumulated and infiltrated in the subcutaneous tissues in process of healing, followed by exogenous contamination.