Peran Paramedis dalam Penanganan dan Analisis Kasus Hernia Perineal Rekuren pada Anjing Jantan Senior

Abstract

Hernia perineal merupakan protrusi organ pelvis atau abdomen melalui kelemahan diafragma pelvis yang sering terjadi pada anjing jantan senior yang belum dikastrasi. Tugas akhir ini bertujuan mendeskripsikan peran paramedis veteriner dalam penanganan kasus hernia perineal rekuren pada anjing jantan senior. Studi kasus dilakukan pada seekor anjing Yorkshire Terrier jantan berumur 9 tahun dengan bobot badan 4,15 kg yang mengalami pembengkakan perineal dan gangguan urinasi. Pemeriksaan dilakukan melalui anamnesis, pemeriksaan fisik, hematologi, ultrasonografi abdomen, evaluasi intraoperatif, serta monitoring pascaoperasi. Penanganan meliputi stabilisasi pasien, persiapan anestesi, tindakan herniorrhaphy dan orchiectomy, serta perawatan intensif pascaoperasi. Hasil eksplorasi intraoperatif menunjukkan adanya pembesaran prostat dengan perubahan struktur jaringan yang mengarah pada dugaan neoplasia prostat. Monitoring pascaoperasi menunjukkan perbaikan kondisi klinis secara bertahap hingga pasien dipulangkan pada hari kesebelas pascaoperasi. Peran paramedis veteriner mendukung keberhasilan penanganan melalui monitoring, perawatan, dan evaluasi kondisi pasien selama masa pemulihan.

Perineal hernia is a protrusion of pelvic or abdominal organs through weakening of the pelvic diaphragm and commonly occurs in intact senior male dogs. This final project aimed to describe the role of veterinary paramedics in the management of recurrent perineal hernia in a senior male dog. A case study was conducted on a 9-year-old male Yorkshire Terrier weighing 4.15 kg that presented with perineal swelling and urinary abnormalities. Evaluation was performed through history taking, physical examination, hematological evaluation, abdominal ultrasonography, intraoperative assessment, and postoperative monitoring. Management included patient stabilization, anesthetic preparation, herniorrhaphy and orchiectomy procedures, and intensive postoperative care. Intraoperative exploration revealed prostatic enlargement with abnormal tissue characteristics suggestive of prostatic neoplasia. Postoperative monitoring showed gradual clinical improvement until the patient was discharged on the eleventh postoperative day. Veterinary paramedics contributed to successful case management through clinical monitoring, patient care, and evaluation during the recovery period.