Comparison of Mesh and Barbed Suture for Laparoscopic Nephrosplenic Space Ablation in Horses.
Abstract: Nephrosplenic space (NSS) ablation has been demonstrated to be an effective technique for prevention of left dorsal displacement of the large colon and multiple laparoscopic techniques, among which ablation with mesh or with a barbed suture, have been proposed. Our objective was to compare two laparoscopic techniques for closure of the NSS in twenty-eight horses diagnosed with nephrosplenic entrapment. Medical records of horses that had laparoscopic NSS ablation in two referral centers between 2017-2019 were retrieved. Duration of surgery, complications, and short- and long-term follow-up information were collected and compared. Costs were also calculated and compared. All horses met the inclusion criteria: 9 had NSS ablation with a mesh implant (group M), 19 with barbed suture material (group B). One horse in group B had recurrent colic after discharge. At control laparoscopy after 5 months, the NSS resulted in still not being ablated because of a failure of the suture. In group M, three horses had recurrent colic. One was successfully treated medically, one died of unknown causes and the third required a second laparoscopic suturing at 3-6 months because of failure of the mesh implant. The mean time of surgery and costs were lower in group B compared to group M. The barbed suture technique was faster, more cost-effective and had a lower complication rate than the mesh implant.
Publication Date: 2021-04-12 PubMed ID: 33921312PubMed Central: PMC8069580DOI: 10.3390/ani11041096Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research examines and compares two laparoscopic techniques – mesh and barbed suture – used for the closure of the Nephrosplenic space (NSS) in horses diagnosed with nephrosplenic entrapment. The study found the barbed suture technique to be faster, more cost-effective, and with a lower complication rate than the mesh implant.
Research Objective and Methods
- The goal of the study was to compare two laparoscopic methods (mesh and barbed suture) for closing the Nephrosplenic space (NSS), an operation done to prevent left dorsal displacement of a horse’s large colon, a potentially harmful condition.
- The research team reviewed the medical records of 28 horses that had undergone laparoscopic NSS ablation in two referral centers between 2017-2019.
- Information was collected about the duration of surgery, complications encountered, and follow-up data in the short and long term. Monetary costs for the procedures were also calculated and compared.
Primary Findings
- All 28 horses met the inclusion criteria. Of these horses, 9 underwent NSS ablation via a mesh implant (group M) and 19 used barbed suture material (group B).
- In group M, three horses experienced recurrent colic after the operation. Treatments varied between cases, including successful medical treatment, death from unknown causes, and one requiring a second laparoscopic suturing due to failure of the mesh implant.
- In group B, only one horse displayed recurring colic post-surgery. Upon inspection five months later, it transpired the NSS had not been effectively ablated due to a failure in the suturing process.
Conclusion and Implications
- The findings revealed that barbed suture-laparoscopic technique has a lower complication rate, shorter surgery time, and is more cost-effective than its mesh counterpart.
- Where speed, efficiency, and low-complication rates are valued in a surgical context, particularly where animal care is concerned, the barbed suture method demonstrates superior performance over the mesh technique.
- The research is significant as it provides empirical evidence to guide veterinarians’ choice of an effective and relatively economical surgical method for cases of equine nephrosplenic entrapment.
Cite This Article
APA
Gialletti R, Nannarone S, Gandini M, Cerullo A, Bertoletti A, Scilimati N, Giusto G.
(2021).
Comparison of Mesh and Barbed Suture for Laparoscopic Nephrosplenic Space Ablation in Horses.
Animals (Basel), 11(4).
https://doi.org/10.3390/ani11041096 Publication
Researcher Affiliations
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
- Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.
- Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
- Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 21 references
- Albanese V, Hanson R.R, McMaster M.A, Koehler J.W, Caldwell F.J. Use of a Barbed Knotless Suture for Laparoscopic Ablation of the Nephrosplenic Space in 8 Horses. Vet. Surg. 2016;45:824–830.
- Arévalo Rodríguez J.M, Grulke S, Salciccia A, de la Rebière de Pouyade G. Nephrosplenic space closure significantly decreases recurrent colic in horses: A retrospective analysis. Vet. Rec. 2019;185:657.
