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Surgical treatment of traumatic eventration with polyester button and polypropylene mesh to strengthen the suture technique in equine.

BMC Vet Res

March 2016

Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil.

Background: Defects in the abdominal wall of horses have high relapse rate. This is mainly in lateral eventrations and hernias caused by trauma from kicks of other horses or installation structures. The eventration region normally becomes swollen and there may be complications due to intestinal loop incarceration.

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Diaphragmatic hernia in adults often presents with overlapping respiratory and abdominal symptoms. They may be simple diaphragmatic eventrations or undiagnosed Bochdalek's hernias or may even be of post traumatic variety. Diaphragmatic hernias may be asymptomatic, present only with respiratory symptoms, or may present with obstruction and strangulation of involved bowel loops with faeco-pneumothorax.

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We report two patients who developed a post-traumatic flank hernia manifested several months after road traffic accidents. The diagnosis was missed and established later when a swelling appeared in he flank. CT Scan found a large parietal defect.

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The discovery of a thoracic kidney a few months after a rupture of the diaphragm repaired as an emergency raises the problem of its congenital or acquired origin. In the latter case, treatment should be adopted?

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