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Thoracotomy for repair of a large dorsal diaphragmatic hernia in an 18‐year‐old mare
Author(s) -
ShnaidermanTorban A.,
Epstein A.,
Kelmer G.
Publication year - 2015
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.1111/eve.12367
Subject(s) - medicine , thoracotomy , diaphragm (acoustics) , surgery , diaphragmatic breathing , diaphragmatic hernia , dorsum , hernia , anesthesia , anatomy , physics , alternative medicine , pathology , acoustics , loudspeaker
Summary An 18‐year‐old Arabian‐mix mare was presented with a history of severe colic. Emergency exploratory celiotomy revealed diaphragmatic hernia, with a large rent in the left dorsal aspect of the diaphragm and large colon volvulus. Attempts to close the defect in the diaphragm in dorsal recumbency were unsuccessful. Therefore, a thoracic approach through lateral thoracotomy was elected, and a mesh was attached to the diaphragm using skin staples. While in dorsal recumbency, the mare suffered from significant respiratory acidosis. Thus, the mare was tilted into reverse Trendelenburg (30° head upward) and ventilation improved markedly. The mare recovered uneventfully, and was doing well 5 years after surgery.