Laparoscopic nephrosplenic space ablation with barbed suture in eight horses.
Abstract: CASE DESCRIPTION 8 horses (5 geldings and 3 mares) were evaluated for laparoscopic closure of the nephrosplenic space following a history of recurrent left dorsal displacement of the large colon. CLINICAL FINDINGS All horses underwent a physical examination and routine clinicopathologic testing. Transrectal palpation and transabdominal ultrasonography were performed to exclude the presence of organs in the left paralumbar region. TREATMENT AND OUTCOME A left flank laparoscopic approach with the horses standing was used. A continuous suture was placed in a craniocaudal direction between the renal and splenic capsules with unidirectional barbed suture material. This allowed obliteration of the nephrosplenic space without the need for knots to secure the leading and terminal ends of the suture line. In all horses, transrectal palpation was performed 2 months after surgery; at this time, closure of the caudal part of the nephrosplenic space was evident. In 2 horses, follow-up laparoscopy was performed, and complete closure of the nephrosplenic space was confirmed. Telephone follow-up revealed that none of the horses had any signs of recurrent left dorsal displacement of the large colon. CLINICAL RELEVANCE Results suggested that laparoscopic nephrosplenic space closure with unidirectional barbed suture material could be considered as an option for prevention of left dorsal displacement of the large colon in horses. In the horses of this report, barbed suture material allowed secure ablation of the nephrosplenic space and eliminated the need for intracorporeal knot tying.
Publication Date: 2017-02-07 PubMed ID: 28165309DOI: 10.2460/javma.250.4.431Google Scholar: Lookup
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- Evaluation Study
- Journal Article
Summary
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The research article describes a study on eight horses that underwent laparoscopic closure of the nephrosplenic space to prevent recurrent left dorsal displacement of the large colon using barbed suture material. The study found that this technique was effective in preventing the displacement of the large colon in these horses.
Study Description and Clinical Findings
- The study was conducted on eight horses (5 geldings and 3 mares). These horses had a history of recurrent left dorsal displacement of the large colon.
- Before the treatment, all horses underwent a physical examination and routine clinicopathologic testing. In addition, transrectal palpation and transabdominal ultrasonography were performed to ensure the absence of organs in the left paralumbar region.
Treatment and Outcome
- A left flank laparoscopic approach was employed while the horses remained standing. The team then placed a continuous suture in a craniocaudal direction between the renal and splenic capsules.
- This suture, made with unidirectional barbed suture material, facilitated the disappearance of the nephrosplenic space, obviating the need for knots to secure the leading and terminal ends of the suture line.
- Follow-ups two months post-surgery via transrectal palpation revealed closure of the nephrosplenic space in all horses. This finding was further confirmed through follow-up laparoscopy in two horses.
- None of the horses presented signs of recurring left dorsal displacement of the large colon, as per telephone follow-up information.
Clinical Significance and Implications
- The outcomes pointed that laparoscopic nephrosplenic space closure using unidirectional barbed suture material could be a potential preventive strategy for left dorsal displacement of the large colon in horses.
- A noteworthy advantage of the barbed suture material was its allowance for secure obliteration of the nephrosplenic space, eliminating the need for tying knots inside the body.
Cite This Article
APA
Gandini M, Nannarone S, Giusto G, Pepe M, Comino F, Caramello V, Gialletti R.
(2017).
Laparoscopic nephrosplenic space ablation with barbed suture in eight horses.
J Am Vet Med Assoc, 250(4), 431-436.
https://doi.org/10.2460/javma.250.4.431 Publication
Researcher Affiliations
MeSH Terms
- Animals
- Colonic Pseudo-Obstruction / surgery
- Colonic Pseudo-Obstruction / veterinary
- Female
- Horse Diseases / surgery
- Horses
- Laparoscopy / veterinary
- Male
- Suture Techniques / veterinary
- Treatment Outcome
Citations
This article has been cited 5 times.- Cantarelli C, Cribb NC, Delli-Rocili M, Brisson B, Zur Linden A, Caswell JL. Long-term assessment of nephrosplenic space closure in horses. Can J Vet Res 2026 Jan;90(1):7-15.
- Steward SK, McKee HM, Watson AM, Salman MD, Hassel DM. Transcutaneous Detection of Intramural Microchips for Tracking the Migration of the Equine Large Colon: A Pilot Study. Animals (Basel) 2022 Dec 5;12(23).
- Gialletti R, Nannarone S, Gandini M, Cerullo A, Bertoletti A, Scilimati N, Giusto G. Comparison of Mesh and Barbed Suture for Laparoscopic Nephrosplenic Space Ablation in Horses. Animals (Basel) 2021 Apr 12;11(4).
- Adler DMT, Østergaard S, Jørgensen E, Jacobsen S. Bidirectional knotless barbed versus conventional smooth suture for closure of surgical wounds in inguinal castration in horses. BMC Vet Res 2020 Jul 17;16(1):250.
- Giusto G, Iussich S, Tursi M, Perona G, Gandini M. Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs. Acta Vet Scand 2019 Jan 5;61(1):3.
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