Effects of hyaluronate‐carboxymethylcellulose membranes on the clinical outcome of horses undergoing emergency exploratory celiotomy

Troy, Jarrod; Holcombe, Susan J.; Fogle, Callie; Epstein, Kira L.; Woodie, J. Brett

doi:10.1111/vsu.12777

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Use Of Ha‐cmc Membranes In Celiotomy1

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2023

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Cited by 3 publications

(1 citation statement)

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“…This study by Jarrod Troy and colleagues in the USA set out to determine the influence of hyaluronate‐carboxymethylcellulose (HA‐CMC) membranes applied to intestinal anastomoses or enterotomies on post‐operative complications after emergency exploratory celiotomy .…”

Section: Use Of Ha‐cmc Membranes In Celiotomymentioning

confidence: 99%

Highlights of recent clinically relevant papers

Wright¹

2018

Equine Veterinary Education

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Section: Use Of Ha‐cmc Membranes In Celiotomymentioning

confidence: 99%

Highlights of recent clinically relevant papers

Wright¹

2018

Equine Veterinary Education

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Colic Surgery

Aitken

2023

Veterinary Clinics of North America: Equine Practice

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Ex Vivo Comparison of a UV-Polymerizable Methacrylate Adhesive versus an Inverting Pattern as the Second Layer of a Two-Layer Hand-Sewn Jejunal Anastomosis in Horses: A Pilot Study

Lenoir

Perrin

Lepage

2021

Veterinary Medicine International

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Resection and anastomosis of small intestine during colic can lead to adhesions and recurrent colic. Several methods are available to reduce the rate of adhesions in the postoperative period, such as the use of serosal barriers. Surgical glues form a smooth surface, are fast to apply, and could reduce surgery time when performing anastomosis. A recently developed UV-polymerizable methacrylate adhesive (UV-PMA) is designed to anchor into the biological tissues’ top surface offering sealant and a smooth cover over the anastomosis site. This adhesive was used ex vivo on fifteen samples of equine jejunum as the second layer of a two-layer anastomosis (1L-UV-PMA group) and compared to a two-layer anastomosis (simple continuous pattern covered with a Cushing pattern; 2L-CT group), in terms of feasibility, bursting strength pressure (BSP), luminal diameter reduction (LDR), and time of construction. Data were analysed using a paired t-test or a chi2-test ( P < 0.05 ). The results showed no statistical difference in BSP, LDR, or any mode of failure between the two anastomosis types. However, the glue anastomosis formed a tunnel-like anastomosis and shredded under pressure, before apparition of leakage, preventing its usage in clinical cases with this methodology. It was concluded that modification of the technique is warranted before testing in clinical cases. A preprint of a former version of the manuscript is available on researchsquare.com, which was not conducted to print and publication after peer reviewing. Since then, the manuscript has been modified to this current version.

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Effects of hyaluronate‐carboxymethylcellulose membranes on the clinical outcome of horses undergoing emergency exploratory celiotomy

Abstract: The safety and efficacy of HA-CMC membrane application to intestinal sites during colic surgery in horses is equivocal.

Cited by 3 publications

References 41 publications

Highlights of recent clinically relevant papers

Highlights of recent clinically relevant papers

Colic Surgery

Ex Vivo Comparison of a UV-Polymerizable Methacrylate Adhesive versus an Inverting Pattern as the Second Layer of a Two-Layer Hand-Sewn Jejunal Anastomosis in Horses: A Pilot Study

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