Surgical approach and etiopathogenetic considerations to the umbilical tumefactions in cattle: Case review in twenty years (2000/2020)

Spadola, Filippo; Neve, Veronica Cristina; Costa, Giovanna Lucrezia; Musicò, M.; Spadaro, Angelo; Antoci, Francesco; Cavallo, Orazio; Cascone, Giuseppe

doi:10.1016/j.vas.2022.100258

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…Umbilical surgery can be successfully performed in swine with deep sedation and local or general anesthesia. The method chosen depends mainly on the operator’s preference, considering the size and temperament of the animal and the difficulty expected for the intervention [ 38 , 39 , 40 , 41 , 43 , 44 , 46 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our experience makes use of the success of the described technique, already applied for years in young cattle [ 40 , 44 ]. In fact, the idea of using an autologous prosthesis arose from a double consideration: the great stress to which the tissues are subjected, especially in large animals, which requires the application of a reinforcement that remains stable at least for the first 15 days of the postoperative period; the hernial sac, robust and well vascularized, provides excellent tissue compatibility and, thanks to the constant blood flow, ensures that there is always the presence of cellular defense and reaction elements, with the formation of a rigid and “adhesive” layer of fibrin.…”

Section: Discussionmentioning

confidence: 99%

“…After sedation, we measured and recorded the heart rate, non-invasive systolic pressure and hemoglobin saturation, using a multi-parametric monitor (AMI Italia srl, Leonardo model, Milan, Italy) and carrying out the count of thoracic excursions in one minute for respiratory rate [ 40 , 41 ]. A 20% increase in the heart rate, respiratory rate and systolic pressure variables compared to the values recorded after sedation, involved the administration of the rescue analgesic represented by boluses of Lidocaine 2% infiltrated in the surgical plans or administered via intraperitoneal splash [ 39 , 41 , 42 , 43 ].…”

Section: Methodsmentioning

confidence: 99%

“…Once the positioning was completed, the preoperative skin preparation was carried out, with the aim of eliminating dirt and surface microorganisms and reducing the resident microbial load to sub-pathogenic levels in a short time and with the least possible tissue irritation. The surgical preparation of the operating field was performed according to art [ 40 , 44 ]: extensive trichotomy of the umbilical region, skin cleansing with disinfectant solutions using alcohol and 10% iodopovidone (Betadine 10%, Viatris healthcare limited, Dublin, Ireland) at least 3 times for each type of disinfectant solution by making circular movements in the centrifugal direction, starting from the center of the trichotomized area towards the periphery, avoiding passing the swab over the areas already disinfected and taking care to change the gauze pads at each step.…”

Section: Methodsmentioning

confidence: 99%

“…At the end of the surgery, the animals were taken to a quiet awakening area to be kept under observation [ 40 , 44 ].…”

Section: Methodsmentioning

confidence: 99%

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Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine

Spadola

Neve

Interlandi

et al. 2022

Animals

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Background: Umbilical hernia is one of the most common developmental defects in swine, producing large economic losses for farmers, forced to slaughter animals at a younger age and therefore at a lower weight to prevent fatal complications. This study describes a surgical technique to repair umbilical hernia through the use of autologous prostheses, allowing recovery of the affected animals; Methods: After a general examination of the swine and examination of the lesions, the swine were anesthetized and underwent surgery. The surgery was performed by combining the traditional herniorrhaphy with the inclusion and fixation of a peritoneal flap obtained from the incision of the same hernial sac; Results: Follow-ups were carried out at 7, 30 and 60 days and demonstrated healing in all of the treated subjects; Conclusions: The use of this surgical technique allows for providing resistance to herniorrhaphy performed through the use of a cost-free autologous biomaterial prosthesis, with excellent tissue compatibility. This might allow for reducing significantly the rate of relapses and eliminating the risk of rejection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…At the end of the surgery, the animals were taken to a quiet awakening area to be kept under observation [ 40 , 44 ].…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine

Spadola

Neve

Interlandi

et al. 2022

Animals

Self Cite

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Clinical efficacy of electrosurgery and steel scalpel surgery for umbilical herniorrhaphy in bovine calves: A comparative analysis

Munif,

Islam,

Rahman

et al. 2025

Heliyon

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Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus

Silva,

Cardoso,

da Silva

et al. 2023

PLoS ONE

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Abdominal wall defects in calves are commonly diagnosed and treated via laparotomy. This technique has witnessed several advancements in the management of these disorders. This study aimed to create a study model and evaluate the feasibility of video-assisted percutaneous correction of abdominal wall defects in bovine fetuses (corpses) compared with the conventional technique. Sixteen bovine fetuses from pregnant cows slaughtered in slaughterhouses were included in this study. The fetuses were categorized into the control group (CG, n = 8), which was subjected to umbilical abdominorrhaphy via laparotomy, and the video-surgical group (VG, n = 8), which received video-assisted percutaneous sutures with two lateral accesses on the right flank. An abdominal wall defect was created in the VG group to generate a study model, which was corrected using the laparoscopic technique. The procedures were performed in two steps. The first step consisted of creating an abdominal wall defect in the umbilical region by laparoscopic approach in an iatrogenic manner (Step 1: E1). The second stage consisted of conventional abdominorrhaphy of the umbilical region wall defect in the CG group and video-assisted percutaneous suturing of the edges of the iatrogenic abdominal wall defect in the VG group, until reversal of the laparoscopic accesses (Step 2: E2). Step 1 showed no statistically significant difference between the two groups. However, a significant statistical difference (p < 0.0001) was observed between the two groups in step 2. The surgical time of step 2 was longer in the CG group (33.10 ± 0.43 minutes) than that in the VG group (10.13 ± 0.68 minutes, p < 0.0001), and the total surgical time was also longer in the CG group (38.48 ± 0.35 minutes) than that in the VG group (15.86 ± 0.67 minutes). The proposed laparoscopic technique allowed the creation of a study model for video-assisted percutaneous suturing with two portals and reduced the surgical time compared with the conventional technique. However, this method needs to be studied further in live animals.

show abstract

Surgical approach and etiopathogenetic considerations to the umbilical tumefactions in cattle: Case review in twenty years (2000/2020)

Cited by 6 publications

References 16 publications

Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine

Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine

Clinical efficacy of electrosurgery and steel scalpel surgery for umbilical herniorrhaphy in bovine calves: A comparative analysis

Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus

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