Laparoscopic Uteropexy (Mesometrium Imbrication) in Three Mares Using a Barbed Suture

Corsalini, Jacopo; Gialletti, Rodolfo; Lotto, E.; Nannarone, Sara

doi:10.1016/j.jevs.2016.02.236

Cited by 13 publications

(18 citation statements)

References 11 publications

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“…Barbed sutures have recently been examined ex vivo in equine bladders, in vitro in equine jejunum, and in vitro in equine linea alba . They have also been evaluated laparoscopically for inguinal ring closure, ablation of the nephrosplenic space, and uteropexy . To the best of the authors’ knowledge, there is no information regarding their use in the equine large colon.…”

Section: Introductionmentioning

confidence: 99%

“…15 They have also been evaluated laparoscopically for inguinal ring closure, 16 ablation of the nephrosplenic space, 17 and uteropexy. 18 To the best of the authors' knowledge, there is no information regarding their use in the equine large colon. Because of the previously discussed potential benefits, a barbed suture may have clinical applicability in EPF closure.…”

Section: Introductionmentioning

confidence: 99%

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Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses

et al. 2019

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Objective To evaluate two different barbed sutures for closure of pelvic flexure enterotomies and compare results achieved with two previously described closure techniques. Study design Ex vivo. Sample population Twenty‐four fresh cadaver adult equine large colons. Methods Cadavers were randomly assigned to four closure groups (n = 6 each group): single‐layer absorbable suture, double‐layer absorbable suture, single‐layer unidirectional barbed suture, or single‐layer bidirectional barbed suture. Construction time, luminal reduction (percentage), bursting pressure, and method of failure were measured. Cost, leakage, exposed suture, and general appearance were recorded. Comparisons were performed with one‐way analysis of variance and post hoc Bonferroni test (P < .05). Results Double‐layer absorbable closure had the highest bursting pressure (mean = 178.5 mm Hg, SD = 9.79, P < .001) but took more time (P = .001) compared with all other groups. The construction time of both barbed suture closures did not differ from the single‐layer closure (P > .06). Bursting strengths of both unidirectional (mean = 91.6 mm Hg, SD = 5.57) and bidirectional (mean = 87.5 mm Hg, SD = 8.69) barbed sutures were lower (P > .006 for both) than those of both single‐ (mean = 117.6 mm Hg, SD = 11.69) and double‐layer (mean = 178.5 mm Hg, SD = 9.79) closures. Unidirectional barbed suture closure had a reduction in lumen diameter (P = .004) compared with bidirectional and single‐layer closures. Conclusion Enterotomy closures with the two different barbed suture patterns were comparable in bursting strength and construction time. However, the barbed suture patterns had lower bursting strength compared with traditional single‐ and double‐layer closures. Unidirectional barbed suture closure also reduced lumen diameter. Clinical significance Closure of a large colon enterotomy with barbed suture patterns may be less secure than single‐ and double‐layer suture closure.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses

et al. 2019

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“…) and imbrication of the mesometrium (Corsalini et al . ). 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: 97%

“…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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“…For the purposes of mesentery reattachment, it was considered that suturing would be necessary given the need to engage the intestinal serosa for complete apposition. 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%

Hand‐assisted laparoscopic reattachment of a mesoduodenojejunal defect in a broodmare

O’Neill¹

2019

Equine Veterinary Education

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Summary In this report, a jejunal entrapment through a presumptive chronic mesenteric defect extending over approximately 20 cm of the duodenojejunal region was found as a cause of acute onset colic in a multiparous broodmare. Mesenteric reattachment during the initial exploratory laparotomy was deemed unsafe given the majority of the avulsion could only be palpated deep within the abdomen. Following recovery and an uneventful parturition 12 days later, the mare returned 18 days post‐foaling for attempted, standing laparoscopic reattachment of the mesentery. The procedure was converted to a hand‐assisted technique and reattachment completed using a mechanical suturing device and knotless, unidirectional barbed suture. The mare was discharged 3 days post‐operatively, bred 28 days following discharge and a singleton pregnancy confirmed 15 days post‐ovulation and 46 days following laparoscopy. There were no signs of abdominal discomfort noted in the first 8 months following surgery. In summary, a standing, right‐sided hand‐assisted laparoscopic approach provided effective visibility to the mesoduodenojejunal region.

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Laparoscopic Uteropexy (Mesometrium Imbrication) in Three Mares Using a Barbed Suture

Cited by 13 publications

References 11 publications

Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses

Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses

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

Hand‐assisted laparoscopic reattachment of a mesoduodenojejunal defect in a broodmare

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