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Updated: Aug 4, 2026
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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Thoracoscopic-assisted diaphragmatic hernia repair using a thoracic rib resection
E D Malone1, K Farnsworth, T Lennox
1Department of Clinical and Population Sciences, University of Minnesota Veterinary Teaching Hospital, St. Paul, MN 55108, USA.
Veterinary Surgery : VS
|March 7, 2001
Summary
Surgical repair of dorsal diaphragmatic hernias in adult horses is feasible using thoracic rib resection. This technique, guided by thoracoscopy or flank incision, provides excellent exposure for defect closure.
Area of Science:
- Veterinary Surgery
- Equine Surgery
Background:
- Dorsal diaphragmatic hernias are uncommon but serious conditions in adult horses.
- Surgical repair presents challenges due to anatomical location.
Observation:
- A six-year-old Dutch Warmblood gelding presented with colic due to colonic incarceration within a dorsal diaphragmatic hernia.
- The hernia defect involved gastric adhesion and a small residual hole.
Findings:
- A novel surgical approach utilized thoracoscopy and a flank incision to identify the hernia and guide rib resection.
- Resection of the 14th rib provided optimal surgical exposure for hernia repair.
Implications:
- Thoracic rib resection is a viable surgical option for accessing dorsal diaphragmatic hernias in adult horses.
- Combined use of thoracoscopy and flank incision can assist in selecting the appropriate rib for resection.
