Abstract：
OBJECTIVE: To report a ventral diaphragmatic advancement technique to repair a large congenital peritoneopericardial diaphragmatic hernia in a dog.
METHODS: A 5-month-old 15-kg entire male Labrador Retriever.
UNASSIGNED: The dog presented with a history of diarrhea for a week and acute-onset lethargy and vomiting for 3 days. Clinical examination revealed borborygmi on auscultation of the chest, and subsequent imaging showed a congenital peritoneopericardial diaphragmatic hernia.
RESULTS: The ventro-central diaphragmatic defect was repaired with a pericardial flap, which subsequently failed 7 months later. The revision surgery was performed with a novel surgical technique. The defect was closed by means of incising the ventral attachments of the diaphragm either side of the defect and sliding it medially to allow a tension-free closure. The ventral aspect of the incised diaphragm was reattached with circumcostal sutures and the central defect closed. The dog recovered rapidly and without complication. An excellent outcome was reported after surgery.
CONCLUSIONS: This novel technique was a simple method to repair a peritoneopericardial diaphragmatic hernia and had good clinical results in this case.
METHODS: A 5-month-old 15-kg entire male Labrador Retriever.
UNASSIGNED: The dog presented with a history of diarrhea for a week and acute-onset lethargy and vomiting for 3 days. Clinical examination revealed borborygmi on auscultation of the chest, and subsequent imaging showed a congenital peritoneopericardial diaphragmatic hernia.
RESULTS: The ventro-central diaphragmatic defect was repaired with a pericardial flap, which subsequently failed 7 months later. The revision surgery was performed with a novel surgical technique. The defect was closed by means of incising the ventral attachments of the diaphragm either side of the defect and sliding it medially to allow a tension-free closure. The ventral aspect of the incised diaphragm was reattached with circumcostal sutures and the central defect closed. The dog recovered rapidly and without complication. An excellent outcome was reported after surgery.
CONCLUSIONS: This novel technique was a simple method to repair a peritoneopericardial diaphragmatic hernia and had good clinical results in this case.
摘要：
目的：报道一种腹侧膈前移技术，用于修复犬先天性腹膜室外性膈疝。
方法：一只5个月大的15公斤整只雄性拉布拉多猎犬。
■该犬有腹泻一周，急性嗜睡和呕吐3天的病史。临床检查显示borborygmi在胸部听诊时，随后的成像显示先天性腹膜室外性膈疝。
结果：使用心包皮瓣修复腹中央膈缺损，7个月后失败了。翻修手术是用一种新颖的手术技术进行的。通过切开缺损两侧隔膜的腹侧附件并向内侧滑动以允许无张力闭合来闭合缺损。切开的diaphragm肌的腹侧用肋周缝线重新连接，并闭合了中央缺损。狗恢复迅速，没有并发症。手术后报告了极好的结果。
结论：这种新技术是一种简单的方法，可以修复腹膜室间隔膈疝，在这种情况下具有良好的临床效果。
方法：一只5个月大的15公斤整只雄性拉布拉多猎犬。
■该犬有腹泻一周，急性嗜睡和呕吐3天的病史。临床检查显示borborygmi在胸部听诊时，随后的成像显示先天性腹膜室外性膈疝。
结果：使用心包皮瓣修复腹中央膈缺损，7个月后失败了。翻修手术是用一种新颖的手术技术进行的。通过切开缺损两侧隔膜的腹侧附件并向内侧滑动以允许无张力闭合来闭合缺损。切开的diaphragm肌的腹侧用肋周缝线重新连接，并闭合了中央缺损。狗恢复迅速，没有并发症。手术后报告了极好的结果。
结论：这种新技术是一种简单的方法，可以修复腹膜室间隔膈疝，在这种情况下具有良好的临床效果。
