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Veterinary surgery : VS1997; 26(3); 242-245; doi: 10.1111/j.1532-950x.1997.tb01492.x

Diaphragmatic hernia repair in three young horses.

Abstract: This clinical report describes surgical correction of diaphragmatic hernia in three young horses. Methods: Retrospective investigation of medical records and subsequent racing performance. Methods: Three young horses with diaphragmatic hernia. Results: Three young horses with signs of abdominal pain had diaphragmatic hernia causing small intestinal strangulation. The strangulated small intestine was resected and an end-to-end jejuno-jejunal (two horses) or a side-to-side jejuno-cecal anastomosis (one horse) was performed. Diaphragmatic hernias were closed with a continuous suture pattern. All horses recovered and raced. No difference in race records was found between the subject horses and their siblings. One subject horse died of colic at 5 years of age, but the cause of the colic was undetermined. The remaining two horses are in use as broodmares and have produced multiple foals without recurrence of signs of diaphragmatic hernia. Conclusions: Diaphragmatic hernias can be repaired in horses. These horses can achieve race records similar to their siblings and can produce foals without recurrence of signs of diaphragmatic hernia.
Publication Date: 1997-05-01 PubMed ID: 9150563DOI: 10.1111/j.1532-950x.1997.tb01492.xGoogle Scholar: Lookup
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Summary

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The research discusses the successful treatment of diaphragmatic hernia in three young horses through surgical intervention, and these horses later exhibited normal racing performances and reproductive capabilities.

Research Methodology

  • The study is based on the retrospective examination of medical records and subsequent evaluation of performance in racing.
  • The focus was on three young horses that were diagnosed with diaphragmatic hernia.

Observation and Results

  • Initial signs indicating the presence of a diaphragmatic hernia in the three horses included symptoms of abdominal pain.
  • It was discovered that the hernia resulted in the strangulation of the small intestine.
  • In response, the engorged section of each horse’s small intestine was surgically removed, followed by an end-to-end jejuno-jejunal linkage in two horses and a side-to-side jejuno-cecal linkage in the third horse.
  • The hernias in the horses’ diaphragms were closed using continuous suture patterns.
  • Post operation, all three horses recovered from their surgeries and were capable of racing again. It was observed that their racing performance was not different from that of their siblings who did not have the hernia.
  • One of the horses died of colic at the age of five; however, no conclusive evidence pointed towards the hernia or its treatment as the possible cause.

Long Term Performance and Reproduction

  • The two surviving horses were engaged as broodmares and have since given birth to a number of foals.
  • Importantly, they showed no reappearance of the symptoms of diaphragmatic hernia, indicating effective treatment.

Conclusion

  • Based on the medical history and performance records of these three young horses, the researchers concluded that diaphragmatic hernias in horses can be surgically corrected.
  • Post operative healing and recovery suggested that horses can return to their regular activities, such as racing, without any discernible hindrance, mimicking the performance of their non-afflicted siblings.
  • The same horses were also capable of successful reproduction without any recurrence of symptoms related to the hernia, further attesting to the effectiveness of the surgical procedure.

Cite This Article

APA
Santschi EM, Juzwiak JS, Moll HD, Slone DE. (1997). Diaphragmatic hernia repair in three young horses. Vet Surg, 26(3), 242-245. https://doi.org/10.1111/j.1532-950x.1997.tb01492.x

Publication

ISSN: 0161-3499
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 26
Issue: 3
Pages: 242-245

Researcher Affiliations

Santschi, E M
  • Peterson and Smith Equine Hospital, Ocala, FL, USA.
Juzwiak, J S
    Moll, H D
      Slone, D E

        MeSH Terms

        • Abdominal Pain / etiology
        • Abdominal Pain / veterinary
        • Anastomosis, Surgical / veterinary
        • Animals
        • Cecum / surgery
        • Female
        • Hernia, Diaphragmatic / complications
        • Hernia, Diaphragmatic / surgery
        • Hernia, Diaphragmatic / veterinary
        • Horse Diseases / epidemiology
        • Horse Diseases / etiology
        • Horse Diseases / surgery
        • Horses
        • Incidence
        • Intestinal Obstruction / etiology
        • Intestinal Obstruction / surgery
        • Intestinal Obstruction / veterinary
        • Jejunum / surgery
        • Retrospective Studies
        • Treatment Outcome

        Citations

        This article has been cited 4 times.
        1. Kolus CR, MacLeay JM, Hackett ES. Repair of an acquired diaphragmatic hernia with surgical mesh in a foal. Can Vet J 2017 Feb;58(2):145-148.
          pubmed: 28216683
        2. Tăbăran AF, Nagy AL, Cătoi C, Morar I, Tăbăran A, Mihaiu M, Bolfa P. Congenital diaphragmatic hernia with concurrent aplasia of the pericardium in a foal. BMC Vet Res 2015 Dec 30;11:309.
          doi: 10.1186/s12917-015-0623-2pubmed: 26715552google scholar: lookup
        3. Shepard MK, Lee WL, Eggleston RB. Perianesthetic development of diaphragmatic hernia in a horse with equine pituitary pars intermedia dysfunction (PPID). Can Vet J 2015 Jan;56(1):48-52.
          pubmed: 25565714
        4. Romero AE, Rodgerson DH. Diaphragmatic herniation in the horse: 31 cases from 2001-2006. Can Vet J 2010 Nov;51(11):1247-50.
          pubmed: 21286324