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Acta cir. bras ; 30(8): 537-541, Aug. 2015. ilus
Artigo em Inglês | LILACS | ID: lil-757984

RESUMO

PURPOSE:To describe the dog as a model for studying laparoscopic correction of experimental diaphragmatic ruptures.METHODS: Five male dogs were used in this study. Under laparoscopic approach, a defect of 7cm was created on the left ventral insertion of the diaphragm. Fourteen days after this procedure, the abdomen was explored using laparoscopic access and the diaphragmatic defect was corrected with intracorporeal suture. The dislocated organs, surgical time, and suturing time were recorded. Analgesia and clinical condition were monitored during the postoperative period.RESULTS:All animals recovered well from the diaphragmatic rupture creation. After 14 days, abdominal organs (liver, spleen, omentum and/or intestine) were found inside the thoracic cavity in all animals. It was possible to reposition the organs and suture the defect by laparoscopic access in three animals. These animals showed excellent postoperative recovery. It was not possible to reposition the liver safely when it was friable.CONCLUSIONS:Laparoscopic creation of diaphragmatic rupture in dogs is feasible. Dogs are a good model for training and studying the correction of experimentally created diaphragmatic rupture by the laparoscopic approach. A friable liver is a complicating factor that should be taken into account. Animals submitted to laparoscopic correction showed excellent postoperative recovery.


Assuntos
Animais , Cães , Masculino , Modelos Animais de Doenças , Hérnia Diafragmática Traumática/etiologia , Hérnia Diafragmática Traumática/cirurgia , Laparoscopia/métodos , Estudos de Viabilidade , Período Pós-Operatório , Reprodutibilidade dos Testes , Ruptura/etiologia , Ruptura/cirurgia , Técnicas de Sutura , Fatores de Tempo , Resultado do Tratamento
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