Laparoscopic closure of the renosplenic space in standing horses.
Abstract: To report a technique for laparoscopic ablation of the renosplenic space in standing horses. Methods: Development of a technique to perform laparoscopic renosplenic space ablation in standing horses. Methods: Five healthy horses, aged 3 to 13 years, weighing 380 to 520 kg. Methods: Horses were restrained in standing stocks and sedated with detomidine (0.01 mg/kg intravenously [IV]) and butorphanol (0.01 mg/kg IV). Portal sites in the left paralumbar fossa were infiltrated with 2% mepivacaine. A laparoscopic portal was placed between the 17th and the 18th ribs. Two instrument portals were located caudal to the 18th rib. Closure of the renosplenic space was accomplished by apposing the dorsomedial splenic capsule to the dorsal portion of the renosplenic ligament with 1 polyglactin 910 in a continuous pattern. All horses had repeat laparoscopy 3 weeks after initial surgery. Results: Laparoscopic closure of the renosplenic space required 35 minutes (range, 20-65 minutes) and was successful without intraoperative or postoperative complications. On laparoscopic re-examination at 3 weeks, there was smooth connecting fibrous-like tissue between the dorsal splenic capsule and the dorsal portion of the renosplenic ligament. Conclusions: Laparoscopic closure of the renosplenic space can be efficiently and safely performed in standing horses. Conclusions: Laparoscopic-assisted closure of the renosplenic space can be performed in standing horses and may be useful in preventing recurrent incarceration of viscera in this space.
Copyright 2001 by The American College of Veterinary Surgeons
Publication Date: 2001-11-13 PubMed ID: 11704952DOI: 10.1053/jvet.2001.28436Google Scholar: Lookup
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- Journal Article
Summary
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The research article discusses a new technique for laparoscopic ablation of the renosplenic space in standing horses. The technique was successful without any complications and could be a potential method to prevent recurrent incarceration of viscera in the renosplenic space.
Methods and Procedure
- The study tested a new technique on five different horses of varying weight and age, ranging from 3 to 13 years old.
- The horses were restrained and sedated before the procedure, and local anaesthetic was applied to the incision sites on the left side of the back.
- A laparoscopic portal, or incision was made between the 17th and 18th ribs with two additional instrument incisions made below the 18th rib.
- The renosplenic space, the area between the spleen and the left kidney, was closed by stitching the dorsomedial splenic capsule to the dorsal section of the renosplenic ligament.
- The stitching process was continuous and used a type of suture called polyglactin 910.
- Three weeks after the initial surgery, a repeat laparoscopy was performed on all five horses.
Results
- The procedure took approximately 35 minutes for each horse, with variations ranging from 20 to 65 minutes.
- No intraoperative or postoperative complications were reported during or after the procedure.
- Upon re-examination after three weeks, a connective, fibrous tissue was observed between the dorsal splenic capsule and the dorsal portion of the renosplenic ligament.
Conclusions
- The research concludes that laparoscopic closure of the renosplenic space was efficiently performed without any complications on standing horses.
- The technique could be potentially useful in preventing the recurrent incarceration of viscera, which is a common problem in the renosplenic space.
Cite This Article
APA
Mariën T, Adriaenssen A, Hoeck FV, Segers L.
(2001).
Laparoscopic closure of the renosplenic space in standing horses.
Vet Surg, 30(6), 559-563.
https://doi.org/10.1053/jvet.2001.28436 Publication
Researcher Affiliations
- Equinia Veterinary Hospital, Noorderwijk, Belgium.
MeSH Terms
- Animals
- Colon / surgery
- Female
- Horses / surgery
- Laparoscopy / methods
- Laparoscopy / veterinary
- Male
- Posture
- Reference Values
Citations
This article has been cited 3 times.- Bracamonte JL, Duke-Novakovski T. A pilot study evaluating laparoscopic closure of the nephrosplenic space using an endoscopic suturing device in standing horses.. Can Vet J 2016 Jun;57(6):651-4.
- Hendrickson DA. A review of equine laparoscopy.. ISRN Vet Sci 2012;2012:492650.
- Chiesa OA, Cullison R, Anderson DE, Moulton K, Galuppo LD, von Bredow J. Development of a technique for serial bilateral renal biopsy in steers.. Can J Vet Res 2006 Apr;70(2):87-93.
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