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Topic:Necropsy

Necropsy, also known as an autopsy, is a systematic examination of a horse's body after death to determine the cause of death and evaluate any disease or injury. This procedure involves a thorough assessment of the horse's organs and tissues, often including histopathological analysis to identify abnormalities at the microscopic level. Necropsy can provide valuable insights into equine health issues, contributing to a better understanding of disease processes, management practices, and potential preventive measures. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, findings, and implications of necropsy in equine veterinary science.
Prevalence, abundance and site distribution of equine small strongyles in Normandy, France.
Veterinary parasitology    November 26, 2002   Volume 110, Issue 1-2 77-83 doi: 10.1016/s0304-4017(02)00328-x
Collobert-Laugier C, Hoste H, Sevin C, Dorchies P.Forty-two horses from Normandy (France) were examined post-mortem for small strongyle infections from October to March. In the positive horses, total worm numbers ranged from 234 to 90,247 (mean 11,297). Encysted larvae represented the major part of the total cyathostome burdens with a high percentage (83%) being early third stage larvae. They were mostly recovered from the caecum (48%) and ventral colon (40%) and were less present in the dorsal colon (12%). Adult cyathostomes were mainly located in the ventral colon (64%) and less frequently in the dorsal colon (27%) and caecum (9%). Twenty s...
Cecal rupture by Anoplocephala perfoliata infection in a thoroughbred horse in Seoul Race Park, South Korea.
Journal of veterinary science    November 21, 2002   Volume 2, Issue 3 189-193 
Ryu SH, Bak UB, Kim JG, Yoon HJ, Seo HS, Kim JT, Park JY, Lee CW.A 7-year-old Thoroughbred horse was admitted to the Equine Hospital, Korea Racing Association with signs of colic. Based on the size of impactions, the clinical signs, the results of abdominal paracentesis and medical treatment, the prognosis was poor. The horse died 3 hours later following hopeless discharge. At necropsy, the caecum and large colon were fully filled with fecal contents and there was a rupture (10 cm in dia) in the latero- ventral caecum. The mucosa of the ileo-caecal and caeco- colic valves appeared to the hyperemic, edematous and ulcerous. There were many tapeworms in the af...
Serum fluoride concentrations, biochemical and histopathological changes associated with prolonged sevoflurane anaesthesia in horses.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    November 21, 2002   Volume 49, Issue 7 337-347 doi: 10.1046/j.1439-0442.2002.00462.x
Driessen B, Zarucco L, Steffey EP, McCullough C, Del Piero F, Melton L, Puschner B, Stover SM.The volatile anaesthetic sevoflurane is degraded to fluoride (F-) and a vinyl ether (Compound A), which have the potential to harm kidney and liver. Whether renal and hepatic injuries can occur in horses is unknown. Cardiopulmonary, biochemical and histopathological changes were studied in six healthy thoroughbred horses undergoing 18 h of low-flow sevoflurane anaesthesia. Serum F- concentrations were measured and clinical laboratory tests performed to assess hepatic and renal function before and during anaesthesia. Necropsy specimens of kidney and liver were harvested for microscopic examinat...
Alveolar fibrosis and changes in equine lung morphometry in response to intrapulmonary blood.
Equine veterinary journal. Supplement    October 31, 2002   Issue 34 451-458 doi: 10.1111/j.2042-3306.2002.tb05465.x
McKane SA, Slocombe RF.Necropsy studies of horses suffering exercise-induced pulmonary haemorrhage (EIPH) have identified mild inflammatory lesions with evidence of alveolar fibrosis and bronchiolitis. These lesions were thought to be the result of viral infections that predisposed the affected regions of the lung to EIPH. We have shown previously that during erythrophagocytosis in the alveolar space, there is a prolonged period of macrophage influx and activation. This present study used morphometric analysis to quantify the effects of macrophage activity during erythrophagocytosis, on the alveolar cell population ...
Sensitivity and specificity of western blot testing of cerebrospinal fluid and serum for diagnosis of equine protozoal myeloencephalitis in horses with and without neurologic abnormalities.
