Abstract
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.
Highlights
Diaphragmatic defects occur most commonly due to trauma, but may be associated with congenital abnormalities such as peritoneopericardial hernia, hiatal hernia, and less frequently, pleuroperitoneal hernia (Cariou et al, 2009)
The etiology of congenital diaphragmatic hernia in humans is unknown, it was noted that 2% of cases have familial incidence and 15% of cases have chromosomal abnormalities associated (Kesieme and Kesieme, 2011)
Congenital left dorsolateral defect causing diaphragmatic hernia was reported in five of 27 puppies from three progenies in Golden Retrievers. Such findings are consistent with autosomal recessive inheritance of canine diaphragmatic defects (Valentine et al, 1988)
Summary
Diaphragmatic defects occur most commonly due to trauma, but may be associated with congenital abnormalities such as peritoneopericardial hernia, hiatal hernia, and less frequently, pleuroperitoneal hernia (Cariou et al, 2009). Congenital diaphragmatic hernias are developmental defects of the diaphragm that allow the passage of abdominal viscera into the chest. The occurrence of congenital diaphragmatic hernias in humans is of 1/2200 births (Hedrick, 2010). The synthesis of collagen and muscular tissue that divides the pleura and peritoneum ceases prematurely in the embryonic phase (Cariou et al, 2009), and the transverse septum or pleural and peritoneal folds do not fuse. The treatment of choice for diaphragmatic hernia repair is surgery, regardless of its severity (Beck et al, 2004). Surgical repair of diaphragmatic hernias can be safely achieved using several techniques. The aim of the current study was to report the first successful case of laparoscopic reduction of a rare pleuroperitoneal hernia using polypropylene mesh in a dog
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