Peer-reviewed veterinary case report
Dog with delayed traumatic diaphragmatic hernia fixed by side surgery
By O'Byrne, K L et al.·Published in New Zealand veterinary journal·2022·Melbourne Veterinary School, Australia·View original on PubMed →
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Original publication title: Repair of a delayed, traumatic dorsal diaphragmatic hernia using a single paracostal approach in a dog.
- Species:
- dog
Plain-English summary
A 1-year-old German Shepherd was brought in for breathing problems due to a delayed traumatic hernia in the diaphragm, which is the muscle that helps with breathing. Previous surgeries to fix the hernia were unsuccessful, but the vet used a new surgical method that involved a single lateral approach to access the hernia. This technique worked well, allowing the vet to successfully repair the hernia. The dog is now recovering and should have improved breathing following the surgery.
People also search for: dog breathing problems · German Shepherd hernia surgery · diaphragmatic hernia treatment in dogs
Abstract
CASE HISTORY: A 1-year-old German Shepherd dog presented for delayed onset of a traumatic, dorsal diaphragmatic hernia of the pars lumborum. CLINICAL FINDINGS AND TREATMENT: Herniorrhaphy via a ventral midline celiotomy (with and without a paracostal extension) were unsuccessful and the hernia recurred. The hernia was successfully repaired using a single lateral paracostal surgical approach. This approach provided excellent exposure and should be considered for dorsal pars lumborum diaphragmatic hernia repairs. DIAGNOSIS: Dorsal diaphragmatic hernia of the pars lumborum. CLINICAL RELEVANCE: Whilst uncommon, tears to the dorsal aspect of the diaphragm should be considered as well as the more common radial or circumferential pars costalis tears. Pre-operative computed tomographic imaging can identify the exact location of the hernia in order to allow the best surgical approach to be determined. A lateral paracostal approach should be considered as an alternative to a ventral midline celiotomy with or without paracostal extension for repair of dorsal diaphragmatic hernias affecting the pars lumborum, as it provides excellent exposure. A single lateral paracostal approach has not been reported previously for diaphragmatic hernia repair in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34346835/