Singh J, Prasad B, Kumar R, Kohli R N, Rathor S S
Aust Vet J. 1977 Oct;53(10):473-5. doi: 10.1111/j.1751-0813.1977.tb05465.x.
The surgical treatment of diaphragmatic hernia attempted on 19 lactating buffaloes is described. Thirteen cases recovered uneventfully, 1 recovered after developing brisket oedema and 5 died, 3 during surgery and 2 postoperatively. The desired depth of anaesthesia was achieved by the administration of 6% chloral hydrate followed by 5% thiopentone sodium. A postxiphoid approach and the use of a continuous lock stitch suture were preferred to repair the vent in the diaphragm. Pre- and post-operative use of hydrocortisones and fluids and sufficient tissue oxygenation by controlled positive pressure respiration are believed to be keys to the success of the treatment adopted.
本文描述了对19头泌乳期水牛进行膈疝手术治疗的情况。13例顺利康复，1例在出现胸部水肿后康复，5例死亡，3例在手术过程中死亡，2例术后死亡。通过给予6%水合氯醛，随后给予5%硫喷妥钠来达到所需的麻醉深度。采用剑突后入路并使用连续锁边缝合来修复膈肌上的创口。术前和术后使用氢化可的松和补液，以及通过控制正压呼吸确保充足的组织氧合，被认为是所采用治疗方法成功的关键。
