Felis ISSN 2398-2950

Diaphragm: repair of diaphragmatic defects

Synonym(s): Ruptured diaphragm

Contributor(s): Andrew Gardiner, Melvyn Pond, Zoe Halfacree

Introduction

  • To repair a ruptured diaphragm via a ventral midline approach.

Uses

Advantages

  • Ventral midline approach allows extension of incision cranially through sternum, paracostally, or caudally to improve exposure as required Laparotomy: midline.
  • Entire abdominal viscera can be examined for damage.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • 10-20% mortality for traumatic diaphragmatic rupture and PPDH repair.
  • Prognosis related to cardiovascular stability of patient pre-operatively.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Gibson T W, Brisson B A, Sears W (2005) Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990-2002). JAVMA 227 (1), 105-9 PubMed.
  • Minihan A C, Berg J, Evans K L (2004) Chronic diaphragmatic hernia in 34 dogs and 16 cats. JAAHA 40 (1), 51-63 PubMed.
  • Reimer S B, Kyles A E, Filipowicz D E et al (2004) Long-term outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia: 66 cases (1987-2002). JAVMA 224 (5), 728-732 PubMed.
  • Sullivan M & Reid J (1990) Management of 60 cases of diaphragmatic rupture. JSAP 31 (9), 425-430 VetMedResource.
  • Sullivan M & Lee R (1989) Radiological features of 80 cases of diaphragmatic rupture. JSAP 30 (10), 561-566 VetMedResource.


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