Analyze Diet

Topic:Abdominal

Research in the abdominal health and conditions category examines digestive physiology, gastrointestinal disorders, and treatment protocols in horses. This page compiles peer-reviewed studies and journal articles on the pathophysiology of common digestive issues, diagnostic techniques for conditions like colic and gastric ulcers, and evaluations of various treatment strategies.
Administration of a gonadotropin-releasing hormone antagonist to mares at different times during the luteal phase of the estrous cycle.
Animal reproduction science    August 16, 2011   Volume 127, Issue 3-4 188-196 doi: 10.1016/j.anireprosci.2011.07.020
Evans MJ, Alexander SL, Irvine CH, Kitson NE, Taylor TB.The GnRH antagonist cetrorelix was given during the early (Days 1-5), mid (Days 6-10 or 5-12) or for the entire (Days 1-16) luteal phase of mares to inhibit the secretion of FSH and LH (Day 0=ovulation). Frequent blood sampling from Day 6 to Day 14 was used to determine the precise time-course of the suppression (cetrorelix given Days 6-10). Cetrorelix treatment caused a decrease in FSH and LH concentrations by 8 and 16 h, respectively, and an obliteration of the response to exogenous GnRH given 24h after treatment onset. Treatment never suppressed gonadotropin concentrations to undetectable l...
Surgical drainage and post operative lavage of large abdominal abscesses in six mature horses.
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 123-127 doi: 10.1111/j.2042-3306.2011.00405.x
Mair TS, Sherlock CE.Six mature horses with large abdominal abscesses (defined as an abscess >15-20 cm in at least one dimension) were treated by surgical drainage and post operative lavage. The abscess was associated with previous intestinal surgery in one horse, and with Streptococcus equi spp. equi infection in the other 5. A Foley catheter was used to drain and lavage the abscess in all cases. The abscess was accessed by a ventral midline laparotomy in 5 cases and by standing flank laparoscopy in one. Two horses were subjected to euthanasia within 7 days due to persistent or recurrent colic. The other 4 hor...
Ultrasonographic evidence of colonic mesenteric vessels as an indicator of right dorsal displacement of the large colon in 13 horses.
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 153-155 doi: 10.1111/j.2042-3306.2011.00418.x
Grenager NS, Durham MG.This report describes the use of ultrasound to diagnose right dorsal displacement of the large colon (RDDLC) in 13 horses prior to surgery. Horses had ultrasonographic examinations performed of the right lateroventral aspect of the abdomen upon admission to the hospital with a 2-5 MHz broadband curvilinear sector scanning transducer after alcohol was used to wet the hair. First, the caecal vessels were identified in the right flank and followed medially and cranially. Next, each intercostal space, from caudal to cranial, was scanned from dorsal to ventral evaluating for abnormally-located mese...
Is there a statistical correlation between ultrasonographic findings and definitive diagnosis in horses with acute abdominal pain?
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 98-105 doi: 10.1111/j.2042-3306.2011.00428.x
Beccati F, Pepe M, Gialletti R, Cercone M, Bazzica C, Nannarone S.Abdominal ultrasonography has become a part of the diagnostic investigation for the acute abdomen in many equine clinics. There is limited information on the correlation between abnormalities detected on abdominal ultrasonography and the specific category of small intestine (SI) and large intestine (LI) diseases. Objective: To investigate the relationship between abdominal ultrasonographic findings and disease categories that cause abdominal pain requiring surgery. Methods: Medical records were reviewed for horses undergoing surgery or post mortem examination for colic. The ultrasound examinat...
Adipose tissue-derived adiponectin expression is significantly associated with increased post operative mortality in horses undergoing emergency abdominal surgery.
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 26-33 doi: 10.1111/j.2042-3306.2011.00404.x
Packer MJ, German AJ, Hunter L, Trayhurn P, Proudman CJ.Adipose tissue is an important source of inflammatory cytokines (adipokines) and adiposity has been identified as having a significant effect on human morbidity and mortality. Obesity is also an emerging welfare problem in the UK horse population, but the role that it plays in secondary diseases is unclear. Objective: To examine the expression of inflammation-related adipokine genes in retroperitoneal adipose tissue of horses undergoing emergency abdominal surgery and to explore associations with adiposity and post operative survival. Methods: Retroperitoneal adipose tissue samples were obtain...
