A quilting subcutaneous suture pattern to reduce seroma formation and pain 24 hours after midline celiotomy in dogs: A randomized controlled trial

Travis, Blake M.; Hayes, Galina; Vissio, K.; Harvey, Hugh; Flanders, James A.; Sumner, Julia P.

doi:10.1111/vsu.12754

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…The most frequent complication found in our cases was seroma, which occurred in 18% of cases. To avoid this complication, we adopted the quilting suturing technique [38].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Nonmineralized Supraspinatus Tendinopathy in Dogs: A Retrospective Long-Term Follow-Up

Piras

Olimpo

Lafuente

et al. 2023

Animals

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(1) Background: two forms of supraspinatus tendinopathy (ST) have been reported in dogs: mineralized and non-mineralized. Surgical treatment consists of longitudinal incisions (splitting) in the tendon of insertion of the supraspinatus muscle. The purpose of this retrospective study is to describe the diagnostic workout, the surgical procedure and the short and long term follow up of dogs treated for non-mineralized ST. (2) Methods: medical records (2010–2017) of dogs diagnosed with non-mineralized ST that underwent surgical treatment were reviewed. Data retrieved were: signalment, history, clinical signs, orthopaedic examination findings, diagnostic imaging findings, surgical treatment, histopathologic diagnosis and clinical outcome. (3) Results: A total of 27 dogs met the inclusion criteria. The most consistent clinical findings were intermittent lameness accompanied by pain on palpation of the insertion of the supraspinatus. Magnetic resonance imaging (MRI) of 27 shoulders distended sheaths of the biceps tendon (10/27), compression of the biceps brachii tendon sheaths (5/27) and enlargement of the supraspinatus tendon (3/27) were observed. The most prominent histologic finding was severe myxomatous degeneration in all 27 samples. Resolution of lameness was achieved in 80% of the cases surgically treated without any further lameness episodes in the long-term follow-up. (4) Conclusions: the surgical splitting of the non-mineralized supraspinatus tendon is an effective procedure with no intra-operative complications and a low incidence of minor (18%) and major (4%) complications.

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“…The most frequent complication found in our cases was seroma, which occurred in 18% of cases. To avoid this complication, we adopted the quilting suturing technique [38].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Nonmineralized Supraspinatus Tendinopathy in Dogs: A Retrospective Long-Term Follow-Up

Piras

Olimpo

Lafuente

et al. 2023

Animals

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“…One side of the loop was cut near the knot to create a single long tag of suture. The surgeon then moved directly into a continuous pattern in the subcutaneous tissue occasionally tacking down to the rectus fascia [quilting pattern (42)], moving from the non-dominant hand toward the dominant hand. After the end of the incision was reached and the dead (A) Beginning of the body wall closure using the three-layer continuous closure method with barbed suture.…”

Section: Treatmentsmentioning

confidence: 99%

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

Shivley,

Brookshire,

Shealy

et al. 2024

Front. Vet. Sci.

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The primary objective of this study was to compare time efficiency and complication rates between smooth monofilament suture (SMS) and barbed suture (BS) using the three-layer continuous incisional closure pattern after ovariohysterectomy in a high-quality high-volume spay/neuter clinic. The study was designed as a randomized controlled trial enrolling 71 adult female dogs. Dogs were randomly assigned to SMS or BS treatments. The effect of closure with BS or SMS on closure time was tested through multilevel, multivariable linear regression in a generalized linear mixed model. Body condition score, weight, and pre-closure incision length were tested as covariates. Surgeon was included in the model as a random effect. Pre-closure incision length (p = 0.01) and method (p ≤ 0.0001) were associated with closure time. Adjusting for pre-closure incision length, the average time for closure with SMS was 6.5 min (range 3.70–10.31 min), and the average time for closure with BS was 4.91 min (range 3.05–8.05 min). Accounting for the closure method, the closure time increased by 39 s for each additional centimeter of incision length. BS was more efficient than SMS when performing the three-layer continuous suture pattern. No short-term telemedicine-assessed complications were noted with either treatment method. BS can improve efficiency in surgical closures, especially considering large volumes of animals, and appears to have a similar short-term, telemedicine-assessed complication rate when compared to SMS.

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“…Most suture materials perform well for closing the linea alba except for chromic gut whose tensile strength may not be maintained for a sufficient duration of time. A quilting subcutaneous suture pattern has been described to reduce seroma formation and pain and is recommended (Travis et al., 2018) (Fig 15). Skin sutures are generally avoided in shelter situations or in patients where suture removal would be challenging.…”

Section: Surgical Sterilisation In Dogs and Catsmentioning

confidence: 99%

WSAVAguidelines for the control of reproduction in dogs and cats

Romagnoli,

Krekeler,

de Cramer

et al. 2024

J of Small Animal Practice

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2.1.3.1.2. Prevention and treatment of complications associated with prescrotal orchiectomy in dogs 2.1.3.1.3. Scrotal orchiectomy in dogs 2.1.3.1.4. Orchiectomy in dogs with scrotal ablation 2.1.3.2. Orchiectomy in dogs with cryptorchid testes 2.1.3.2.1. Cryptorchidectomy of an extra-inguinal testis 2.1.3.2.2. Cryptorchidectomy of an inguinal testis 2.1.3.2.3. Ventral midline laparotomy for cryptorchidectomy of an intra-abdominal testis 2.1.3.2.4. Laparoscopic cryptorchidectomy in dogs 2.1.4. Male cats 2.1.4.1. Orchiectomy in cats with descended testes 2.1.4.1.1. Scrotal orchiectomy in cats 2.1.4.2. Orchiectomy in cats with cryptorchid testes 2.1.4.2.1. Cryptorchidectomy of an extra-inguinal testis 2.1.4.2.2. Cryptorchidectomy of an inguinal testis 2.1.4.2.3. Ventral midline laparotomy for cryptorchidectomy of an intra-abdominal testis 2.2. Surgical sterilisation of dogs and cats with preservation of gonadal hormones 2.

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A quilting subcutaneous suture pattern to reduce seroma formation and pain 24 hours after midline celiotomy in dogs: A randomized controlled trial

Abstract: Tacking the subcutaneous tissues to the deep fascia is indicated to reduce seroma during celiotomy closure.

Cited by 8 publications

References 17 publications

Surgical Treatment of Nonmineralized Supraspinatus Tendinopathy in Dogs: A Retrospective Long-Term Follow-Up

Surgical Treatment of Nonmineralized Supraspinatus Tendinopathy in Dogs: A Retrospective Long-Term Follow-Up

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

WSAVAguidelines for the control of reproduction in dogs and cats

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