Veterinary surgery : VS · 1999
Use of omentum as a physiologic drain for treatment of chylothorax in a dog.
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Williams J M, Niles J D
Аннотация
OBJECTIVES: To describe a novel technique for the surgical treatment of idiopathic chylothorax in a dog.
ANIMALS: A 6-year-old, male Rhodesian Ridgeback, which presented with a history of reduced exercise tolerance and dyspnea.
METHODS: Idiopathic chylothorax was diagnosed. Intermittent pleural drainage failed to resolve the problem. During surgery, extensive pleural fibrosis made it impossible to identify the thoracic duct. A dorsal omental pedicle was advanced through an incision in the diaphragm and into the cranial thoracic cavity to act as a physiological drain.
RESULTS: The dog recovered well and has remained free from clinical signs of recurrence of the effusion (16 months at the time of writing).
CONCLUSIONS: The disease-free interval achieved in this dog indicates that this novel technique is worthy of further consideration in the management of idiopathic chylothorax.
ANIMALS: A 6-year-old, male Rhodesian Ridgeback, which presented with a history of reduced exercise tolerance and dyspnea.
METHODS: Idiopathic chylothorax was diagnosed. Intermittent pleural drainage failed to resolve the problem. During surgery, extensive pleural fibrosis made it impossible to identify the thoracic duct. A dorsal omental pedicle was advanced through an incision in the diaphragm and into the cranial thoracic cavity to act as a physiological drain.
RESULTS: The dog recovered well and has remained free from clinical signs of recurrence of the effusion (16 months at the time of writing).
CONCLUSIONS: The disease-free interval achieved in this dog indicates that this novel technique is worthy of further consideration in the management of idiopathic chylothorax.