The additional N-glycosylation site of the equine LH/CG receptor is not responsible for the limited cyclic AMP pathway activation by equine chorionic gonadotropin relative to luteinizing hormone.
Reproductive biology    August 2, 2011   Volume 11, Issue 2 157-164 doi: 10.1016/s1642-431x(12)60052-7
Saint-Dizier M, Foulon-Gauze F, Lecompte F, Combarnous Y, Chopineau M.In order to investigate the role of the unique seventh N23-glycosylation site of the equine LH/CG receptor (eLHCGR) in the cAMP pathway activation, COS-7 cells were transiently transfected with either the wild-type or the mutant eLHCGR(N23Q) cDNA and challenged with porcine LH and eCG for cAMP production. We showed that the N23-glycosylation site of the eLHCGR is not required for the functional coupling of the receptor with the cAMP pathway and is not responsible for the limited potency of eCG relative to pLH to activate this receptor.
The effect of treatment with flunixin meglumine at different times relative to hCG administration on ovulation failure and luteal function in mares.
Animal reproduction science    July 23, 2011   Volume 127, Issue 1-2 84-90 doi: 10.1016/j.anireprosci.2011.07.008
Cuervo-Arango J.Flunixin meglumine (FM), a prostaglandin synthetase inhibitor, causes ovulatory failure in the mare. However, the effect of the FM treatment relative to the time of hCG administration on the ovulation failure has not been determined nor has its effect on the luteal function of treated mares. Estrous mares with a follicle ≥32 mm (range of 32-38 mm) were treated with 1.7 mg/kg b.w. of FM iv at zero, 12, 24 and 36 h (n=6), at 24 and 36 h (n=6), at 28 and 36 h (n=6), at 24h (n=6) or at 30 h (n=6) after treatment with 1500 IU hCG. One group received no FM (control, n=6). Progesterone concentratio...
Luteolysis and associated interrelationships among circulating PGF2α, progesterone, LH, and estradiol in mares.
Domestic animal endocrinology    July 21, 2011   Volume 41, Issue 4 174-184 doi: 10.1016/j.domaniend.2011.06.003
Ginther OJ, Hannan MA, Beg MA.The changing concentrations and temporal relationships among a PGF2α metabolite (PGFM), progesterone (P(4)), LH, and estradiol-17β (E(2)) before, during, and after luteolysis were studied in 10 mares. Blood samples were collected every hour for ≥4 d beginning on day 12 after ovulation. The luteolytic period extended from a decrease in P(4) at a common transitional hour (Hour 0) at the end of preluteolysis and beginning of luteolysis to a defined ending when P(4) reached 1 ng/mL. The length of luteolysis was 22.9 ± 0.9 h, contrasting with 2 d in published P(4) profiles from sampling every ...
Annual Changes in Day-length, Temperature, and Circulating Reproductive Hormones in Thoroughbred Stallions and Geldings.
Journal of equine science    July 20, 2011   Volume 22, Issue 2 29-36 doi: 10.1294/jes.22.29
Dhakal P, Tsunoda N, Nakai R, Kitaura T, Harada T, Ito M, Nagaoka K, Toishi Y, Taniyama H, Gen W, Taya K.Changes in follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, immunoreactive(ir)-inhibin, testosterone, estradiol-17β, and insulin-like growth factor (IGF)-I in Thoroughbred stallions along with changes in prolactin secretion in geldings were studied. The correlations of day-length with changes in the concentrations of these hormones were also studied. Five stallions and thirteen geldings were employed to draw blood samples in monthly basis and radioimmunoassay was performed to measure these hormones. All hormones showed a seasonal pattern, the levels being highest durin...
Use of gastric balloon manometry for estimation of intra-abdominal pressure in horses.
Equine veterinary journal    June 13, 2011   Volume 43, Issue 6 714-720 doi: 10.1111/j.2042-3306.2010.00359.x
Canola PA, Perotta JH, Laskoski LM, Escobar A, Melo e Silva CA, Canola JC, Johnson PJ, Valadão CA.Standing laparoscopic procedures, facilitated by abdominal insufflation with carbon dioxide, are being employed to an increasingly greater extent in horses. However, a sustained increase in abdominal pressure may be life-threatening. A practical method for intra-abdominal pressure (IAP) assessment is imperative. Although indirect methods for estimating IAP have been extensively studied in man, little work has been performed in veterinary medicine. Objective: To investigate the utility of gastric manometry for purposes of evaluating IAP in horses. Methods: Gastric pressure (P(ga) ) was estimate...
