Kedilerde Travmatik Diyafram Fıtkı: 15 Olgu (2016-2017)

Year 2019, , 205 - 212, 30.06.2019

Rahime Yaygıngül , Zeynep Bozkan Zeynep Bilgen Şen , Büşra Kibar Kurt , Ali Belge

https://doi.org/10.30607/kvj.493594

Abstract

Bu çalışmada,
kliniğimize solunum güçlüğü şikâyeti ile getirilen kedilerde karşılaşılan
diyafram fıtıklarının klinik ve operatif sonuçlarının değerlendirilmesi
amaçlanmıştır. Kediler farklı yaş, ırk ve cinsiyette idiler. Tüm kediler % 73.3
sağ kalım oranıyla cerrahi olarak tedavi edildi. En fazla fıtıklaşan organ
karaciğer ve ince bağırsak olmakla birlikte mide ve dalakla da karşılaşıldı.
Tüm ölümler operasyon sırasında meydana geldi, 
operasyonu tamamlanan olguların tamamı yaşadı. Ölen kedilerde çoklu
organ fıtıklaşması yanı sıra gerek fıtıklaşan organ gerekse akciğerlerde
laserasyon, göğüs boşluğunda sıvı toplanması dikkati çekti. Yoğun bakım kabin
uygulamaları ve nebulizator aracılığı ile ventolin- pulmicort desteği sağ kalım
üzerine olumlu katkı sağladığı görüldü. 

Keywords

Kedi, diyafram, fıtık, yoğun bakım

Traumatic Diaphragmatic Hernia in Cats: A Retrospective Study of 15 Cases (2016-2017)

Abstract

In this study, evaluation of clinical and operative
results of cats with diaphragmatic hernia presented with respiratory failure
was aimed. The cats were in different age, breed and sex. All of the cats were
treated surgically with 73.3% survival rate. The highest incidence of
herniation was in the liver and small intestine, but stomach and spleen also
was encountered. All deaths occurred during surgery, the cases completed
surgical procedure were healed. The cats which died had multiple organ
herniation as well as laceration of the lungs and fluid accumulation in the
thoracic cavity were noticed. It was seen that intensive care cabin
applications and Ventolin - Pulmicort support through nebulizer provided marked
contribution on survival rate. 

Keywords

Cat, diaphragm, hernia, intensive care

References

• Baines SJ. Diaphragmatic herniorrhaphy. General Abdominal Surgery. Section 6, Chapter 52. p.375-376, 2016
• Besalti O, Pekcan Z, Calıskan M, Aykut ZG. A retrospective study on traumatic diaphragmatic hernias in cats. Ankara Univ Vet Fak Derg. 2011; 58: 175-179.
• Fossum TW. Traumatic Diaphragmatic Hernia. In: TW Fossum (Ed), Small Animal Surgery, 2nd ed. Mosby: Missouri p.795-798, 2002.
• Fossum TW. Surgery of the lower respiratory system: pleural cavity and diaphragm. In: Fossum TW (Ed.): Small Animal Surgery. 3rd edn. Mosby Elsevier, St. Louis p.896-929, 2007.
• Gibson TWG, Brisson BA, Sears W. Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990-2002). J Am Vet Med Assoc. 2005; 227: 105-109.
• Hyun C. Radiographic diagnosis of diaphragmatic hernia: Review of 60 cases in dogs and cats. J Vet Sci. 2004; 5: 157-162.
• Kibar M, Bumin A, Kaya M, Alkan Z. Use of peritoneograhy (positive contrast cheliography) and ultrasonography in the diagnosis ofdiaphragmatic hernia: review of 35 cats. Rev Med Vet. 2006; 157(6): 331-335.
• Kirschvink N, Leemans J, Delvaux F, et al. Inhaled fluticasone reduces bronchial responsivenessand airway inflammation in cats with mild chronic bronchitis. J Feline Med Surg. 2006; 8: 45–54.
• Legallet C, Mankin KT, Selmic LE. Prognostic indicators for perioperative survival after diaphramatic herniorrhaphy in cats and dogs: 96 cases (2001-2013). BMC Vet Res. 2017; 1316: 1-7.
• Mazzaferro E, Powell LL. Fluid therapy for the emergent small animal patient: crystalloids, colloids, and albumin products. Vet clin North Am. Small Anim Pract. 2013; 43(4): 721-734.
• Mackay A. Practical approach to the dyspnoeic cat. In practice. 2001; 23(4): 198-207.
• Miller CJM, McKiernan BC, Hauser C, Fettman MJ. Gentamicin aerosolization for the treatment of infectious tracheobronchitis. J Vet Intern Med. 2003; 17: 386.
• Minihan AC, Berg J, Evans KL. Chronic diaphragmatic hernia in 34 dogs and 16 cats. J Am Anim Hosp Assoc.2004; 40: 51-63.
• Nelson D. Patient care report for the stabilisation of a cat with a traumatic diaphragmatic rupture. The Veterinary Nurse.2015; 6(8): 498-503.
• Orton EC. Diaphragm. Small Animal Thoracic Surgery John Wiley Sons p.139-146.
• Ozer K, Güzel Ö, Devecioğlu Y, Aksoy Ö. Diaphragmatic hernia in cats: 44 cases. Med Weter. 2007; 63: 1564-1567.
• Randall EK. Canine and Feline Diaphragm. In: Textbook of Veterinary Diagnostic Radiology. Ed: Thrall DE. 7th Ed. 33-648, 2018.
• Rozanski EA, Bach JF, Shaw SP. Advances in respiratory therapy. Vet Clin North Am: Small Anim Pract. 2007; 37(5): 963-974
• Schmiedt C, Tobias K, Stevenson M.Traumatic diaphragmatic hernia in cats: 34 cases (1991- 2001). JAVMA. 2003; 222 (9): 1237-1240.
• Sullivan M, Lee R. Radiological features of 80 cases of diaphragmatic rupture. J Small Anim Pract.1989; 30: 561-566.
• Sharp CR, Rozanski EA. Physical examination of the respiratory system. Top Companion Anim Med. 2013; 28(3): 79-85.
• Tillson DM. Diaphragmatic hernia. Small Animal Surgery Secrets. Chapter 43. 2nd Ed. Ed: Joseph Harari. Hanley & Belfus Inc, Spokane, Washington. 141-145, 2014.
• Voges AK, Bertrand S, Hill RC, Neuwirth L, Schaer M. (1997) True diaphragmatic hernia in a cat. Vet Radiol Ultrasound. 1997; 2: 116-119.
• Yool DA. Diaphragm. Feline Soft Tissue and General Surgery. Ed: Langley-Hobbs SJ, Demetriou J, Ladlow J. Saunders, pp.521-530, 2014.