Surgical Treatment of Diseases of the Pleura, Mediastinum and Thoracic Cage

Knecht, Charles D.

doi:10.1111/j.1532-950x.1973.tb01516.x

Cited by 2 publications

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“…Fenestrations in the mediastinum have also been noted in dogs, horses, cats, and rabbits. 47 , 48 , 49 , 50 , 51 , 52 , 53 For example, in a study of induced pneumothorax in 22 of 24 dogs in which air was injected into one pleural space, these dogs quickly developed bilateral pneumothorax. 47 …”

Section: Discussionmentioning

confidence: 99%

The Legend of the Buffalo Chest

Blacha

Smesseim

Lee

et al. 2021

Chest

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Background The “buffalo chest” is a condition in which a simultaneous bilateral pneumothorax occurs due to a communication of both pleural cavities caused by an iatrogenic or idiopathic fenestration of the mediastinum. This rare condition is known by many clinicians because of a particular anecdote which stated that Native Americans could kill a North American bison with a single arrow in the chest by creating a simultaneous bilateral pneumothorax, due to the animal’s peculiar anatomy in which there is one contiguous pleural space due to an incomplete mediastinum. Research Question What evidence is there for the existence of buffalo chest? Study Design and Methods The term “buffalo chest” and its anecdote were first mentioned in a ‘‘personal communication’’ by a veterinarian in the Annals of Surgery in 1984. A mixed method research was performed on buffalo chest and its etiology. A total of 47 cases of buffalo chest were identified in humans. Results This study found that all authors were referring to the article from 1984 or to each other. Evidence was found for interpleural communications in other mammal species, but no literature on the anatomy of the mediastinum of the bison was found. The main reason for this research was fact-checking the origin of the anecdote and search for evidence for the existence of buffalo chest. Autopsies were performed on eight bison, and four indeed were found to have had interpleural communications. Interpretation We hypothesize that humans can also have interpleural fenestrations, which can be diagnosed when a pneumothorax occurs.

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Section: Discussionmentioning

confidence: 99%

The Legend of the Buffalo Chest

Blacha

Smesseim

Lee

et al. 2021

Chest

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“…While non-displaced rib fractures can be treated in a conservative manner, severely displaced fragments must be surgically treated in dogs (Knecht 1973;Bjorling 1998;Orton 2003). Choosing an appropriate surgical technique to treat rib fractures can be challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Human medicine has introduced several methods including plates with wire cerclage (Moore 1975), intramedullary fixation (Moore 1975), Judet strut (Judet 1973), U-plate (Sales et al 2008) and absorbable plates (Mayberry et al 2003), as surgical techniques for rib fractures and the goal of ongoing research is to develop a minimally invasive form of therapy (Nirula et al 2009). However, in veterinary medicine, especially toy breeds, only a small number of reports are available dealing with the surgical treatment of rib fractures and available surgical techniques are limited because of small rib size (Knecht 1973;Shahar et al 1997;Olsen et al 2002). This case report describes the clinical presentation and successful surgical stabilisation of flail chest using interfragmentary wiring and basket-weave fashion sutures in a toy breed dog.…”

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confidence: 99%

Repair of flail chest using interfragmentary wiring and stability augmentation with basket-weave fashion sutures in a toy breed dog: a case report

Ahn¹,

Jeong²,

Yoon³

2016

Vet. Med. - Czech

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ABSTRACT:We report here the clinical presentation and successful surgical management of flail chest caused by bite wounds in a toy breed dog. Surgery was decided on, based on physical, radiographic and computed tomography (CT) examination findings which included thorax deformity, inward displacement of the end of a fractured rib and suspected lung injuries. Interfragmentary wiring, basket-weave fashion sutures and latissimus dorsi flap for thoracic wall reconstruction were performed to correct the flail chest and augment the thoracic wall stability. There was no evidence of respiratory distress 16 months post-operatively. This is the first case report describing detailed clinical information together with computed tomography evaluation and a successful surgical procedure to correct flail chest in a toy breed dog using interfragmentary wiring and basket-weave fashion sutures.

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Surgical Treatment of Diseases of the Pleura, Mediastinum and Thoracic Cage

Cited by 2 publications

References 0 publications

The Legend of the Buffalo Chest

The Legend of the Buffalo Chest

Repair of flail chest using interfragmentary wiring and stability augmentation with basket-weave fashion sutures in a toy breed dog: a case report

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