A synergistic effect of insulin-like growth factor (IGF-I) on equine luteinizing hormone (eLH)-induced testosterone production from cultured Leydig cells of horses.
Animal reproduction science    May 24, 2011   Volume 126, Issue 3-4 195-199 doi: 10.1016/j.anireprosci.2011.05.008
Yoon MJ, Roser JF.Localization of IGF-I and IGF-IR were observed in Leydig cells of horses using immunohistochemistry (IHC), suggesting IGF-I may play a role in equine Leydig cell steroidogenesis. Previous studies in other species have indicated that IGF-I increases basal and/or LH/hCG-induced testosterone production. The objectives of this study were to (1) test the synergistic effect of IGF-I on eLH-induced testosterone production in cultured equine Leydig cells and (2) determine if this effect is reproductive stage-dependent. Testes were collected from five pubertal (1.1±0.1 year; 1-1.5 year) and eight post...
Post-Natal Dynamic Changes in Circulating Follicle-Stimulating Hormone, Luteinizing Hormone, Immunoreactive Inhibin, Progesterone, Testosterone and Estradiol-17β in Thoroughbred Colts until 6 Months of Age.
Journal of equine science    April 26, 2011   Volume 22, Issue 1 9-15 doi: 10.1294/jes.22.9
Dhakal P, Tsunoda N, Nakai R, Nagaoka K, Nambo Y, Sato F, Taniyama H, Taya K.The aim of present study was to clarify the post-natal profile of follicle-stimulating hormone (FSH), luteinizing hormone (LH), immunoreactive (ir)-inhibin, progesterone, testosterone, and estradiol-17β, and their relationships in Thoroughbred colts. Six hundred and thirty-six colts were used for the study. Single plasma samples from each animal were harvested from the blood drawn through jugular venipuncture. The subjects were born with high amounts of progesterone, testosterone, and estradiol-17β, all of which dropped significantly and remained at lower levels till the end of 6 months. FSH...
The effect of systemic administration of cloprostenol on ovulation in mares treated with a prostaglandin synthetase inhibitor.
Reproduction in domestic animals = Zuchthygiene    April 20, 2011   Volume 47, Issue 1 32-38 doi: 10.1111/j.1439-0531.2011.01796.x
Cuervo-Arango J.Prostaglandins (PGs) are essential to trigger the cascade of events that degrade the extracellular matrix of follicles leading to follicular rupture and ovulation. In mares, systemic administration of flunixin meglumine (FM), a PG synthetase inhibitor, blocks ovulation by inducing luteinized unruptured follicles (LUF). In the rat, the administration of PGF(2α) (PGF) and PGE restored ovulation in indomethacin treated animals. The mares were treated with FM 0, 12, 24 and 36 h after human chorionic gonadotrophin (hCG) administration to induce experimentally LUF (n = 15) or were left untreated (c...
Colic after swimming exercise in racehorses: an investigation of incidence, management, surgical findings and outcome.
Australian veterinary journal    April 19, 2011   Volume 89, Issue 5 180-183 doi: 10.1111/j.1751-0813.2011.00709.x
Walmsley E, Steel C, Haines G, Lumsden J, O'Sullivan C.The incidence of colic following swimming exercise (SC) in a racehorse population examined over 3 years was 0.08%. Following 167,977 swims, 136 cases were reported. Colic resolved spontaneously in 2 horses, medically in 129 or surgically in 5. In a separate study, 21 horses were subject to exploratory laparotomy for SC. Findings included non-strangulating displacements in 7 horses, strangulating displacements in 7, a combination of non-strangulating and strangulating displacements in 1, prominent gaseous intestinal distension in 5 and no abnormalities in 1 horse. A poor response to analgesia p...
Disruption of periovulatory FSH and LH surges during induced anovulation by an inhibitor of prostaglandin synthesis in mares.
