Thoracotomy for repair of a large dorsal diaphragmatic hernia in an 18‐year‐old mare. (29th April 2015)

• Record Type: Journal Article
• Authors: Shnaiderman‐Torban, A.; Epstein, A.; Kelmer, G.
• Is Part Of: Equine veterinary education. Volume 27:Number 8(2015:Aug.)
• Page Start: 391
• Page End: 395
• Publication Date: 2015-04-29
• Subjects: Horses -- Diseases -- Periodicals; Horses -- Diseases -- Treatment -- Periodicals; 636.108905
• DOI: 10.1111/eve.12367
• Languages: English
• ISSNs: 0957-7734

Abstract

<abstract abstract-type="main" id="eve12367-abs-0001"> <title>Summary</title> <p>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.</p> </abstract>