Use of a Barbed Knotless Suture for Laparoscopic Ablation of the Nephrosplenic Space in 8 Horses

Albanese, Valeria; Hanson, R. Reid; McMaster, Mattie; Koehler, Jey W.; Caldwell, Fred

doi:10.1111/vsu.12520

Cited by 20 publications

(25 citation statements)

References 30 publications

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“…Absorbable suture material was used to close the rent of this mare, though a barbed suture, had it been available, may have simplified closure of the rent (Albanese et al . ; Gandini et al . ).…”

Section: Discussionmentioning

confidence: 98%

“…In the case reported here, and as reported by Sutter and Hardy, placement of the laparoscopcic portal in the right flank allowed adequate observation and closure of the mesoduodenal rent in this mare. Absorbable suture material was used to close the rent of this mare, though a barbed suture, had it been available, may have simplified closure of the rent (Albanese et al 2016;Gandini et al 2017).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Cypher

Blackford

Snowden

et al. 2018

Equine Veterinary Education

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Summary A 12‐year‐old Tennessee Walking Horse mare displaying signs of severe colic for 48 h was found during an exploratory celiotomy to have entrapment of a cranially displaced large colon and the caecum through a rent in the mesoduodenum. The entrapment was relieved, and 24 h later, the mesoduodenal rent was closed laparoscopically, with the mare standing. The owner reported 6 months later that the mare had displayed no signs of colic since being discharged from the hospital 11 days after surgery.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Cypher

Blackford

Snowden

et al. 2018

Equine Veterinary Education

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“…), ablation of the nephrosplenic space (Albanese et al . ; Gandini et al . ) and imbrication of the mesometrium (Corsalini et al .…”

Section: Discussionmentioning

confidence: 98%

“…In view of the preoperative clinical parameters, subjective quantity of haemoperitoneum and laparoscopic observation of continued haemorrhage from the splenic tear, a decision was taken to initiate a repair. The use of barbed, knotless suture has been previously described for laparoscopic procedures in the horse, including closure of the internal inguinal rings (Ragle et al 2013), ablation of the nephrosplenic space (Albanese et al 2016;Gandini et al 2017) and imbrication of the mesometrium (Corsalini et al 2016). The suture lends itself for those inexperienced with the skill of laparoscopic suturing as the preformed anchor loop at the end of the suture avoids the need for an initial intracorporeal knot.…”

Section: Discussionmentioning

confidence: 99%

Concurrent repair of a displaced rib fracture and splenic capsular tearing using laparoscopic technique in a standing horse with acute haemoperitoneum

O’Neill¹,

Ricardi²

2018

Equine Veterinary Education

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Summary Splenic trauma as a sequela to rib fracture is a recognised cause of haemoperitoneum in the horse. Although surgical repair to those areas damaged is advocated as the treatment of choice, information pertaining to the simultaneous repair of such sites is lacking. Additionally, the hypovolaemic case presents a separate anaesthetic challenge. This report is the first published description of a concurrent approach for a displaced rib fracture and an associated splenic capsular tear using laparoscopic technique in a standing sedated horse with acute haemoperitoneum. The rib fracture was reduced and stabilised using polyamide ties, and the splenic capsular tear repaired using intracorporeal suturing with knotless, unidirectional barbed suture. Total surgery time was 90 min and no complications were encountered during the procedure. The mare was discharged 6 days post‐operatively. Organ orientation in the standing case afforded excellent visibility to both the parietal surface of the spleen and fractured rib, and abolished the necessity for general anaesthesia.

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“…Another standing laparoscopic technique was described by Marien and others with improved visualization and post-operative cosmetic appearance, and less convalescence time and post-operative morbidity [6] [8]- [13]. This procedure, although now considered a standard, requires specialized equipment and training with a high learning curve for developing proficiency [14], mostly depending on developing specific laparoscopic experience [8]. Small diameter needles used for standard laparoscopic nephrosplenic space closure can cause tearing of the spleen during suturing [4] [9], and techniques using custom-made cannulas to accept needle holders and larger needles have been described [6] [8].…”

Section: Introductionmentioning

confidence: 99%

Closure of the Equine Nephrosplenic Space Using a Single LED Powered Trocar via Standing Mini-Laparotomy

Bussy¹,

Benredouane²,

Muñoz³

et al. 2019

OJVM

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Objective: To evaluate a technique using a custom-developed LED powered Single Port Trocar for closure of the nephrosplenic space via a standing mini-laparotomy. Design: Prospective case series. Animals: 60 client-owned horses with a history of nephrosplenic entrapment. Procedures: The nephrosplenic space was closed under direct visualization through a specifically designed LED powered Single Port Trocar in standing sedated horses having experienced recurrence or previous surgical correction of a nephrosplenic entrapment. Obliteration of the space was performed in a cranial to caudal direction in a simple continuous fashion. Time required for suturing the nephrosplenic space, as well as per and post-operative complications were recorded. Clients and referring veterinarians were asked to communicate any complication that occurred after discharge. Results: Surgical time ranged from 23 to 45 min. No complication except for self-limited spleen capsule bleeding occurred during the procedure. Minor wound discharge was noted in 2 cases, and another 2 horses developed post-surgical sweating patches close to the incision. All horses were allowed to progressively resume exercise, starting 1 month post discharge from the hospital. Cosmetic results were considered satisfactory and no recurrence of left dorsal displacement of the colon was reported post-surgery. Conclusions and clinical relevance: A Single Port LED powered Trocar is a technique that allows effective, fast, and safe closure of the nephrosplenic space in the standing horse with minimal instrumentation.

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Use of a Barbed Knotless Suture for Laparoscopic Ablation of the Nephrosplenic Space in 8 Horses

Abstract: The barbed knotless suture appears to be a valid alternative to facilitate laparoscopic closure of the nephrosplenic space in normal horses; however, further work is necessary to investigate its suitability in clinically affected horses.

Cited by 20 publications

References 30 publications

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Concurrent repair of a displaced rib fracture and splenic capsular tearing using laparoscopic technique in a standing horse with acute haemoperitoneum

Closure of the Equine Nephrosplenic Space Using a Single LED Powered Trocar via Standing Mini-Laparotomy

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