Animal reproduction science    April 17, 2011   Volume 126, Issue 1-2 91-95 doi: 10.1016/j.anireprosci.2011.04.003
Ginther OJ, Cuervo-Arango J, Beg MA.The role of passage of follicular fluid into the peritoneal cavity during ovulation in the transient disruption in the periovulatory FSH and LH surges was studied in ovulatory mares (n=7) and in mares with blockage of ovulation by treatment with an inhibitor of prostaglandin synthesis (n=8). Mares were pretreated with hCG when the largest follicle was ≥32 mm (Hour 0). Ultrasonic scanning was done at Hours 24 and 30 and every 2h thereafter until ovulation or ultrasonic signs of anovulation. Blood samples were collected at Hours 24, 30, 32, 34, 36, 38, 48, and 60. Ovulation in the ovulatory gr...
Exercise affects both ovarian follicular dynamics and hormone concentrations in mares.
Theriogenology    April 16, 2011   Volume 76, Issue 4 615-622 doi: 10.1016/j.theriogenology.2011.03.014
Kelley DE, Gibbons JR, Smith R, Vernon KL, Pratt-Phillip SE, Mortensen CJ.The objectives were to evaluate the effects of exercise on ovarian folliculogenesis and related hormones in mares. Mares (n = 11) were randomly assigned into a control (non-exercised) or treatment (exercised) group. Treatment mares (n = 5) were moderately exercised for 30 min, 6 d/wk. All mares underwent daily transrectal ultrasonographic examinations and ovarian follicles > 6 mm were measured. Blood samples were collected during the first (Cycle 1) and last (Cycle 4) cycle, and serum concentrations of cortisol, LH, and FSH were determined. Mean cortisol concentrations were elevated (P <...
Follicle and systemic hormone interrelationships during induction of luteinized unruptured follicles with a prostaglandin inhibitor in mares.
Theriogenology    April 14, 2011   Volume 76, Issue 2 361-373 doi: 10.1016/j.theriogenology.2011.02.015
Cuervo-Arango J, Beg MA, Ginther OJ.The objective was to determine differences in follicle and reproductive hormone characteristics in mares with ovulatory and flunixin meglumine (FM)-induced anovulatory cycles. Estrous mares were given 1500 IU hCG when the follicle was ≥ 32 mm (0 h). In Experiment 1, control mares (n = 7) were not treated further. The remaining mares (n = 11) were given 1.7 mg/kg FM i.v. twice daily, from 0 to 36 h after hCG treatment. Blood samples and ultrasonographic examinations were performed every 12 h. All control mares ovulated normally between 36 and 48 h. In contrast, eight of 11 FM mares did not ov...
Folliculogenesis, embryo parameters and post-transfer recipient pregnancy rate following equine follicle-stimulating hormone (eFSH) treatment in cycling donor mares.
Australian veterinary journal    March 23, 2011   Volume 89, Issue 4 138-142 doi: 10.1111/j.1751-0813.2011.00691.x
Raz T, Green GM, Carley SD, Card CE.Induction of multiple ovulations, or superovulation, may potentially increase the efficiency of equine embryo transfer programs. Our objective was to investigate the effects of equine follicle-stimulating hormone (eFSH) treatment on the success rate of embryo transfer programs in mares. Methods: In the research facility of the University of Saskatchewan, Canada, we studied 12 donor mares and 37 recipient mares during the physiological breeding season. Donor mares were used in two consecutive oestrous cycles: the first served as the control cycle and in the second an eFSH regimen was applied (e...
Sonographic characteristics of intraabdominal abscessation and lymphadenopathy attributable to Rhodococcus equi infections in foals. Reuss SM, Chaffin MK, Schmitz DG, Norman TE.The sonographic characteristics of intraabdominal abscesses in 11 foals and intraabdominal lymphadenitis in five foals with Rhodococcus equi infections are presented. Intraabdominal abscesses were usually present in the ventral abdomen adjacent to the ventral body wall, well-marginated, and contained a mixed or complex echo pattern. Lymphadenitis appeared as singular or multiple clusters of lymph nodes of mixed echogenicity adjacent to any portion of the gastrointestinal tract or body wall. Sonographic findings were supported by necropsy examinations, but sonographic measurements consistently ...
