A topographic anatomical study of the equine epiploic foramen and comparison with laparoscopic visualisation

Bergen, Thomas van; Doom, Marjan; Broeck, Wim Van Den; Wiemer, Peter; Clegg, Peter; Cornillie, Pieter; Martens, Ann

doi:10.1111/evj.12282

Cited by 16 publications

(33 citation statements)

References 7 publications

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“…Introduction of the diabolo-shaped mesh construct in the horses that were recovered from anaesthesia and had comparable EF dimensions was uneventful and resulted in complete closure of the EF with dense fibrous tissue after 1 month. In a previous anatomical study, the mean circumference of the EF in 30 normal horses was 11.6 AE 2.6 cm [14] which is comparable to the estimated median circumference of the EF of 11 cm in the pilot study and 12 cm in the main study of the present investigation.…”

Section: Discussionsupporting

confidence: 86%

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Foramen epiploicum mesh closure (FEMC) through a ventral midline laparotomy

Bergen

Rötting

Wiemer

et al. 2017

Equine Veterinary Journal

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Section: Discussionsupporting

confidence: 86%

“…The estimated median dimension of the EF was 3 (2-4) fingers corresponding to a median circumference of 12 (8)(9)(10)(11)(12)(13)(14)(15)(16) cm measured on the fingers of a 7.5 gloved surgeon.…”

Section: Main Studymentioning

confidence: 99%

Foramen epiploicum mesh closure (FEMC) through a ventral midline laparotomy

Bergen

Rötting

Wiemer

et al. 2017

Equine Veterinary Journal

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“…Subsequently the protected trocar was replaced by a 58 cm 30° laparoscope (Karl Storz GmbH, Tuttlingen, Germany). The region of the epiploic foramen was thoroughly inspected as described previously . Any changes in anatomy, inflammation, presence of scar tissue, or spontaneous closure of the epiploic foramen were recorded.…”

Section: Methodsmentioning

confidence: 99%

“…The omental vestibule is funnel shaped with 2 openings, a smaller one on the right side of the median plane, which is the epiploic foramen, and a larger one on the left side, which is the opening from the omental vestibule to the caudal recess of the omental bursa . It has been suggested that the funnel‐like configuration could be the reason for the predominant left‐to‐right epiploic foramen entrapment occurrence . Increased intra‐abdominal pressure during cribbing could be the reason for herniation through this structure in horses that crib …”

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confidence: 99%

Laparoscopic Evaluation of the Epiploic Foramen after Celiotomy for Epiploic Foramen Entrapment in the Horse

et al. 2016

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“…Vet. Zootec., v.70, n.6, p.1685-1690, 2018 por estruturas nobres, como pâncreas, fígado, veias porta e cava caudal, estômago e duodeno (Freeman e Pearn, 2015;Bergen et al, 2015). O forame epiploico comunica a bursa omental com a cavidade peritoneal (Vachon e Fischer, 1995;Schmid, 1997;Mueller et al, 2008;Freeman, 2012;Freeman e Pearn, 2015).…”

Section: Introdução unclassified

Encarceramento do intestino delgado em forame epiploico em equinos com hábito de aerofagia: relato de caso

Alonso

Watanabe

Rodrigues

et al. 2018

Arq. Bras. Med. Vet. Zootec.

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RESUMOSão relatados quatro casos de encarceramento de forame epiploico (EFE), entre os casos: três machos e uma fêmea; dois da raça Quarto de Milha, um SRD e um Brasileiro de Hipismo; idade média de 11 anos; altura média de cernelha de 160,5cm; massa corporal média de 465kg. Todos os animais possuíam o hábito de aerofagia. A presença de refluxo enterogástrico e intestino delgado distendido à palpação transretal foi variável na dependência do segmento intestinal aprisionado. À laparotomia exploratória constataram-se: dois casos de aprisionamento jejunoileal; um de jejuno; e o outro de íleo. Todos os animais apresentaram EFE da esquerda para a direita, representando o sentido horário. Apenas o animal que apresentava o íleo aprisionado sobreviveu; os demais foram submetidos à eutanásia no período transoperatório devido à extensa isquemia intestinal e às lesões vasculares decorrentes da manobra de redução. A aerofagia é o fator de risco que apresenta maior correlação positiva com o EFE, fato corroborado pelos casos apresentados. Apesar de ser descrito um bom prognóstico para o EFE na literatura, foi obtido um desfecho ruim entre os casos atendidos, e salienta-se que a extensão da lesão e o sangramento da veia porta no transoperatório contribuíram para esse resultado.Palavras-chave: aerofagia, cólica, cavalos, forame epiploico ABSTRACT Four cases of epiploic foramen entrapment (EFE) are reported. Among the cases, three males and one female, two Quarter Horses, one mixed breed and one Brazilian Equestrian, aged between 3 to 20 years, mean 11 years. The average height was 160.5cm and 465kg. All horses had a previous record of cribbiting habit. The presence of enterogastric reflux and small intestine distended loops in transrectal palpation was variable in dependence of the trapped segment. In surgical exploration were identified two cases of jejunum and ileum entrapped, one of the ileum and one of jejunum. All animals showed EFE from left to right. The horse that had trapped the ileum has survived. The others were euthanized due to the extent of injury or rupture of large vessels during surgical reduction. Although there are many notes of possible risk factors for EFE occurrence, cribbing is the risk factor that has the highest positive correlation with EFE. This appointment was confirmed by the cases presented. Despite being described a good prognosis for the EFE, a bad outcome was achieved among the cases, and stresses that the extent of the injury and bleeding from the portal vein contributed to this outcome. 7,7% dos casos cirúrgicos, 14 a 19% das lesões de intestino delgado e 2,1 a 8,4% entre todas as cólicas (Archer et al., 2004ab;Freeman, 2012).O forame epiploico apresenta 4-6cm de comprimento e está localizado na porção craniodorsal direita do abdômen; é delimitado http://dx.

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A topographic anatomical study of the equine epiploic foramen and comparison with laparoscopic visualisation

Abstract: Several clinically relevant structures delineate the epiploic foramen. Its defining structure consists, in part, of elastin fibres. Anatomical and laparoscopic knowledge may assist surgeons in developing interventions to treat diseases involving the epiploic foramen.

Cited by 16 publications

References 7 publications

Foramen epiploicum mesh closure (FEMC) through a ventral midline laparotomy

Foramen epiploicum mesh closure (FEMC) through a ventral midline laparotomy

Laparoscopic Evaluation of the Epiploic Foramen after Celiotomy for Epiploic Foramen Entrapment in the Horse

Encarceramento do intestino delgado em forame epiploico em equinos com hábito de aerofagia: relato de caso

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