DOI
https://doi.org/10.18849/ve.v6i4.494Abstract
PICO question
In cats and dogs with traumatic diaphragmatic rupture undergoing herniorrhaphy does surgical timing affect outcome?
Clinical bottom line
Category of research question
Prognosis
The number and type of study designs reviewed
Ten studies were critically appraised. All of these were retrospective case series
Strength of evidence
Zero
Outcomes reported
Overall, there is not sufficient evidence reporting if timing of surgical intervention has an effect on the mortality rate in dogs and cats with traumatic diaphragmatic rupture. Mortality rate was 6.8–50% in all cases
Conclusion
There is no statistically significant information available with only several retrospective studies published that are a low quality of evidence. Clinical practice can be reviewed based upon current evidence assessing timing of herniorrhaphy of traumatic diaphragmatic rupture. However, there are no clear recommendations and future studies are warranted
How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
References
Besalti, O., Pekcan, Z., Caliskan, M. & Aykut, Z.G. (2011). A retrospective study on traumatic diaphragmatic hernias in cats. Ankara Üniversitesi Veteriner Faukültesi Dergisi. 58(3), 175–179. DOI: https://doi.org/10.1501/Vetfak_0000002470
Garson, H.L., Dodman, N.H. & Baker, G.J. (1980). Diaphragmatic hernia. Analysis of fifty-six cases in dogs and cats. Journal of Small Animal Practice. 21, 469–481.
Gibson, T.W.G., Brisson, B.A. & Sears, W. (2005). Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990–2002). Journal of the American Veterinary Medicine Association. 227(1), 105–109.
Igna, C., Schuszler, L., Sala, A., Bumb, D., Proteasa, A. & Dascalu, R. (2014). Diaphragmatic hernia in dogs and cats: a report of 43 cases (2001–2013). Lucrări Ştiiţifice Medicină Veterinară. 47(4), 48–51. Available from: https://usab-tm.ro/utilizatori/medicinaveterinara/file/2014/simpozion/VOL_%20XLVII-4_2014_complet.pdf [Accessed 03 Aug 2021].
Legallet, C., Theiman Makin, K. & Selmic, L.E. (2017). Prognostic indicators for perioperative survival after diaphragmatic herniorrhaphy in cats and dogs: 96 cases (2001–2013). BMC Veterinary Research. 13(16). DOI: https://doi.org/10.1186/s12917-016-0926-y
Minihan, A.C., Berg, J. & Evans, K.L. (2004). Chronic diaphragmatic hernia in 34 dogs and 16 cats. Journal of the American Animal Hospital Association. 40, 51–63.
Ozer, K., Guzel, O., Devecioglu, Y. & Aksoy, O. (2007). Diaphragmatic hernia in cats: 44 cases. Medycyna Weterynaryjna. 63(12), 1564–1567. Available from: http://www.medycynawet.edu.pl/images/stories/pdf/pdf2007/122007/200712s15681571.pdf [Accessed 03 Aug 2021].
Schmeidt, C.W, Tobias, K.M. & McCrackin Stevenson, M.A. (2003). Traumatic diaphragmatic hernia in cats: 34 cases (1991–2001). Journal of the American Veterinary Medicine Association. 222(9), 1237–1240.
Wilson, G.P., Newton, C.D. & Burt, J.K. (1971). A review of 116 diaphragmatic hernias in dogs and cats. Journal of the American Veterinary Medicine Association. 159(9), 1142–1145.
Yaygingül, R., Bozkan, Z., Bilgen Şen, Z., Kibar Kurt, B. & Belge, A. (2019). Traumatic diaphragmatic hernia in cats: a retrospective study of 15 cases (2016–2017). Kocatepe Veterinary Journal. 12(2), 205–212. DOI: https://doi.org/10.30607/kvj.493594
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Copyright (c) 2021 Alison Robertson
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