Penetrating metallic foreign bodies as a cause of peritonitis in 3 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    March 2, 2011   Volume 51, Issue 12 1400-1404 
Lohmann KL, Lewis SR, Wobeser B, Allen AL.Three cases of penetrating metallic foreign bodies causing peritonitis in horses are reported. These cases were presented with varying clinical complaints and duration of clinical signs. Entry of foreign bodies into the abdominal cavity through the skin and body wall is reported for the first time. Corps étrangers métalliques pénétrants comme cause de péritonite chez 3 chevaux. Trois cas de corps étrangers métalliques pénétrants ayant causé une péritonite chez des chevaux sont signalés. Ces cas ont été présentés avec des plaintes cliniques différentes et une durée variable de...
Activin A as a novel biomarker of equine inflammatory abdominal disease: preliminary findings.
Veterinary journal (London, England : 1997)    February 19, 2011   Volume 190, Issue 2 e154-e156 doi: 10.1016/j.tvjl.2011.01.006
Forbes G, Sorich E, Nath LC, Church S, Savage CJ, Bailey SR.This study evaluated the inflammatory mediator activin A in horses with acute abdominal disease and compared this putative novel biomarker with serum amyloid A (SAA). Thirty-three adult horses referred for evaluation of acute abdominal disease were grouped into three lesion categories, non-strangulating, strangulating or inflammatory. Eleven healthy adult horses served as controls. Serum activin-A was significantly increased in animals with inflammatory or strangulating lesions compared with controls. Horses with non-strangulating, strangulating or inflammatory lesions had significantly elevat...
Reproductive cycles of horses.
Animal reproduction science    February 18, 2011   Volume 124, Issue 3-4 220-228 doi: 10.1016/j.anireprosci.2011.02.005
Aurich C.Horses are long-day breeders. During the breeding season, cycle length is about 22 days with 5-7 days of oestrus. Gonadotroph cells are localized in the pars distalis as well the pars tuberalis of the pituitary and heterogeneity in the pattern of LH and FSH storage within the gonadotroph population is considered the basis for the differential regulation of gonadotrophin secretion throughout the reproductive cycle. No short and distinct periovulatory LH peak exists in the mare. The equine ovary has an extreme large size and weight. One to two major follicular waves develop per cycle. The preovu...
Supplementation of equine early spring transitional follicles with luteinizing hormone stimulates follicle growth but does not restore steroidogenic activity.
Theriogenology    February 4, 2011   Volume 75, Issue 6 1076-1084 doi: 10.1016/j.theriogenology.2010.11.016
Schauer SN, Briant C, Ottogalli M, Decourt C, Handel IG, Donadeu FX.This study was conducted to test the hypothesis that supplementation of growing follicles with LH during the early spring transitional period would promote the development of steroidogenically active, dominant follicles with the ability to respond to an ovulatory dose of hCG. Mares during early transition were randomly assigned to receive a subovulatory dose of equine LH (in the form of a purified equine pituitary fraction) or saline (transitional control; n = 7 mares per group) following ablation of all follicles >15 mm. Treatments were administered intravenously every 12 h from the day th...
Diaphragmatic herniation in the horse: 31 cases from 2001-2006.
The Canadian veterinary journal = La revue veterinaire canadienne    February 3, 2011   Volume 51, Issue 11 1247-1250 
Romero AE, Rodgerson DH.Diaphragmatic rent and visceral herniation in the horse is seldom diagnosed, but historically carries a poor prognosis. The objective of this study was to document the presentation and surgical management of all diaphragmatic rents as presented to 2 referral institutions over a 5-year period. A review of 31 cases demonstrated that even with advances in surgical management of abdominal and thoracic conditions, little has been done to change the prognosis for this condition. Success rate was 23% for all horses presented for colic and were ultimately diagnosed with a diaphragmatic hernia, and 46%...
Evaluation of gastric pressures as an indirect method for measurement of intraabdominal pressures in the horse.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    January 11, 2011   Volume 21, Issue 1 29-35 doi: 10.1111/j.1476-4431.2010.00608.x
Munsterman AS, Hanson RR.To develop an indirect method for measurement of intraabdominal pressures in the standing horse using measurement of gastric pressures as a less invasive technique, and to compare this method with direct intraabdominal pressures obtained from the peritoneal cavity. Methods: Prospective, experimental study. Methods: University-based equine research facility. Methods: Ten healthy adult horses, 7 geldings and 3 mares. Methods: Gastric pressures were measured using a nasogastric tube with a U-tube manometry technique, while intraperitoneal pressures were measured with a peritoneal cannula. Measure...
