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松鼠猴(松鼠猴属)巨大食管裂孔疝的综合手术治疗

Comprehensive Surgical Management of Massive Oesophageal Hiatal Hernia in Squirrel Monkeys (Saimiri sciureus).

作者信息

Li Siyuan, Zhang Zhenwen, Kulyar Md F, Nawaz Shah, Li Jiakui

机构信息

College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.

College of Veterinary Medicine, Nanjing Agricultural University, Nanjing, China.

出版信息

Vet Med Sci. 2025 May;11(3):e70404. doi: 10.1002/vms3.70404.

Abstract

BACKGROUND

Literature remains scant regarding the subset termed 'massive hiatal hernias'. This case report delineates the surgical management and subsequent outcomes of two squirrel monkeys diagnosed with massive hiatal hernias.

OBJECTIVES

This case report delineates the surgical management and subsequent outcomes of two squirrel monkeys diagnosed with massive hiatal hernias, offering insights into the feasibility and criticality of timely interventions, underscored by postoperative care and dietary management.

METHODS

The radiographic diagnosis is suggestive of a massive hiatal hernia, and this clinical suspicion was definitively corroborated during the subsequent surgical intervention. Left gastric fixation was used to reposition the herniated organs and repair and reinforce the hiatus.

RESULTS

One subject died of unforeseeable complications 3 days after post-discharge. The other subject's hospitalization was extended to 40 days to ensure optimal recovery. Upon being discharged, the monkey's condition remained stable.

CONCLUSIONS

This case suggested achieving long-term postoperative survival of a massive oesophageal hiatal hernia. Surgical management hinges not merely on the surgery but on rigorous postoperative care coupled with stringent dietary regulation.

摘要

背景

关于“巨大食管裂孔疝”这一亚组的文献仍然很少。本病例报告描述了两只被诊断为巨大食管裂孔疝的松鼠猴的手术治疗及后续结果。

目的

本病例报告描述了两只被诊断为巨大食管裂孔疝的松鼠猴的手术治疗及后续结果,通过术后护理和饮食管理,深入探讨了及时干预的可行性和重要性。

方法

影像学诊断提示巨大食管裂孔疝,随后的手术干预明确证实了这一临床怀疑。采用左胃固定术来重新定位疝出的器官,并修复和加强食管裂孔。

结果

一只松鼠猴在出院后3天死于不可预见的并发症。另一只松鼠猴的住院时间延长至40天以确保最佳恢复。出院时,这只猴子的状况保持稳定。

结论

本病例提示巨大食管裂孔疝术后可实现长期存活。手术治疗不仅取决于手术本身,还取决于严格的术后护理和严格的饮食调节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d05f/12087505/f8f3d4273087/VMS3-11-e70404-g004.jpg

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