Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs
A 9-year-old, 4.7 kg, spayed female Chihuahua presented with a 3.5 cm soft tissue sarcoma on the dorsal right thoracic wall. The tumor was resected, including the 11–13th ribs, resulting in a caudal dorsal thoracic wall defect. The defect was reconstructed with direct traction of part of the diaphra...
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MDPI AG
2022-12-01
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author | Eiichi Kanai Ayano Kudo Asaka Sato Hiromitsu Yoshida Akinori Yamauchi Ryo Oshita Satoshi Takagi |
author_facet | Eiichi Kanai Ayano Kudo Asaka Sato Hiromitsu Yoshida Akinori Yamauchi Ryo Oshita Satoshi Takagi |
author_sort | Eiichi Kanai |
collection | DOAJ |
description | A 9-year-old, 4.7 kg, spayed female Chihuahua presented with a 3.5 cm soft tissue sarcoma on the dorsal right thoracic wall. The tumor was resected, including the 11–13th ribs, resulting in a caudal dorsal thoracic wall defect. The defect was reconstructed with direct traction of part of the diaphragm dorsally, preserving the diaphragmatic attachments to the body wall, and the diaphragm was sutured to the surrounding ribs and muscles. Possible respiratory complications, including paradoxical respiration and exercise intolerance, were not observed during the perioperative or postoperative observation periods. This novel procedure is expected to be an option for caudal thoracic wall reconstruction when the diaphragmatic attachments remain intact even after the resection of the last rib. In addition, this procedure can be performed in dogs weighing <5 kg, with small pleural cavities and without respiratory disorders. |
first_indexed | 2024-03-11T10:12:28Z |
format | Article |
id | doaj.art-15b4750c60024ff6ad6c7478816ffab2 |
institution | Directory Open Access Journal |
issn | 2076-2615 |
language | English |
last_indexed | 2024-03-11T10:12:28Z |
publishDate | 2022-12-01 |
publisher | MDPI AG |
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series | Animals |
spelling | doaj.art-15b4750c60024ff6ad6c7478816ffab22023-11-16T14:18:15ZengMDPI AGAnimals2076-26152022-12-011313410.3390/ani13010034Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th RibsEiichi Kanai0Ayano Kudo1Asaka Sato2Hiromitsu Yoshida3Akinori Yamauchi4Ryo Oshita5Satoshi Takagi6Laboratory of Small Animal Surgery, Azabu University, Kanagawa 252-5201, JapanLaboratory of Small Animal Surgery, Azabu University, Kanagawa 252-5201, JapanService of Soft Tissue Surgery & Surgical Oncology, Azabu University Veterinary Teaching Hospital, Kanagawa 252-5201, JapanService of Soft Tissue Surgery & Surgical Oncology, Azabu University Veterinary Teaching Hospital, Kanagawa 252-5201, JapanLaboratory of Small Animal Surgery, Azabu University, Kanagawa 252-5201, JapanLaboratory of Small Animal Surgery, Azabu University, Kanagawa 252-5201, JapanLaboratory of Small Animal Surgery, Azabu University, Kanagawa 252-5201, JapanA 9-year-old, 4.7 kg, spayed female Chihuahua presented with a 3.5 cm soft tissue sarcoma on the dorsal right thoracic wall. The tumor was resected, including the 11–13th ribs, resulting in a caudal dorsal thoracic wall defect. The defect was reconstructed with direct traction of part of the diaphragm dorsally, preserving the diaphragmatic attachments to the body wall, and the diaphragm was sutured to the surrounding ribs and muscles. Possible respiratory complications, including paradoxical respiration and exercise intolerance, were not observed during the perioperative or postoperative observation periods. This novel procedure is expected to be an option for caudal thoracic wall reconstruction when the diaphragmatic attachments remain intact even after the resection of the last rib. In addition, this procedure can be performed in dogs weighing <5 kg, with small pleural cavities and without respiratory disorders.https://www.mdpi.com/2076-2615/13/1/34thoracic wall reconstructiondiaphragmatic tractionthoracic wall resectionthoracic wall defectthoracic wall tumor |
spellingShingle | Eiichi Kanai Ayano Kudo Asaka Sato Hiromitsu Yoshida Akinori Yamauchi Ryo Oshita Satoshi Takagi Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs Animals thoracic wall reconstruction diaphragmatic traction thoracic wall resection thoracic wall defect thoracic wall tumor |
title | Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs |
title_full | Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs |
title_fullStr | Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs |
title_full_unstemmed | Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs |
title_short | Thoracic Wall Reconstruction with Dorsal Diaphragmatic Traction and Preservation of Diaphragmatic Attachments in a Dog with Resection of the 11–13th Ribs |
title_sort | thoracic wall reconstruction with dorsal diaphragmatic traction and preservation of diaphragmatic attachments in a dog with resection of the 11 13th ribs |
topic | thoracic wall reconstruction diaphragmatic traction thoracic wall resection thoracic wall defect thoracic wall tumor |
url | https://www.mdpi.com/2076-2615/13/1/34 |
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