Effects of age and altrenogest treatment on conceptus development and secretion of LH, progesterone and eCG in early-pregnant mares.
Theriogenology    December 7, 2010   Volume 75, Issue 3 421-428 doi: 10.1016/j.theriogenology.2010.05.009
Willmann C, Schuler G, Hoffmann B, Parvizi N, Aurich C.The treatment of early pregnant mares with a history of repeated early embryonic loss with the progestin altrenogest has become routine; however no controlled studies on the efficiency of altrenogest to prevent embryonic losses are available so far. In the present study, we have investigated effects of altrenogest treatment in mares on conceptus development and the secretion of LH, progesterone, and eCG until day 100 of pregnancy. In addition, differences related to age of mares were assessed. Mares were treated with altrenogest (0.044 mg/kg per os once daily) or sunflower oil (10 ml per os on...
Effect of passive pneumoperitoneum on oesophageal pressure, cardiovascular parameters and blood gas analysis in horses.
Equine veterinary journal    September 29, 2010   Volume 43, Issue 4 446-450 doi: 10.1111/j.2042-3306.2010.00304.x
Canola PA, Perotta JH, Laskoski LM, Escobar A, Melo e Silva CA, Canola JC, Johnson PJ, Valadão CA.Standing surgical procedures are being employed to an ever-greater extent in horses. Pneumoperitoneum during abdominal surgery might adversely affect the work of breathing. Objective: To determine whether development of pneumoperitoneum during abdominal surgery adversely influences the work of breathing. Methods: Eight healthy mature horses were equipped with carotid artery and thoracic vena cava catheters and an intraluminal manometry system. The following measurements were obtained before and at +5, +10, +15 and +30 min following establishment of pneumoperitoneum by paralumbar puncture using...
Equine colic surgery.
Australian veterinary journal    September 22, 2010   Volume 88, Issue 10 373 doi: 10.1111/j.1751-0813.2010.00498_2.x
Maxwell J.No abstract available
Nitric oxide stimulates progesterone and prostaglandin E2 secretion as well as angiogenic activity in the equine corpus luteum.
Domestic animal endocrinology    September 9, 2010   Volume 40, Issue 1 1-9 doi: 10.1016/j.domaniend.2010.08.001
Ferreira-Dias G, Costa AS, Mateus L, Korzekwa AJ, Galvão A, Redmer DA, Lukasik K, Szóstek AZ, Woclawek-Potocka I, Skarzynski DJ.Cytokines and nitric oxide (NO) are potential mediators of luteal development and maintenance, angiogenesis, and blood flow. The aim of this study was to evaluate (i) the localization and protein expression of endothelial and inducible nitric oxide synthases (eNOS and iNOS) in equine corpora lutea (CL) throughout the luteal phase and (ii) the effect of a nitric oxide donor (spermine NONOate, NONOate) on the production of progesterone (P4) and prostaglandin (PG) E(2) and factor(s) that stimulate endothelial cell proliferation using equine luteal explants. Luteal tissue was classified as corpora...
Right dorsal colon resection and bypass for treatment of right dorsal colitis in a horse.
Veterinary surgery : VS    September 2, 2010   Volume 39, Issue 7 879-883 doi: 10.1111/j.1532-950X.2010.00723.x
Lane JK, Cohen JM, Zedler ST, Hollis AR, Southwood LL.To describe a novel surgical technique for management of right dorsal colitis in the horse. Methods: Clinical report. Methods: 14-year-old Warmblood gelding. Methods: The horse was referred for treatment of a stromal abscess and signs of right dorsal colitis. Plasma chemistry revealed marked hypoproteinemia. Abdominal ultrasonographic examination showed a thickened right dorsal colon (RDC). Medical treatment was unsuccessful. With the horse in left lateral recumbency under general anesthesia, an approach to the right side of the abdomen through a 16th rib resection was made. The thoracic cavit...
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