Journal of the American Veterinary Medical Association    October 9, 2002   Volume 221, Issue 7 1007-1013 doi: 10.2460/javma.2002.221.1007
Daft BM, Barr BC, Gardner IA, Read D, Bell W, Peyser KG, Ardans A, Kinde H, Morrow JK.To determine sensitivity and specificity of western blot testing (WBT) of CSF and serum for diagnosis of equine protozoal myeloencephalitis (EPM) in horses with and without neurologic abnormalities. Methods: Prospective investigation. Methods: 65 horses with and 169 horses without neurologic abnormalities. Methods: CSF and serum from horses submitted for necropsy were tested for Sarcocystis neurona-specific antibody with a WBT. Results of postmortem examination were used as the gold standard against which results of the WBT were compared. Results: Sensitivity of WBT of CSF was 87% for horses w...
Comparison of endoscopic, necropsy and histology scoring of equine gastric ulcers.
Equine veterinary journal    October 3, 2002   Volume 34, Issue 5 475-478 doi: 10.2746/042516402776117827
Andrews FM, Reinemeyer CR, McCracken MD, Blackford JT, Nadeau JA, Saabye L, Sötell M, Saxton A.Equine gastric ulcer syndrome (EGUS) represents a major health problem in performance horses. Much debate exists regarding endoscopic gastric ulcer scoring systems and their ability accurately to predict severity or depth of gastric ulcers. The purpose of this study was to evaluate the ability of an endoscopist to count gastric ulcers and predict gastric ulcer severity or depth using 2 endoscopic scoring systems and compare them to the same gastric ulcers see on necropsy and histopathology. Endoscopic examination of the stomach was performed under general anaesthesia on 23 mixed breed yearling...
Equine epitheliogenesis imperfecta in two american saddlebred foals is a lamina lucida defect.
Veterinary pathology    September 24, 2002   Volume 39, Issue 5 576-580 doi: 10.1354/vp.39-5-576
Lieto LD, Swerczek TW, Cothran EG.Necropsy of two American Saddlebred fillies diagnosed with epitheliogenesis imperfecta (EI) revealed missing patches of epithelium of the skin and oral mucosa as well as dental abnormalities. Examination of the digestive tract did not reveal signs of pyloric atresia in either foal. Histopathologic examination revealed separation of the epidermis from the dermis. In both foals a division within the lamina lucida of the basal lamina was observed by transmission electron microscopy. In comparison with an age-specific control, the ultrastructure of intact skin from the EI-affected foals showed abn...
One season of pasture exposure fails to induce a protective resistance to cyathostomes but increases numbers of hypobiotic third-stage larvae.
The Journal of parasitology    August 29, 2002   Volume 88, Issue 4 678-683 doi: 10.1645/0022-3395(2002)088[0678:OSOPEF]2.0.CO;2
Chapman MR, French DD, Taylor HW, Klei TR.The development of acquired resistance to cyathostome challenge after 1 season's exposure to a cyathostome-contaminated pasture was investigated using 17 parasite-naive ponies, which were 2-3 yr of age. These were divided into 3 groups: 1 to graze a cyathostome-contaminated pasture for 4 mo (exposed ponies), 1 to graze a "clean" pasture not previously grazed by parasitized animals (nonexposed ponies), and 1 group to remain in the barn under helminth-free conditions (parasite-free ponies). After pasture exposure all ponies were housed in stalls in the barn dewormed with ivermectin (200 microgra...
Intestinal spirochetosis in a 21-month-old thoroughbred colt.
The Journal of veterinary medical science    August 20, 2002   Volume 64, Issue 7 633-636 doi: 10.1292/jvms.64.633
Shibahara T, Kuwano A, Ueno T, Anzai T, Kuwamoto Y, Sato H, Maeda T, Ishikawa Y, Kadota K.A 21-month-old Thoroughbred colt showed continuous diarrhea and developmental retardation for 7 months, and was thereafter subjected to euthanasia for necropsy and laboratory examinations. At necropsy, the cecal and colonic mucosae were diffusely rough and hyperemic. Histopathologically, the mucosa and submucosa were edematous and were infiltrated by numerous lymphocytes and macrophages. Meanwhile, three morphological types of Brachyspira antigen-containing spirochetes were found to be numerous in the crypts and in the mucus layer over the epithelium in the cecal and colonic lesions. They were...
Hepatosplenic T-cell lymphoma in a mare.
