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

Abstract

An 11‐year‐old, neutered, male French bulldog was referred for surgical repair of an incidentally diagnosed pleuroperitoneal diaphragmatic hernia. Thoracic computed tomography revealed a left centroventral diaphragmatic hernia with a large volume of left‐sided intrathoracic fat. A minimally invasive laparoscopic approach was elected. A portion of the intrathoracic fat was laparoscopically reduced. Adhesions and friability of the herniated fat prevented further reduction, and the remaining fat was transected using a vessel‐sealing device to enable herniorrhaphy via intracorporeal suturing. Immediate postoperative computed tomography performed under general anaesthesia confirmed an intact diaphragm with a large volume of persistent left‐sided intrathoracic fat. The patient was immediately returned to the operating room and a keyhole left lateral thoracotomy performed to remove the remaining herniated fat. The patient recovered from surgery and anaesthesia uneventfully. There were no short‐ or long‐term postoperative complications of herniorrhaphy.

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

“…True diaphragmatic hernias are infrequently documented in the veterinary literature. We have cataloged 12 individual reports in cats [10][11][12][13][14][15][16][17][18][19][20] and 4 individual reports in dogs [21][22][23]. To our knowledge, no cases have been reported in a case series.…”

“…Only the case described by Green et al [13], which reports radiopaque structures ventrally and in the left hemithorax, seems to align with the "Larrey hernia" described in humans. Among the four cases of true diaphragmatic hernias reported in dogs, only the case of Devereux et al [23] concerns a small discontinuity of the ventral left diaphragm and can therefore be considered as a Larrey hernia.…”

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

“…True diaphragmatic hernias are infrequently documented in the veterinary literature. We have cataloged 12 individual reports in cats [10][11][12][13][14][15][16][17][18][19][20] and 4 individual reports in dogs [21][22][23]. To our knowledge, no cases have been reported in a case series.…”

“…Only the case described by Green et al [13], which reports radiopaque structures ventrally and in the left hemithorax, seems to align with the "Larrey hernia" described in humans. Among the 4 cases of true diaphragmatic hernias reported in dogs, only the case of Devereux et al [23] concerns a small discontinuity of the ventral left diaphragm and can therefore be considered as a Larrey hernia.…”

Análise epidemiológica das hérnias diafragmáticas em cães: estudo de 17 anos no Hospital Veterinário da Uniube

“…Hérnia diaframática em cães refere-se à protrusão de órgãos abdominais para a cavidade torácica através de uma falha no diafragma, a musculatura responsável pela separação dessas cavidades (MORGAN et al, 2020). Esta condição pode ser classificada como congênita ou adquirida, sendo que ambas têm consequências significativas para a saúde do animal (DEVEREUX;SCHARF, 2023). A doença congênita, resultado de falha no desenvolvimento adequado do diafragma durante a formação fetal é a forma menos comum, já a doença adquirida por trauma que rompe do diafragma é frequente e geralmente mais grave (FOSSUM et al, 2021).…”