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  • Title: Thoracoscopic diaphragmatic hernia repair in a warmblood mare.
    Author: Röcken M, Mosel G, Barske K, Witte TS.
    Journal: Vet Surg; 2013 Jun; 42(5):591-4. PubMed ID: 23617553.
    Abstract:
    OBJECTIVE: To describe successful repair of a diaphragmatic hernia in a standing sedated horse using a minimally invasive thoracoscopic technique. STUDY DESIGN: Clinical report. ANIMALS: Warmblood mare with a diaphragmatic hernia. RESULTS: An 18-year-old Warmblood mare with severe colic was referred for surgical treatment of small intestinal strangulation in a diaphragmatic defect. Twelve days after initial conventional colic surgery, left-sided laparoscopy in the standing sedated mare for diaphragmatic herniorrhaphy failed because the spleen obscured the hernia. One week later, a left-sided thoracoscopy was performed in the standing sedated horse and the hernia repaired by an intrathoracic suture technique. No long-term complications occurred (up to 4 years) and the mare returned to her previous athletic activity, followed by use as a broodmare. CONCLUSIONS: To avoid the high risks associated with general anesthesia, and to reduce surgical trauma and postoperative recovery, central diaphragmatic hernias are amenable to repair using a minimally invasive thoracoscopic technique in the standing sedated horse.
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