Diaphragmatic Hernia: Treatment,Complications, and Prognosis

From An In Depht Look, Article #2, Diaphragmatic Hernia:
Compendium Equine. January/February, 2008.
Diaphragmatic Hernia: Treatment, Complications and Prognosis.
by Gal Kelmer, Joanne Kramer and David Wilson,
University of Missouri-Columbia


Description
Diaphragmatic hernia in horses presents a challenge to the surgeon and the
anesthetist. Surgical repair is the treatment of choice, and success rates have improved considerably
in the past few decades.When the condition has been diagnosed, thoracoscopy is helpful in
localizing the lesion and deciding on the best surgical approach. Lateral rib-resection thoracotomy is
advantageous for accessing common, deep-dorsal diaphragmatic hernia lesions.Anesthetic
considerations play a major role in the outcome and include fine-tuned, controlled mechanical
ventilation and close monitoring of arterial blood gases. Early diagnosis, versatility in surgical
approaches, proper surgical and anesthetic techniques, and aggressive postoperative management
allow a successful outcome.

Ten pages article,:

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