Veterinary pathology    July 20, 2002   Volume 39, Issue 4 508-511 doi: 10.1354/vp.39-4-508
Roccabianca P, Paltrinieri S, Gallo E, Giuliani A.A 21-year-old Dutch crossbred mare was presented with a 1-month history of weight loss and weakness. Clinical evaluation revealed severe anemia and thrombocytopenia with evidence of hepatic disease and muscular damage. Necropsy findings included diaphragmatic rupture with an extensive retroperitoneal hematoma and severe hepatosplenomegaly. Microscopic findings were characterized by hepatic sinusoidal and splenic red pulp infiltration by atypical CD3-positive lymphocytes. No other nodal or extranodal sites were affected. Hepatosplenic lymphoma with a probable T-cell origin was diagnosed based o...
Mast cell and eosinophil mucosal responses in the large intestine of horses naturally infected with cyathostomes.
Veterinary parasitology    July 20, 2002   Volume 107, Issue 3 251-264 doi: 10.1016/s0304-4017(02)00119-x
Collobert-Laugier C, Hoste H, Sevin C, Chartier C, Dorchies P.From December 1998 to March 2000, caecum and ascendant colon of 42 horses naturally infected with cyathostomes were collected during routine necropsy or from a local slaughterhouse. Changes in the numbers of mucosal and submucosal mast cells (MMC and SMMC), intraepithelial, mucosal and submucosal eosinophils (IE, ME and SME) in the large intestine were investigated by histochemical techniques in relation to the worm burdens. The effect of age was examined in three subgroups: 6-24-month-old horses (group 1), 2-10-year-old horses (group 2) and horses more than 10 years of age (group 3). No globu...
[Hematogenous (suspected-)septic inflammation of the synovial fossa in the adult horse: rare but deceptive (3 case reports)].
Tijdschrift voor diergeneeskunde    July 5, 2002   Volume 127, Issue 12 382-385 
van den Boom R, Rijkenhuizen AB.Septic inflammation of the synovial fossa in the horse is a severe disorder that can lead to permanent invalidity. The synovitis can occur as a result of a perforating trauma, or via the blood (haematogenous). The latter route is rare in the adult horse. Three cases of suspected haematogenous septic synovitis are described in adult horses (older than 1 year). In two horses, timely and adequate treatment resulted in recovery, but this was followed by fatal recurrence. In one of these horses a persistent primary infection was found as cause; the other horse was not available for autopsy. The thi...
Metastatic lymphangiosarcoma in a horse.
Veterinary pathology    May 15, 2002   Volume 39, Issue 2 266-268 doi: 10.1354/vp.39-2-266
Sanchez B, Nieto A, de Ruiz Leon MA, Rodríguez J, Flores J.A lymphangiosarcoma with metastases was found in a horse that presented with respiratory distress and edema in the ventral thorax and abdomen. The necropsy revealed diffuse edema in the subcutaneous connective tissue. Mediastinal, mesenteric, iliac, and renal lymph nodes were enlarged and white with soft, yellowish necrotic areas. Histologic examination revealed numerous channels and disorganized vessels lined by large polyhedral, polymorphic cells. Tumor metastases were observed in the spleen, lungs, and kidneys. Immunohistochemical evaluation of the tumor cells demonstrated positive staining...
Primary epitheliotropic intestinal T-cell lymphoma in a horse. Pinkerton ME, Bailey KL, Thomas KK, Goetz TE, Valli VE.A 17-year-old Quarterhorse gelding with a clinical diagnosis of protein-losing enteropathy was submitted for necropsy following a 4-5-month duration of weight loss, decreased appetite, and hypoproteinemia. Gross findings included multiple 1-2-cm diameter ulcers on the luminal surfaces of the duodenum and ileum. Histologic examination revealed individual large, round cells infiltrating much of the mucosal epithelium of the duodenum, jejunum, ileum, and colon in addition to multifocal areas of ulceration. Similar round cells infiltrated Brunner's glands and expanded the submucosa beneath the foc...
Daily treatment of growing foals with equine somatotropin: pathologic and endocrinologic assessments at necropsy and residual effects in live animals.
