What are some radiographic signs of diaphragmatic hernia?
interruption of diaphragmatic outline, soft tissue density in thorax, gas-filled viscera in thorax, loss of cardiac sihouette
When you are auscultating a traumatic diaphragmatic hernia and you hear muffled heart and respiratory sounds, what could this mean?
fluid or viscera in pleural space
When you are auscultating a traumatic diaphragmatic hernia and you hear borborygmus, what could this mean?
intestines in the pleural space
When you ausculate a traumatic diaphragmatic hernia and you hear tympany on left side of thorax, what could this mean?
stomach in pleural space
When is the mortality rate of hernias higher when surgery is done?
higher when hernias are repaired < 24 hours, or > 1 year after the occurence
When you delay hernia repair 1-2 weeks, what is the success rate?
What type of herniation needs immediate repair?
if the stomach has herniated into the thoracic cavity
In repairing a traumatic diaphragmatic hernia where should you begin suturing the radial tear?
at most dorsal margin
In repairing a traumatic diaphragmatic hernia, where should you anchor circumferential tears?
by suturing around ribs
In closing a traumatic diaphragmatic hernia, what should you do when primary closure is not possible?
use autogenous or synthetic graft or advance the diaphragm
What is a congenital hernia in dogs and cats that is thought to be result of faulty development or prenatal injury of septum transversum, often associated with cardiac abnormalities and sternal deformities?
In peritoneo-pericardial hernia where are the abdominal organs?
inside pericardial cavity
What are radiographic signs of peritoneo-pericardial hernia?
enlarged cardiac silhouette, discontinued ventral diaphragm, structures with gas in pericardial sac, sternum defects, and tracheal elevation
What type of hernia is more common in adult non-castrated males, 2/3 unilateral usually on the right side?
In repairing a diaphragmatic hernia, what approach should you use, the thoracic approach, or the abdominal approach and why?
abdominal approach, more familiarized, provides bilateral access, can be extended by sternotomy or paracostal incision, requires ventilatory support of patient.
When repairing a diaphragmatic hernia what type of suture and what pattern should you use?
non-absorbable suture, and simple continuous or simple interrupted.
In closing a diaphragmatic hernia, why does the anesthetist slowly expand lungs while the last suture is placed?
force air out of pleural space
In repair of traumatic diaphragmatic hernia, why should you insuflate lungs gradually?
reperfusion injuries can lead to pulmonary edema
How long is the prognosis of traumatic diaphragmatic hernia guarded?
until the patient has survived 24 hours following surgery
What are congenital associated defects with peritoneo-pericardial hernia?
ventral/umbilical hernia, cardiac defects, lack of union of the last sternebra, associated with ventral hernia in 4 out of 13 dogs
What is the breed incidence of perineal hernia?
GSD, collie, boxer, pekingese, dachshund, mongrel
What is the best way to diagnose perineal hernia?
What are the surgical approaches for perineal hernia?
perineal or lateral
What are postop complications of perineal hernia repair?