Page 2716 - Cote clinical veterinary advisor dogs and cats 4th

Diaphragmatic Hernia: Surgical Correction 1410.e1

Diaphragmatic Hernia: Surgical Correction
VetBooks.ir

Anesthesia and
controlled ventilation

Surgical approach
(laparotomy, lateral
thoracotomy)

Irreducible hernia

Enlarge Median Intercostal Transect
diaphragmatic rent sternotomy thoracotomy adhesions

Reduce hernia

Evaluate lungs
and reinflate

Evaluate viability
of herniated tissues
and organs

Lavage thoracic cavity

Insert thoracostomy
tube

Approximate torn
diaphragm
Omental pedicle graft
Inflate lungs to
reduce Herniorrhaphy Abdominal muscle flap
pneumothorax
Polypropylene mesh patch
Lavage peritoneal
cavity Clinical Algorithms

Reposition abdominal
viscera

Pleural drainage
postoperatively; be
alert for postoperative
re-expansion
pulmonary edema
(Modified from Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.)

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