Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990–2002)

Gibson, Thomas W.G.; Brisson, Brigitte A.; Sears, William

doi:10.2460/javma.2005.227.105

Cited by 57 publications

(72 citation statements)

References 2 publications

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“…The anatomical position of the organ and the location of the disruption often determine the herniated organs in diaphragmatic hernia. In several studies, including our current study, the liver has been found the most commonly herniated organ followed by the small intestine, stomach, omentum, spleen, pancreas, and large intestine (Schmiedt et al 2003;Hyun 2004;Gibson et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Interval between injection of contrast material and positive contrast cheliography affects accurate diagnosis of diaphragmatic hernia

et al. 2015

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The aim of this study was to evaluate the clinical, surgical and diagnostic imaging findings in 11 cats and 3 dogs with suspected acute and chronic traumatic diaphragmatic hernia, and to compare the results of positive contrast cheliography (peritoneography) taken immediately and 5 min after the injection of contrast material. Thoracic and abdominal radiography, ultrasonography, and positive contrast cheliography of all animals were performed. Eight cases were considered as acute and six cases were considered chronic. The contrast images taken immediately after the injection of contrast material revealed the contrast material in the thoracic cavity in 8/8 acute trauma patients, but in none of the chronic cases. In 5/6 of these cases contrast material was seen in the thoracal cavity only in additional images taken after 5 min. One patient was diagnosed with FIP and excluded from the study. Twelve cases had complete resolution and one animal died during the early postoperative period. Our results suggest that positive contrast cheliography performed immediately after the injection of contrast material may not reveal chronic cases of diaphragmatic hernia and a second imaging (or imaging after 5 min) is indicated in order not to overlook chronic cases.

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Section: Discussionmentioning

confidence: 99%

Interval between injection of contrast material and positive contrast cheliography affects accurate diagnosis of diaphragmatic hernia

et al. 2015

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“…Liver was the most frequently herniated organ and this was followed by small intestines, stomach, omentum, spleen, pancreas and large intestines (3,5,10,17).…”

Section: Discussionmentioning

confidence: 99%

“…The loss of diaphragmatic line and cardiac silhouette, appearance of the abdominal organs, intestinal loops or gas in the thorax or thin abdomen are characteristic radiographic signs (5,8,12). Almost all abdominal structures have been reported to protrude into the thoracic cavity; liver, stomach, small intestines, spleen, omentum, pancreas are the commonly herniated organs but on rare occasion the kidney have been reported to be in the herniated organs (3,6,8,10,14). Perioperative mortality rates ranging from 8-18% have been reported in the researches (7,10).…”

Section: Introductionmentioning

confidence: 99%

A retrospective study on traumatic diaphragmatic hernias in cats

Omer;PEKCAN

2011

Ankara Üniversitesi Veteriner Fakültesi Dergisi

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Summary:The purpose of the study was to evaluate the clinical and surgical findings of traumatic diaphragmatic hernia in 52 cats and to determine the association with mortality rate. The medical and surgical records of fifty two cats that underwent surgical repair for traumatic diaphragmatic hernia were reviewed retrospectively. Survival rate was 82.7% (43/52) in cats. The most frequently herniated organ was liver (81%). This was followed by small intestines (67%), stomach (48%), omentum (38.5%), spleen (25%), pancreas (13.5%) and large intestines (8%) respectively. Thirty-one cases had acute and 21 cases had chronic diaphragmatic hernia and mortality rate was 16.1% and 19% respectively. Although the majority of the rupture was in the right side, death was not recorded in these cases. The mortality rates according to the rupture sites were 57% in central, 24% in ventral and 19% in the left side. On the other hand, it was recorded that the mortality rate was associated with the amount of organ herniation. The more excessive amount of organ herniation resulted in higher mortality rate. It was concluded that mortality rate could be related to the location of hernia, amount of herniated organs and time from trauma to the surgery.Key words: Cat, diaphragm, hernia, rupture localization Kedilerde travmatik diyafram fıtıkları üzerine geriye yönelik çalışmaÖzet: Bu çalışmanın amacı kedilerde travmatik diyafram fıtıklarının klinik ve cerrahi bulguları ile mortalite oranı arasındaki ilişkiyi sunmaktır. Çalışmanın materyalini oluşturan 52 travmatik diyafram fıtıklı kedinin klinik ve operatif bulguları retrospektif olarak değerlendirildi. Kedilerdeki sağ kalım oranı %82.7 (43/52) olarak saptandı. Göğüs boşluğu içine en sık fıtıklaşan organın karaciğer olduğu (81%), bunu sırası ile ince bağırsaklar (%67), mide (%48), omentum (%38.5), dalak (%25), pankreas (%13.5) ve kalın bağırsakların (%8) izlediği belirlendi. Otuz bir olgunun akut, 21 olgunun ise kronik fazda olduğu ve mortalite oranlarının sırası ile %16.1 ve %19 olduğu ortaya konuldu. Diyafram üzerindeki rupturun en çok sağ tarafta görülmesine rağmen bu olguların hiçbirinde mortalite olmaması dikkati çekti. Yırtığın yerine göre mortalite oranı sırasıyla merkez %57, ventral %24 ve sol %19 olarak belirlendi. Ayrıca mortalite oranı ile fıtıklaşan organlar arasında ilişki tespit edildi; buna göre birden fazla organın fıtıklaşması ile ölüm oranının arttığı gözlendi. Sonuç olarak mortalite oranı ile fıtık yeri, fıtıklaşan organ sayısı, travma ve operasyon zamanı arasında ilişki olabileceği kanısına varıldı.

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“…Cliniquement, le symptôme rapporté le plus fréquem-ment est une dysfonction respiratoire souvent traduite par une dyspnée, présente dans 72,4 % des cas aigus [5] ainsi que dans les cas chroniques associée alors à des vomissements et d'autres symptômes peu spécifiques (anorexie, abattement, perte de poids) [15]. De nombreux cas sont asymptomatiques suite au traumatisme.…”

Section: Spécificités Des Hernies Diaphragmatiques Chroniquesunclassified

“…Un contrôle radiographique du thorax doit donc être systématique après tout traumatisme important [1][2][3]. L'examen radiographique est également obligatoire dans le cas de hernie diaphragmatique chronique mais ne permet l'établissement d'un diagnostic que dans 66 % des cas [5] et nécessite d'être associé à d'autres examens d'imagerie (échographie ou radiographie avec produit de contraste, par exemple).…”

Section: Spécificités Des Hernies Diaphragmatiques Chroniquesunclassified

Transposition du muscle droit de l’abdomen pour traiter une hernie diaphragmatique chronique chez un chien

Prevost¹,

Sarrau²,

Irubetagoyena³

2015

Revue Vétérinaire Clinique

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Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990–2002)

Abstract: 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.

Cited by 57 publications

References 2 publications

Interval between injection of contrast material and positive contrast cheliography affects accurate diagnosis of diaphragmatic hernia

Interval between injection of contrast material and positive contrast cheliography affects accurate diagnosis of diaphragmatic hernia

A retrospective study on traumatic diaphragmatic hernias in cats

Transposition du muscle droit de l’abdomen pour traiter une hernie diaphragmatique chronique chez un chien

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