Objective—To determine long-term outcome of cats
treated conservatively or surgically for peritoneopericardial
diaphragmatic hernia (PPDH).
Animals—67 cats with PPDH.
Procedure—Medical records of cats with a diagnosis
of PPDH made from 1987 through 2002 were
reviewed. Information regarding long-term outcome
was obtained from owners.
Results—Prevalences of PPDH in domestic longhair
and Himalayan cats were significantly greater and
prevalence of PPDH in domestic shorthair cats was significantly
lower than prevalence of PPDH in the hospital
cat population over the 15-year study period.
Historical problems most commonly related to the respiratory
and gastrointestinal tracts. Peritoneopericardial
diaphragmatic hernia was the primary diagnosis in 40
cats and an incidental finding in 27 cats. One cat died
prior to arrival at the Veterinary Medical Teaching
Hospital. Thirty-seven of 66 cats were treated surgically,
and 29 were treated conservatively. The postoperative
mortality rate was 14%. Postoperative complications
developed in 29 of 37 cats, the most common of
which was hyperthermia. Two of 22 conservatively
treated cats had progression of clinical signs necessitating
surgical intervention or resulting in death. Owner
satisfaction with treatment choice and long-term outcome
was rated as very satisfied by 88% of owners of
surgically treated cats and 68% of owners of conservatively
Conclusions and Clinical Relevance—Cats with overt
clinical signs attributable to PPDH are good candidates
for surgical herniorrhaphy. Postoperative complications
may develop but are generally minor and self-limiting.
Long-term outcome of cats treated conservatively or
surgically was rated as very good by most owners.
(J Am Vet Med Assoc 2004;224:728–732)
Objective—To evaluate long-term clinical outcome in dogs with upper airway obstruction treated with laryngeal web resection and mucosal apposition.
Design—Retrospective case series.
Animals—15 client-owned dogs with laryngeal web formation.
Procedures—Medical records of dogs with laryngeal webs treated with a single procedure of web resection with mucosal apposition by use of a ventral laryngotomy were reviewed. Signalment, history, clinical signs, intraoperative complications, postoperative complications, and hospitalization time were recorded. Owners were interviewed 6 months to 6 years after surgery.
Results—Most dogs had a history of oral ventriculocordectomy. Duration of clinical signs ranged from 3 months to 3 years. The most common clinical sign reported was exercise intolerance. Postoperative complications were observed in 4 dogs. Follow-up information was available in 10 dogs, and clinical outcome was classified as excellent in 7 and good in 3.
Conclusions and Clinical Relevance—A single surgical procedure of web resection with mucosal apposition for the treatment of laryngeal web formation in dogs resulted in low morbidity and was associated with a good to excellent outcome.