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Thoracoscopic‐Assisted Diaphragmatic Hernia Repair Using a Thoracic Rib Resection
Author(s) -
Malone Erin D.,
Farnsworth Kelly,
Lennox Tiffany,
Tomlinson Julia,
Sage Abby M.
Publication year - 2001
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1053/jvet.2001.21395
Subject(s) - medicine , thoracoscopy , surgery , diaphragmatic hernia , diaphragmatic breathing , hernia , flank , thoracic cavity , thoracic wall , rib cage , resection , anatomy , alternative medicine , pathology
Objective— To describe the surgical treatment of a dorsal diaphragmatic hernia in an adult horse using thoracic rib resection aided by thoracoscopy and a flank incision. Study Design— Case report. Animal Population— One client‐owned horse. Results— A six‐year‐old Dutch warmblood gelding was admitted for colic‐associated colonic incarceration in a diaphragmatic hernia. Seven weeks after the initial colic surgery, the gelding underwent surgery to repair the defect. Thoracoscopy and a flank incision were used to identify the location of the hernia and the subsequent site of rib resection. The stomach was adhered to the edges of the defect, leaving only a small residual hole. Resection of the 14th rib provided excellent exposure of the defect and closure of the remaining hernia. Conclusion and Clinical Relevance— Thoracic rib resection can provide access to diaphragmatic hernias in adult horses. Thoracoscopy or a flank incision, or both, may aid in determining which rib is best resected.