Journal of animal science    March 8, 2002   Volume 80, Issue 2 392-400 doi: 10.2527/2002.802392x
Kulinski KM, Thompson DL, Capshaw EL, French DD, Oliver JL.This experiment assessed the effects of 12 mo of daily treatment of young horses with recombinant equine somatotropin (eST) on 1) carcass and internal organ traits at necropsy and 2) residual effects in live horses for 60 d after cessation of treatment. Seven horses received eST daily at 20 microg/kg BW; seven others received vehicle (controls). Four horses from each group were killed at the end of treatment. There were few effects of eST treatment on hematologic assessments or histopathologic evaluations of internal organs. Treatment with eST increased the weights of the right adrenal gland (...
Evaluation of laparoscopic adhesiolysis for the treatment of experimentally induced adhesions in pony foals.
American journal of veterinary research    February 15, 2002   Volume 63, Issue 2 289-294 doi: 10.2460/ajvr.2002.63.289
Bouré LP, Pearce SG, Kerr CL, Lansdowne JL, Martin CA, Hathway AL, Caswell JL.To assess the efficacy of laparoscopic adhesiolysis in the treatment of experimentally induced adhesions in foals. Methods: 8 healthy pony foals. Methods: Celiotomy was performed and adhesions created at the jejunoileal junction and at sites 0.5 and 1 m proximal to this junction, using a serosal abrasion method. Ten days after celiotomy, exploratory laparoscopy was performed. Laparoscopic adhesiolysis was performed in the treatment group only (4 foals, randomly selected). Thirty days after the exploratory laparoscopy, a final laparoscopic examination was performed, and the foals were euthanati...
Accidental monensin toxicosis in horses in Mozambique.
Journal of the South African Veterinary Association    January 29, 2002   Volume 72, Issue 3 163-164 doi: 10.4102/jsava.v72i3.641
Bila CG, Perreira CL, Gruys E.Horses on several farms in Mozambique were inadvertently fed with a concentrate containing 69 ppm monensin. The horses developed acute signs of toxicity and several died. The animals were depressed, anorectic and paretic before death. Epistaxis was observed in 1 case. Petechial haemorrhages were present in the muscles, heart, lungs, gastrointestinal tract and spleen in 3 horses necropsied. No significant histopathological cardiac and skeletal muscle lesions were seen, except in 1 case, in which there was focal loss of myofibrils.
An ovarian interstitial cell hamartoma in a newborn foal.
Journal of comparative pathology    January 19, 2002   Volume 125, Issue 4 322-325 doi: 10.1053/jcpa.2001.0511
Machida N, Tanaka Y, Taya K, Nakamura T.A case of congenital ovarian interstitial cell hamartoma in a thoroughbred foal that died of apparent nutritional myopathy (white-muscle disease) 14 h after birth is described. An incidental finding at necropsy was a pale brown, mushroom-shaped, pedunculated mass (6 x 4 x 3 cm) attached to the left ovary. On the cut surface, the mass had a peripheral rim of dense parenchyma (3-5 mm wide), surrounding a pale gelatinous core. Histologically, the mass consisted of a peripheral zone of densely packed large cells that were quite similar, morphologically, to fetal ovarian interstitial cells, and a c...
Handling forensic necropsy cases.
The Veterinary clinics of North America. Equine practice    January 10, 2002   Volume 17, Issue 3 411-418 doi: 10.1016/s0749-0739(17)30041-x
Johnson BJ.Immediately record the findings. A tape recorder would be excellent for this. If none is available, findings should be written down as soon as possible before memory of the examination fades. It is important to record comments on every organ that you examined. Three years from now in a court deposition, it may be difficult for the practitioner to remember if he looked at the adrenal glands or if there was no gross evidence of hyperplasia. When writing a report, it is a good idea to describe the tissue changes rather than just to give an interpretation. An example of the latter would be, "The h...
Seasonal transmission of gastrointestinal parasites of equids in southern Louisiana.
The Journal of parasitology    January 10, 2002   Volume 87, Issue 6 1371-1378 doi: 10.1645/0022-3395(2001)087[1371:STOGPO]2.0.CO;2
Chapman MR, French DD, Klei TR.Parasite-naive pony foals were used as sentinels to monitor transmission of gastrointestinal parasites of equids in Louisiana during 4 seasons of the year. Two annual periods were studied, 1988-1989 and 1992-1993. Two or 3 foals each season were turned out to graze a contaminated pasture along with resident parasitized mares and their foals. After a grazing period of 8 wk, sentinel ponies were held in a parasite-free box stall for a period of 6 wk to allow parasites to develop, thus enhancing the evaluation of hypobiotic stages. Following this holding period, necropsies were performed for comp...
Cervical stenotic myelopathy in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    January 5, 2002   Volume 42, Issue 12 943-944 
Mackie MK.A 13-year-old, Thoroughbred gelding presented with a 3-year history of progressive ataxia of all 4 limbs. Physical and neurological examinations indicated a compressive lesion affecting the cervical spinal cord. Radiographs confirmed a lesion, and a myelogram a narrowing of the spinal canal at cervical vertebrae (6-7). Necropsy confirmed cervical stenotic myelopathy.
Histoplasmosis in the lung of a race horse with yersiniosis.
The Journal of veterinary medical science    January 5, 2002   Volume 63, Issue 11 1229-1231 doi: 10.1292/jvms.63.1229
Katayama Y, Kuwano A, Yoshihara T.A 4-year-old female thoroughbred race horse died of acute peritonitis caused by necrotizing granulomatous duodenitis. Yersinia enterocolitica was immunohistochemically demonstrated in macrophages in granulomas developed in the duodenum, lung, liver and abdominal lymph nodes. The yeast-like fungi were found in the cytoplasmic vacuoles of macrophages in the lung that infiltrated into the granulomas and surrounding alveoli with congestive edema. The yeast-like fungi were positively stained by Gomori-Grocott chromic acid methenamine silver stain and immuno-histochemically stained with anti-histopl...
World association for the advancement of veterinary parasitology (WAAVP): second edition of guidelines for evaluating the efficacy of equine anthelmintics.
Veterinary parasitology    December 26, 2001   Volume 103, Issue 1-2 1-18 doi: 10.1016/s0304-4017(01)00574-x
Duncan JL, Abbott EM, Arundel JH, Eysker M, Klei TR, Krecek RC, Lyons ET, Reinemeyer C, Slocombe JO.These guidelines have been designed to assist in the planning, operation and interpretation of studies which would serve to assess the efficacy of drugs against internal parasites of horses. Although the term anthelmintic is used in the title and text, these guidelines include studies on drug efficacy against larvae of horse bot flies, Gasterophilus spp., which are non-helminth parasites commonly occurring in the stomach of horses. The advantages, disadvantages and application of critical and controlled tests are presented. Information is also provided on selection of animals, housing, feed, d...
Gastrointestinal stromal tumors in equids.
Veterinary pathology    December 6, 2001   Volume 38, Issue 6 689-697 doi: 10.1354/vp.38-6-689
Del Piero F, Summers BA, Cummings JF, Mandelli G, Blomme EA.Eleven gastrointestinal neoplasms from 10 aged horses and 1 pony were examined grossly, his tologically, immunohistochemically, and (in two cases) ultrastructurally. Clinical signs were associated with two neoplasms, and the other nine tumors were incidental findings at laparotomy or necropsy. The neoplasms were solitary (9/11) or multifocal (2/11), well demarcated, serosal or mural masses of stomach (1), jejunum (1), ileum (3), cecum (5), and/or colon (2). Microscopic examination revealed discrete spindle cells arranged in compact patterns with fascicles and whorls or cribriform pattern with ...
Severe complication after administration of formalin for treatment of progressive ethmoidal hematoma in a horse.
Journal of the American Veterinary Medical Association    October 17, 2001   Volume 219, Issue 7 950-939 doi: 10.2460/javma.2001.219.950
Frees KE, Gaughan EM, Lillich JD, Cox J, Gorondy D, Nietfeld JC, Kennedy GA, Cash W.Formalin was injected into an ethmoidal hematoma in an 18-year-old Arabian gelding. Abnormal neurologic signs were observed within minutes of the injection. The horse did not respond favorably to medical treatment of the neurologic signs and was euthanatized. Postmortem examination revealed erosion and necrosis of the ventral cribriform plate, which appeared to have allowed the injected formalin to reach the rostral portion of the frontal lobe of the brain. Endoscopy and radiography had been performed prior to euthanasia, but neither delineated the cribriform lesion. Before treating large prog...
Effects of intra-articular injections of bufexamac suspension in healthy horses.
American journal of veterinary research    October 11, 2001   Volume 62, Issue 10 1629-1635 doi: 10.2460/ajvr.2001.62.1629
Suominen MM, Tulamo RM, Anttila MO, Sankari SM, Király K, Lapveteläinen T, Helminen HJ.To evaluate the effects of intra-articular (IA) injections of bufexamac in horses, focusing particularly on the effects of bufexamac on articular cartilage. Methods: 20 Standardbreds. Methods: Horses were randomly allocated into 4 groups consisting of 5 horses each, and 20, 60, or 100 mg of bufexamac or 1 ml of sterile saline (0.9% NaCl) solution (control) was injected into 1 intercarpal joint at weekly intervals for 6 treatments (days 0, 7, 14, 21, 28, and 35). Clinical signs and results of hematologic, serum biochemical, and synovial fluid (SF) analyses and radiography were used to evaluate ...
Disseminated metastatic intramedullary melanoma in an aged grey horse.
Journal of comparative pathology    October 2, 2001   Volume 125, Issue 2-3 204-207 doi: 10.1053/jcpa.2001.0481
Patterson-Kane JC, Sanchez LC, Uhl EW, Edens LM.A 12-year-old grey Warmblood stallion presented with fever of unknown origin, and anaemia. Five days later it had developed ataxia and become recumbent, and was humanely killed. At necropsy, malignant melanomas were identified in the perineal subcutis, spleen, and thoracic vertebral canal (T10-11). Populations of malignant melanoma cells were scattered throughout medullary cavities of the axial and appendicular skeleton, and were identified grossly as irregular areas of black to grey discoloration. To the authors' knowledge, this is the first report of disseminated intramedullary melanoma in a...
Radiculomeningomyelitis due to Halicephalobus gingivalis in a horse.
Veterinary pathology    September 27, 2001   Volume 38, Issue 5 559-561 doi: 10.1354/vp.38-5-559
Johnson JS, Hibler CP, Tillotson KM, Mason GL.An adult horse was euthanatized following a clinical diagnosis of cauda equina neuritis. Significant gross postmortem and histopathologic findings were limited to the sacral spinal cord and cauda equina. The sacral spinal cord, meninges, and spinal nerve roots were expanded and partially effaced by sclerosing granulomatous inflammation with necrosis. The lesion contained numerous nematode larvae and fewer adults with a rhabditiform esophagus having a corpus, isthmus, and valved bulb. Female nematodes were amphidelphic and didelphic with reflexed ovaries. These morphologic features confirm Hali...
Plasma and bronchoalveolar fluid concentrations of nitric oxide and localization of nitric oxide synthesis in the lungs of horses with summer pasture-associated obstructive pulmonary disease.
American journal of veterinary research    September 19, 2001   Volume 62, Issue 9 1381-1386 doi: 10.2460/ajvr.2001.62.1381
Costa LR, Seahorn TL, Moore RM, Oliver JL, Hosgood GL.To determine concentrations of nitric oxide (NO) in plasma and bronchoalveolar lavage fluid (BALF) and localize nitric oxide synthesis in the lungs of horses with summer pasture-associated obstructive pulmonary disease (SPAOPD). Methods: 7 adult horses with SPAOPD and 6 clinically normal adult horses. Methods: Severity of SPAOPD was determined by use of clinical scores, change in intrapleural pressure (APpl) during tidal breathing, cytologic analysis of BALF, and histologic evaluation of lung specimens obtained during necropsy. Nitric oxide concentrations in plasma, BALF and epithelial lining ...
Laparoscopic surgical technique for repair of rectal and colonic tears in horses: an experimental study.
Veterinary surgery : VS    September 14, 2001   Volume 30, Issue 5 409-416 doi: 10.1053/jvet.2001.25864
Brugmans F, Deegen E.To determine the efficacy of laparoscopic surgical techniques for repair of rectal lacerations in horses. Methods: Experimental study. Methods: Thirty-two segments of equine bowel placed in an equine pelvitrainer, 8 equine cadavers, and 3 normal horses. Methods: In experiment 1, 3 laparoscopic intestinal-repair techniques were evaluated in an equine pelvitrainer: suturing with needle holders, with an automatic suture device, and stapling with a hernia stapler. In experiment 2, descending colon lacerations were sutured laparoscopically using needle holders in a pelvitrainer and in equine cadave...
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