Traumatic Diaphragmatic Hernia in Cats and Factors Affecting Survival (A Clinical Study with 24 Cats)

Abstract

Diaphragm hernia is still a severe problem in cats exposed to trauma. This study aimed to contribute to clinical practice and colleagues by notifying clinical observations on traumatic diaphragm rupture in cats and factors effective on survival. In this study, 24 cats with traumatic diaphragm hernia were presented. Contrast radiography has provided great convenience in diagnosing suspicious cases. 20 out of 24 cats (83%) remained alive, but four died. The localization of the diaphragm of these cats in 3 cats was in the left half, which was relatively high (50%) in the left tears. In the defects on the right, the herniated organs were the liver, small intestine, and omentum, while the stomach, small intestine, and spleen in the defects on the left. As a result, survival in 83% is important, and this is a good prognosis for aperture hernia. Despite many negative stress factors, good operation management and postoperative maintenance can increase survival.

Keywords

• Cat
• Diaphragmatic hernia
• Survival rate
• Trauma.

Kedilerde Travmatik Diyafram Fıtığı ve Sağkalımı Etkileyen Faktörler (24 Kediyle Klinik Bir Çalışma)

Abstract

Travmaya maruz kalan kedilerde diyafram fıtığı hala ciddi bir sorundur. Bu nedenle kedilerde travmatik diyafram yırtılması ve hayatta kalma üzerine etkili faktörler ile ilgili klinik gözlemler aktarılarak klinik pratiğe ve meslektaşlara katkı sağlanması önemlidir. Bu çalışmada travmatik diyafram fıtığı tanısı alan 24 kedi sunuldu. Kontrastlı radyografi şüpheli durumlarda tanı açısından büyük kolaylık sağladı. Çalışmada bulunan 24 kediden 20'si (%83) hayatta kaldı ancak 4'ü öldü. Bu kedilerin diyafram lokalizasyonu 3 kedide sol yarıda olup, sol yırtıkta bu oran oldukça yüksekti (%50). Sağdaki defektlerde fıtıklaşan organ karaciğer, ince bağırsak ve omentum, soldaki defektlerde ise mide, ince bağırsak ve dalaktı. Sonuç olarak %83 oranında hayatta kalma önemlidir ve bu da diyafram fıtığı için iyi bir prognozdur. Birçok olumsuz stres faktörüne rağmen iyi bir ameliyat yönetimi ve ameliyat sonrası bakım, hayatta kalma oranıyla birlikte artırılabilir.

Keywords

• Diyafram fıtığı
• Kedi
• Sağkalım oranı
• Travma

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