Laparoscopic extra-abdominal transfascial suturing technique for diaphragmatic rupture repair in a cat.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
01
02
2023
received:
10
11
2022
accepted:
20
03
2023
medline:
21
8
2023
pubmed:
13
4
2023
entrez:
12
4
2023
Statut:
ppublish
Résumé
To describe the technique, complications, and outcome of the laparoscopic extra-abdominal transfascial suturing method for diaphragmatic rupture repair in a cat. Case report. A 10 year old, female domestic shorthair cat. An acute traumatic diaphragmatic rupture was diagnosed in a cat. Following initial stabilization, 3-port laparoscopic surgery was performed. After the laparoscopic reduction of herniating organs, a circumferential diaphragmatic tear was diagnosed, which was repaired using a multiple extra-abdominal transfascial suture technique. The total surgical time was 50 min with no intraoperative complications encountered. The successful procedure was confirmed by normalization of chest radiography, clinical signs, and blood gas analysis in the perioperative and postoperative periods. Mild skin irritation occurred 3 weeks after surgery but was resolved following the removal of sutures. The cat recovered well without major complications; the final reexamination was performed 3 months postoperatively. The laparoscopic extra-abdominal transfascial suturing technique appears to be a feasible, and effective technique for feline diaphragmatic circumferential rupture repair. This technique may be an alternative option to intracorporeal suturing for diaphragmatic rupture treatment in the cat.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
864-869Informations de copyright
© 2023 American College of Veterinary Surgeons.
Références
Minihan AC, Berg J, Evans KL. Chronic diaphragmatic hernia in 34 dogs and 16 cats. J Am Anim Hosp Assoc. 2004;40(1):51-63.
Levine SH. Diaphragmatic hernia. Vet Clin North Am Small Anim Pract. 1987;17(2):411-430.
Garson HL, Dodman NH, Baker GJ. Diaphragmatic hernia. Analysis of fifty-six cases in dogs and cats. J Small Anim Pract. 1980;21(9):469-481.
Sullivan M, Reid J. Management of 60 cases of diaphragmatic rupture. J Small Anim Pract. 1990;31:425-430.
Schmiedt CW, Tobias KM, Stevenson MA. Traumatic diaphragmatic hernia in cats: 34 cases (1991-2001). J Am Vet Med Assoc. 2003;222(9):1237-1240.
Fossum TH. Surgery of the lower repiratory system: pleural cavity and diaphragm. In Small Animal Surgery. 5th ed. Elsevier; 2019:916-955.
Hunt GB, Johnson KA. Diaphragmatic hernias. In: Tobias KM, Johnston SA, eds. Veterinary Surgery: Small Animal. 1st ed. Elsevier; 2012:1380-1391.
Monnet E, Fransson BA. Diaphragmatic and inguinal herniorraphy. In: Fransson BA, Mayhew PD, eds. Small Animal Laparoscopy and Thoracocopy. 1st ed. Wiley Blackwell; 2015:236-242.
Brun MV. Tratamento de grandes defeitos diafragmáticos. Cirurgias complexas em pequenos animais. 1st ed. Editora Paya; 2017:519-527.
Brun MV, Oliveira MT, Oliveira RP, et al. Videolaparoscopia no tratamento de hérnia diafragmática crônica adquirida em uma cadelarelato de caso. J Bras Ciênc Anim. 2010;3(6):13-15.
Copat B, Bertolleti B, Chaves RO, et al. Herniorrafia diafragmática videoassistida em gato: Relato de caso. Arquivo Bras Med Vet Zoo. 2017;69(4):883-888.
Beck CAC, Pippi NL, Brun MV, et al. Laparoscopia nas hérnias diafragmáticas: Estudo experimental em cães. Cienc Rural. 2004;34(6):1849-1855.
Thoman DS, Hui T, Phillips EH. Laparoscopic diaphragmatic hernia repair. Surg Endosc. 2002;16:1345-1349.
Costa Almeida C, Vieira Caroco T, Nogueira O, et al. Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures. BMJ Case Rep. 2019;12:20-24.
Yamamoto Y, Tanabe K, Hotta R, et al. Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo close®): a case report. Int J Surg Case Rep. 2016;28:34-37.
Fu Y, Cavuoto L, Qi D, et al. Validation of a virtual intracorporeal suturing simulator. Surg Endosc. 2019;33(8):2468-2472.
Moorthy K, Munz Y, Dosis A, Bello F, Chang A, Darzi A. Bimodal assessment of laparoscopic suturing skills: construct and concurrent validity. Surg Endosc. 2004;18(11):1608-1612.
Sánchez-Margallo JA, Sánchez-Margallo FM, Oropesa I, Enciso S, Gómez EJ. Objective assessment based on motion-related metrics and technical performance in laparoscopic suturing. Int J Comput Assist Radiol Surg. 2017;12(2):307-314.
Akkoyuna I, Keçecioğlu M. A new, easy, and safe suturing technique for laparoscopic repair of Morgagni hernias. J Pediatr Surg. 2012;47:1626-1628.
Mayhew PD, Pascoe PJ, Giuffrida MA, Mitchell J, Steffey MA, Culp WTN. Cardiorespiratory effects of variable pressure thoracic insufflation in cats undergoing video-assisted thoracic surgery. Vet Surg. 2019;48(S1):O130-O137.
Brun MV, Sánchez-Margallo JA, Machado-Silva MA, Sánchez-Margallo FM. Use of a new device for gasless endosurgery in a laparoscopic diaphragmatic hernia repair ex vivo canine model: a pre-clinical study. Vet Med Sci. 2022;8:460-468.