Laparoscopic repair of congenital pleuroperitoneal hernia using a polypropylene mesh in a dog

Abstract

Pleuroperitoneal hernias are the most uncommon type of diaphragmatic hernias in dogs and cats. The treatment of choice is surgery and may involve the use of prosthetic implant through celiotomy. In the current report, laparoscopic repair of a congenital pleuroperitoneal hernia using polypropylene mesh in a dog is described. The surgery was feasible. Appropriate reduction of the hernia was carried out and no complications were noted.

Use of a new device for gasless endosurgery in a laparoscopic diaphragmatic hernia repair ex vivo canine model: A pre‐clinical study

“…Omentalization was carried out only in the GM group. In the clinical setting, polypropylene mesh frequently causes intra‐peritoneal adhesions, especially to the surface of the liver, as reported in a dog that underwent laparoscopic repair of a pleuroperitoneal hernia (Hartmann et al., 2015 ). Omentalization added surgical time to the GM group compared to the GS group, as the placement of absorbable sutures is less likely to cause severe adhesions.…”

Surgical technique and complications associated with laparoscopic pleuroperitoneal diaphragmatic herniorrhaphy in a dog

“…11-14 Benefits of laparoscopy have been documented to include early recovery and low incidence of postoperative complications in patients undergoing minimally invasive hernia repair. [11][12][13][14] The application of laparoscopy for repair of diaphragmatic hernias has been less frequently reported in the veterinary literature, possibly due to the comparatively low incidence of defects incidentally diagnosed in dogs and cats relative to traumatic hernias diagnosed in the acute setting, in which other factors (i.e., haemorrhage, patient instability) may support open repair over a laparoscopic approach. Additionally, owners of dogs and cats with hernias with mild or absent clinical signs may be less likely to pursue surgical correction.…”

“…17 To the authors' knowledge, laparoscopic repair of a congenital pleuroperitoneal or true diaphragmatic hernia has only been described in one dog, in which polypropylene mesh rather than primary repair was utilised to repair the defect. 14 This 2015 case report by Hartmann et al details the laparoscopic application of mesh to repair a large defect, occupying approximately 25% of the diaphragmatic surface, in a two-month-old, female Cimarron Uruguayo, weighing 4.4 kg. 14 Interestingly, there were no herniated abdominal organs necessitating reduction at the time of surgery in this case, suggesting that the large size of the diaphragmatic defect contributed to dynamic organ herniation.…”

“…14 This 2015 case report by Hartmann et al details the laparoscopic application of mesh to repair a large defect, occupying approximately 25% of the diaphragmatic surface, in a two-month-old, female Cimarron Uruguayo, weighing 4.4 kg. 14 Interestingly, there were no herniated abdominal organs necessitating reduction at the time of surgery in this case, suggesting that the large size of the diaphragmatic defect contributed to dynamic organ herniation. The fact that no organ reduction was required in this case likely made this hernia particularly amenable to laparoscopic repair.…”

“…More recently, however, laparoscopic and thoracoscopic techniques for herniorrhaphy have gained popularity due to the well-documented benefits of minimally invasive surgery. [9][10][11][12][13][14] The following case report describes the clinical features, imaging findings, surgical approach and outcome of an elderly dog that underwent laparoscopic herniorrhaphy to repair an incidentally diagnosed pleuroperitoneal hernia.…”