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Peer-reviewed veterinary case report

Survival rates after diaphragmatic hernia surgery in dogs and cats

By Gibson, Thomas W G et al.·Published in Journal of the American Veterinary Medical Association·2005·Department of Clinical Studies, Canada·View original on PubMed

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Original publication title: Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990-2002).

Plain-English summary

A dog or cat that has suffered a traumatic diaphragmatic hernia (a tear in the diaphragm that can cause breathing problems) can be treated successfully with surgery. In a review of 92 cases, 89% of the pets that underwent surgery within 24 hours of being admitted to the hospital survived and were discharged. The best outcomes were seen in those treated within 12 hours, with a survival rate of nearly 93%. If your pet shows signs of breathing difficulties after an injury, prompt veterinary care is crucial for a better chance of recovery.

People also search for: dog breathing problems after injury · cat diaphragmatic hernia surgery · how long can a dog survive with a diaphragmatic hernia

Abstract

OBJECTIVE: To determine the survival rates of dogs and cats that underwent surgical treatment for traumatic diaphragmatic hernia within 24 hours of admission and determine whether timing of surgery affected perioperative survival rate. DESIGN: Retrospective study. ANIMALS: 63 dogs and 29 cats treated surgically for traumatic diaphragmatic hernia. PROCEDURE: Medical records were reviewed to evaluate associations between perioperative survival rates and variables including timing of surgery in relation to admission and acute versus chronic diaphragmatic hernia. RESULTS: Among the 92 animals, 82 (89.1%) were discharged alive after surgery. Sixty-four (69.6%) patients received surgical intervention within 12 hours of admission, and 84 (91.3%) received surgical intervention within 24 hours of admission. Median time from admission to discharge was 4 days (2 to 33 days). Data for acute cases (68 dogs and cats) were analyzed separately. Sixty-three (92.6%) patients with acute diaphragmatic hernia received surgical intervention within 24 hours of admission to the hospital, and 59 (93.7%) of these patients were discharged alive. Twenty-nine (42.6%) patients with acute diaphragmatic hernia received surgical intervention within 24 hours of trauma, and 26 of 29 (89.7%) patients were discharged alive. An overall acute and chronic perioperative survival rate of 89.7% was observed in dogs and cats that received surgical intervention within 24 hours of admission. CONCLUSIONS AND CLINICAL RELEVANCE: Results in 68 dogs and cats that underwent surgery within 24 hours of admission suggested that early surgical intervention for acute diaphragmatic hernia was associated with good perioperative survival rates.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16013544/