Optimizing preoperative care with oxygenation for traumatic diaphragmatic hernia repair in a domestic short hair cat

Abstract

Diaphragmatic hernia is a life-threatening condition in cats that requires prompt diagnosis and a systematic approach for management. This case report highlights the critical role of presurgical oxygenation in enhancing the safety and success of surgical management of diaphragmatic hernias in cats. A female domestic short-haired cat, Mini, was referred to the PDHB Drh Anton SAP clinic for lethargy and inability to defaecate. Radiographic examination revealed a disrupted diaphragmatic outline with increased cranial opacity, indicating displacement of gastrointestinal organs into the thoracic cavity, including the stomach, small intestine, and colon. The cat was diagnosed with diaphragmatic hernia. Prior to the surgical intervention, presurgical oxygenation was administered to stabilise the patient and reduce the risk of hypoxia. Surgery involved the repositioning of the abdominal organs and repair of the ruptured diaphragm. Postoperative care included intensive monitoring and administration of antibiotics and analgesics. After one week of recovery, the cat showed significant improvement, with healed surgical wounds and stable clinical conditions, and was discharged in good health.