- Spagnolo J.D, Castro L.M, Corrêa R.R, Garcia Filho S.G, Ambrósio A.M, Baccarin R.Y.A, Hagen S.C.F, de Sá L.M, Silva L.C.L.C. Nephrosplenic Space Ablation in Horses After Homologous Pericardium Implant Using a Laparoscopic Stapler. J. Equine Vet. Sci. 2020;95:103275.
- Krueger C.R, Klohnen A. Surgical correction of nephrosplenic entrapment of the large colon in 3 horses via standing left flank laparotomy. Vet. Surg. 2015;44:392–397.
- Nelson B.B, Ruple-Czerniak A.A, Hendrickson D.A, Hackett E.S. Laparoscopic Closure of the Nephrosplenic Space in Horses with Nephrosplenic Colonic Entrapment: Factors Associated with Survival and Colic Recurrence. Vet. Surg. 2016;45:60–69.
- Gandini M, Nannarone S, Giusto G, Pepe M, Comino F, Caramello V, Gialletti R. Laparoscopic nephrosplenic space ablation with barbed suture in eight horses. J. Am. Vet. Med. Assoc. 2017;250:431–436.
- Klohnen A. Evaluation of horses with signs of acute and chronic abdominal pain. In: Ragle C.A., editor. Advances in Equine Laparoscopy. Wiley-Blackwell; Hoboken, NJ, USA: 2012. pp. 103–105.
- Röcken M, Schubert C, Mosel G, Litzke L.F. Indications, surgical technique, and long-term experience with laparoscopic closure of the nephrosplenic space in standing horses. Vet. Surg. 2005;34:637–641.
- Zekas L.J, Ramirez S, Brown M.P. Ablation of the nephrosplenic space for treatment of recurring left dorsal displacement of the large colon in a racehorse. J. Am. Vet. Med. Assoc. 1999;214:1361-3.
- Burke M.J, Parente E.J. Prosthetic Mesh for Obliteration of the Nephrosplenic Space in Horses: 26 Clinical Cases. Vet. Surg. 2016;45:201–207.
- Blikslager A.T., White N., Moore J.N., Mair T.S. The Equine Acute Abdomen. 3rd ed. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2017. Specific Diseases of the Ascending Colon; p. 757. Chapter 54.
- Epstein K.L., Fehr J. Colic Surgery. In: Southwood L.L., editor. Practical Guide to Equine Colic. Wiley-Blackwell; Hoboken, NJ, USA: 2013. pp. 173–203.
- Corsalini J, Gialletti R, Lotto E, Nannarone S. Laparoscopic Uteropexy (Mesometrium Imbrication) in Three Mares Using a Barbed Suture. J. Equine Vet. Sci. 2016;40:102–105.
- Gandini M. How effective is surgical closure of the nephrosplenic space in preventing recurrent colic in horses?. Vet. Rec. 2019;185:655–656.
- 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;42:595–599.
- Epstein K.L, Parente E.J. Laparoscopic obliteration of the nephrosplenic space using polypropylene mesh in five horses. Vet. Surg. 2006;35:431–437.
- Halm J.A, de Wall L.L, Steyerberg E.W, Jeekel J, Lange J.F. Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J. Surg. 2007;31:423–430.
- Matthews B.D, Pratt B.L, Pollinger H.S, Backus C.L, Kercher K.W, Sing R.F, Heniford B.T. Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J. Surg. Res. 2003;114:126–132.
- Gys B, Gys T, Lafullarde T. The Use of Unidirectional Knotless Barbed Suture for Enterotomy Closure in Roux-en-Y Gastric Bypass: A Randomized Comparative Study. Obes. Surg. 2017;27:2159–2163.
- Fischer A.T., Jr. Equine Diagnostic and Surgical Laparoscopy. W.B. Saunders Company; Philadelphia, PA, USA: 2002.
- Farstvedt E, Hendrickson D. Laparoscopic closure of the nephrosplenic space for prevention of recurrent nephrosplenic entrapment of the ascending colon. Vet. Surg. 2005;34:642–645.
Citations
This article has been cited 1 times.- Vázquez FJ, Argüelles D, Muñoz JA, Genton M, Méndez Angulo JL, Climent F, Roquet I, Iglesias M, Velloso Álvarez A, Vitoria A, Bulnes F, Saitua A, Romero A, Ezquerra J, Prades M, López-Sanromán FJ, Rossignol F. Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases. Animals (Basel) 2024 Jun 19;14(12).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists
