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Home / Equine Research Bank / Vet Rec / Development of a laparoscopic technique for inguinal herniop...
The Veterinary record2023; 192(8); e2584; doi: 10.1002/vetr.2584

Development of a laparoscopic technique for inguinal hernioplasty in standing horses.

Abstract: Most previously described techniques for laparoscopic inguinal hernioplasty (IH) in horses require advanced laparoscopic skills. Our objective was to describe a new laparoscopic IH technique using a surgical anchoring system. Methods: Standing laparoscopic IH was performed unilaterally in eight experimental stallions, using the contralateral inguinal canal (IC) as a control. A polyether ether ketone harpoon was anchored in the craniolateral aspect of the vaginal ring, and an extracorporeal knot was used to fix the device. Clinical evaluation, including testicular palpation and lameness examination, was conducted before and for 4 weeks after surgery. Repeat laparoscopy was performed 28 days later. Results: Standing laparoscopic IH was performed in all horses with a surgical time of 38 ± 12.85 minutes. In two animals, a small peritoneal tear occurred that did not require repair. No other complications were recorded. On repeat laparoscopy, all devices were in place, and the IC remained partially closed in all horses. Conclusions: The procedure was performed on normal experimental horses and has not been employed on horses that have had an inguinal hernia. Conclusions: This new standing laparoscopic hernioplasty technique provides another potential method for simple partial closure of the IC in stallions at risk of or with history of inguinal herniation.
© 2023 The Authors. Veterinary Record published by John Wiley & Sons Ltd on behalf of British Veterinary Association.
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Publication Date: 2023-01-15 PubMed ID: 36642935DOI: 10.1002/vetr.2584Google Scholar: Lookup
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  • Journal Article

Summary

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The article presents a study on a newly developed laparoscopic technique for inguinal hernioplasty that is simpler and performed in standing horses, rather than requiring them to lie down.

Study Design and Methods

  • The researchers performed standing laparoscopic inguinal hernioplasty unilaterally on eight experimental stallions and used the non-operated side as a control.
  • The procedure involved anchoring a polyether ether ketone harpoon in the craniolateral aspect of the vaginal ring and fixating it with an extracorporeal knot.
  • The horses underwent clinical evaluations that included testicle palpations and lameness examinations, before and after the surgery for four weeks.
  • Repeat laparoscopy was performed after 28 days to assess the surgical result.

Results and Findings

  • All procedures went successfully with a surgery time averaging 38 minutes ± 12.85.
  • There were two minor complications, as peritoneal tears occurred in two horses, however, the tears did not necessitate any repair.
  • Upon reviewing the laparoscopy after 28 days, the devices were still in place and the inguinal canal was partially closed in all horses, suggesting that the procedure was effective.

Conclusions and Implications

  • This novel laparoscopic inguinal hernioplasty technique was performed in healthy experimental horses and has not yet been tested on horses with a history of inguinal hernia.
  • The new method promises to provide an alternative for a relatively simpler and potentially safer partial closure of the inguinal canal in stallions who are at risk of or have had an inguinal hernia.
  • Further investigations may be required to confirm the safety and efficacy of this technique in a wider group of horses and especially in those with previous inguinal hernia issues.

Cite This Article

APA
Vitoria A, Romero A, Barrachina L, Fuente S, Gil L, de Blas I, Vázquez Bringas FJ. (2023). Development of a laparoscopic technique for inguinal hernioplasty in standing horses. Vet Rec, 192(8), e2584. https://doi.org/10.1002/vetr.2584

Publication

The Veterinary record
ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 192
Issue: 8
Pages: e2584

Researcher Affiliations

Vitoria, Arantza
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario de la Universidad de Zaragoza, Zaragoza, Spain.
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
Romero, Antonio
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario de la Universidad de Zaragoza, Zaragoza, Spain.
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
Barrachina, Laura
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario de la Universidad de Zaragoza, Zaragoza, Spain.
  • Departamento de Anatomía, Embriología y Genética Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
  • Instituto Agroalimentario de Aragón, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
Fuente, Sara
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario de la Universidad de Zaragoza, Zaragoza, Spain.
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
Gil, Lydia
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
de Blas, Ignacio
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
  • Instituto Agroalimentario de Aragón, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.
Vázquez Bringas, Francisco José
  • Servicio de Cirugía y Medicina Equina, Hospital Veterinario de la Universidad de Zaragoza, Zaragoza, Spain.
  • Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.

MeSH Terms

  • Female
  • Male
  • Animals
  • Horses
  • Hernia, Inguinal / surgery
  • Hernia, Inguinal / veterinary
  • Herniorrhaphy / veterinary
  • Herniorrhaphy / methods
  • Laparoscopy / veterinary
  • Laparoscopy / methods
  • Testis
  • Operative Time
  • Horse Diseases / surgery

Grant Funding

  • DIMA

References

This article includes 17 references
  1. Schneider RK, Milne DW, Kohn CW. Acquired inguinal hernia in the horse: a review of 27 cases.. J Am Vet Med Assoc 1982;180(3):317-20.
  2. Schumacher J. Testis.. In: Auer JA, Stick JA, editors. Equine surgery. 4th ed. Saint Louis, MI, USA: Saunders Elsevier; 2012. p. 804-39.
  3. Fischer AT Jr, Vachon AM, Klein SR. Laparoscopic inguinal herniorrhaphy in two stallions.. J Am Vet Med Assoc 1995;207(12):1599-601.
  4. Mariën T. Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis.. Equine Vet J 2001;33(1):91-6.
  5. Rossignol F, Perrin R, Boening KJ. Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap.. Vet Surg 2007;36(6):557-62.
  6. Wilderjans H, Meulyzer M, Simon O. Standing laparoscopic peritoneal flap hernioplasty technique for preventing recurrence of acquired strangulating inguinal herniation in stallions.. Vet Surg 2012;41(2):292-9.
  7. Caron JP, Brakenhoff J. Intracorporeal suture closure of the internal inguinal and vaginal rings in foals and horses.. Vet Surg 2008;37(3):126-31.
  8. Ragle CA, Yiannikouris S, Tibary AA, Fransson BA. Use of a barbed suture for laparoscopic closure of the internal inguinal rings in a horse.. J Am Vet Med Assoc 2013;242(2):249-53.
  9. Rossignol F, Mespoulhes-Rivière C, Vitte A, Lechartier A, Boening KJ. Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions.. Vet Surg 2014;43(1):6-11.
  10. Wilderjans H, Meulyzer M. Laparoscopic closure of the vaginal rings in the standing horse using a tacked intraperitoneal slitted mesh (TISM) technique.. Equine Vet J 2022;54(2):359-67.
  11. Panayotov IV, Orti V, Cuisinier F, Yachouh J. Polyetheretherketone (PEEK) for medical applications.. J Mater Sci Mater Med 2016;27(7):1-11.
  12. Vilarmau MG, Perez FO, Rivera MJC, Gascon ML. Peek's harpoon: a new device for the treatment of laparoscopic sacropexy. Preliminary study in unembalmed cadavers.. Int Urogynecol J 2017;28(6):881-5.
  13. Muñoz E, Argüelles D, Areste L, San Miguel L, Prades M. Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds.. Vet Rec 2008;162(10):303-6.
  14. Gracia-Calvo L, Ortega C, Ezquerra J. Laparoscopic closure of the inguinal rings in horses: literature review.. J Equine Vet Sci 2014;34(10):1149-55.
  15. Rossignol F, Boening J. Suturing and knot-tying techniques.. In: Ragle CA, editor. Advances in equine laparoscopy. IA, USA: John Wiley & Sons, Inc.; 2012. p. 27.
  16. Freeman D. Small intestine.. In: Auer JA, Stick JA, editors. Equine surgery. 4th ed. Saint Louis, MI, USA: Saunders Elsevier; 2012. p. 435.
  17. Silva LC, Zoppa ALV, Hendrickson DA. Equine diagnostic laparoscopy.. J Equine Vet Sci 2008;28(4):247-54.

Citations

This article has been cited 4 times.
  1. Vázquez FJ, Romero A, Fuente S, Barrachina L, Vitoria A. Laparoscopically Assisted Percutaneous Inguinal Ring Closure for Resolution of Inguinal/Scrotal Hernias in Rams: Cadaveric Study and Three Cases Report. Animals (Basel) 2023 Feb 24;13(5).
    doi: 10.3390/ani13050836pubmed: 36899693google scholar: lookup
  2. Saitua A, Sanchez de Medina A, Bulnes F, Buzon A, Miraz R, Argüelles D, Diez de Castro E. Urogenital surgery in foals. Front Vet Sci 2025;12:1520491.
    doi: 10.3389/fvets.2025.1520491pubmed: 40586037google scholar: lookup
  3. Vitoria A, Barrachina L, Romero A, Fuente S, de Blas I, Gil L, Vázquez FJ. Laparoscopic Inguinal Hernioplasty with a Polyether Ether Ketone Anchoring Device in Intact Male Horses Does Not Compromise Testicular Perfusion, Sperm Production or Motility Characteristics. Animals (Basel) 2025 Jan 31;15(3).
    doi: 10.3390/ani15030402pubmed: 39943172google scholar: lookup
  4. 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).
    doi: 10.3390/ani14121826pubmed: 38929445google scholar: lookup
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