A pilot study evaluating laparoscopic closure of the nephrosplenic space using an endoscopic suturing device in standing horses.
Abstract: This study evaluated the use of an articulating automated suturing device for laparoscopic closure of the nephrosplenic space in standing horses. Closure of the nephrosplenic space was performed in 4 horses using an automated suturing device. Second-look laparoscopy was performed at 5 weeks. A smooth fibrous adhesion formed between the spleen, the perirenal fascia, and the nephrosplenic ligament in 3 of the 4 horses in which the nephrosplenic space was closed using the automated suturing device. In 1 horse, closure of the nephrosplenic space was not possible due to constant breakage of the endoscopic needle. Intra-operative complications encountered with the automated suturing device were tearing of the perirenal fascia, nephrosplenic ligament, and dorsal splenic capsule along with breakage of the needle. The automated suturing device used in this study for laparoscopic closure of the nephrosplenic space resulted in longer surgery times, suffered instrument failures and delivered inadequate suture. Cette étude a évalué l’utilisation d’un appareil articulé et automatisé de suture pour la fermeture laparascopique de l’espace néhrosplénique chez les chevaux debout. La fermeture de l’espace néphrosplénique a été réalisée chez 4 chevaux à l’aide d’un appareil de suture automatisé. Une laparascopie de second regard a été réalisée à 5 semaines. Une adhésion fibreuse lisse s’était formée entre la rate, le fascia périrénal et le ligament néphrosplénique chez 3 des 4 chevaux pour lesquels l’espace néphrosplénique avait été fermé à l’aide de l’appareil de suture automatisé. Chez un cheval, la fermeture de l’espace néphrosplénique n’avait pas été possible en raison de bris constant de l’aiguille endoscopique. Des complications peropératoires avec l’appareil de suture automatisé déchiraient le fascia périrénal, le ligament néphrosplénique et la capsule splénique dorsale et l’aiguille se brisait. L’appareil de suture automatisé utilisé dans cette étude pour la fermeture laparascopique de l’espace néphrosplénique a donné lieu à des temps de chirurgie plus longs, à des défaillances de l’instrument et à des sutures inadéquates.(Traduit par Isabelle Vallières).
Publication Date: 2016-06-02 PubMed ID: 27247467PubMed Central: PMC4866674
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- Evaluation Study
- Journal Article
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Complications
- Diagnostic Technique
- Disease Treatment
- Equine Diseases
- Equine Health
- Horses
- In Vivo
- Laparotomy
- Minimally Invasive Surgery
- Post-Operative Period
- Surgery
- Suture
- Veterinary Care
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
- Veterinary Research
Summary
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This research tested the utility and effectiveness of an automatic suturing device for a laparoscopic procedure in standing horses to close the nephrosplenic space. However, complications and inefficiencies were encountered during operation, calling into question its usefulness.
Research Methodology and Findings
- The pilot study involved a laparoscopic closure of the nephrosplenic space in four live horses utilizing an automatic suturing device.
- A “second look” laparoscopy was performed five weeks post-procedure to assess the outcomes. In three out of four horses, a smooth, fibrous adhesion had formed between the spleen, perirenal fascia, and nephrosplenic ligament, indicating a successful closure of the nephrosplenic space.
- However, the procedure was unsuccessful in one horse due to constant breakage of the endoscopic needle, an integral part of the suturing device.
Complications Encountered
- Complications during surgery were encountered majorly due to the automated suturing device.
- These complications constituted physical damage to the perirenal fascia, nephrosplenic ligament, dorsal splenic capsule, and needle breakage.
- The research suggested that these complications resulted from using the automated suturing device, elongating the duration of the surgery, and delivering inadequate sutures.
Conclusion
- The study concluded that while an automated suturing device could successfully facilitate laparoscopic closure of the nephrosplenic space in horses, there were significant complications associated with the device.
- The use of this device also led to longer surgical procedure times, instrument failures, and insufficient sutures, indicating that it may not be the most effective tool for this specific procedure.
The findings from this pilot study suggest a need for improvement in the design of automated suturing devices for laparoscopic use in horses. More robust and extensive clinical studies might be beneficial to gain a better understanding of the specific issues and potential modifications needed.
Cite This Article
APA
Bracamonte JL, Duke-Novakovski T.
(2016).
A pilot study evaluating laparoscopic closure of the nephrosplenic space using an endoscopic suturing device in standing horses.
Can Vet J, 57(6), 651-654.
Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences (Bracamonte), and Department of Small Animal Clinical Sciences (Duke-Novakovski), University of Saskatchewan, Saskatoon, Saskatchewan S7N 5B4.
- Department of Large Animal Clinical Sciences (Bracamonte), and Department of Small Animal Clinical Sciences (Duke-Novakovski), University of Saskatchewan, Saskatoon, Saskatchewan S7N 5B4.
MeSH Terms
- Abdominal Wall / surgery
- Animals
- Female
- Horses / surgery
- Kidney / surgery
- Laparoscopy / methods
- Laparoscopy / veterinary
- Male
- Pilot Projects
- Spleen / surgery
- Suture Techniques / instrumentation
- Suture Techniques / veterinary
References
This article includes 11 references
- Rakestraw PC, Hardy J. Large intestine. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St Louis, Missouri: Saunders Elsevier; 2012. pp. 454–493.
- Huskamp B, Kopf N. [Displacement of the ascending colon into the spleen-kidney space in the horse (2). Hernia spatii lienorenalis coli ascendentis].. Tierarztl Prax 1980;8(4):495-506.
- Baird AN, Cohen ND, Taylor TS, Watkins JP, Schumacher J. Renosplenic entrapment of the large colon in horses: 57 cases (1983-1988).. J Am Vet Med Assoc 1991 Apr 15;198(8):1423-6.
- Röcken M, Schubert C, Mosel G, Litzke LF. Indications, surgical technique, and long-term experience with laparoscopic closure of the nephrosplenic space in standing horses.. Vet Surg 2005 Nov-Dec;34(6):637-41.
- Mariën T, Adriaenssen A, Hoeck FV, Segers L. Laparoscopic closure of the renosplenic space in standing horses.. Vet Surg 2001 Nov-Dec;30(6):559-63.
- Adams JB, Schulam PG, Moore RG, Partin AW, Kavoussi LR. New laparoscopic suturing device: initial clinical experience.. Urology 1995 Aug;46(2):242-5.
- Hart S. The benefits of automated suturing devices in gynecologic endoscopic surgeries: the Endo Stitch and SILS Stitch.. Surg Technol Int 2012 Dec;22:159-64.
- Nguyen NT, Mayer KL, Bold RJ, Larson M, Foster S, Ho HS, Wolfe BM. Laparoscopic suturing evaluation among surgical residents.. J Surg Res 2000 Sep;93(1):133-6.
- Farstvedt E, Hendrickson D. Laparoscopic closure of the nephrosplenic space for prevention of recurrent nephrosplenic entrapment of the ascending colon.. Vet Surg 2005 Nov-Dec;34(6):642-5.
- Muňoz J, Bussy C. Standing hand-assisted laparoscopic treatment of left dorsal displacement of the large colon and closure of the nephrosplenic space.. Vet Surg 2013 Jun;42(5):595-9.
- Stringer NH. Laparoscopic myomectomy with the endo stitch 10-mm laparoscopic suturing device.. J Am Assoc Gynecol Laparosc 1996 Feb;3(2):299-303.
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