Laparoscopic obliteration of the nephrosplenic space using polypropylene mesh in five horses.
Abstract: To report a laparoscopic technique for insertion of polypropylene mesh in the nephrosplenic space in horses and evaluate outcome. Methods: Descriptive experimental study. Methods: Five healthy mature horses. Methods: One laparoscope and 2 instrument portals were made on the left side of the horse. The nephrosplenic space was measured and appropriately sized polypropylene mesh was inserted and attached to the dorsolateral splenic capsule and perirenal fascia using helical titanium coils. All horses had repeat laparoscopy 4 weeks later and were necropsied at intervals 4-14 weeks after mesh placement. Results: Mean time for laparoscopic mesh placement was 104 minutes. None of the horses had signs of colic and at 4 weeks all mesh implants were covered by fibrous tissue. One horse had a descending colon mesenteric adhesion to the mesh. At necropsy, the fibrous tissue covering the mesh had adhered to itself and pulled the splenic capsule and perirenal fascia into close apposition. Each mesh implant was firmly adhered to the spleen, nephrosplenic ligament, and perirenal fascia. Conclusions: Laparoscopic mesh placement was easily performed, well tolerated, and provided excellent fibrous obliteration of the nephrosplenic space. The single important complication observed was a mesenteric adhesion of the descending colon to the mesh in 1 horse. Conclusions: Laparoscopic placement of polypropylene mesh leads to obliteration of the nephrosplenic space within 4 weeks and should prevent entrapment of viscera in the nephrosplenic space.
Publication Date: 2006-07-18 PubMed ID: 16842287DOI: 10.1111/j.1532-950X.2006.00171.xGoogle Scholar: Lookup
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- Evaluation Study
- Journal Article
Summary
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This research study discusses a procedure to prevent specific health complications in horses by using polypropylene mesh to fill a space between the kidney and the spleen, and reviews its effectiveness based on a test group of five horses.
Research Methodology
- The team carried out a descriptive experimental study on five healthy, mature horses.
- They employed a minimally invasive surgical procedure called laparoscopy, utilizing one laparoscope and two instrument portals on the left side of the horse.
- The space between the kidney and the spleen, referred to as the nephrosplenic space, was measured. Polypropylene mesh of appropriate size was then inserted in this space.
- The mesh was attached to the dorsolateral splenic capsule and the perirenal fascia with the help of helical titanium coils.
- A follow-up laparoscopy was done after four weeks, and a necropsy was performed at intervals ranging from four to fourteen weeks post mesh placement.
Research Findings
- The study found that the average time taken for laparoscopic mesh placement was 104 minutes.
- None of the five horses showed symptoms of colic post-surgery.
- After four weeks, it was observed that all the mesh implants were covered by fibrous tissue.
- In one horse, an adhesion from the descending colon mesentery to the mesh was noted. At necropsy, the team found the fibrous tissue covering the mesh adhering to itself, pulling the splenic capsule and the perirenal fascia closer together.
- Each mesh implant was securely attached to the spleen, the nephrosplenic ligament, and the perirenal fascia.
Conclusions
- The laparoscopic placement of polypropylene mesh was found to be easily performed, well-tolerated by the horses, and effectively obliterated the nephrosplenic space via fibrous tissue formation.
- The only significant complication observed was a mesenteric adhesion of the descending colon to the mesh in one horse.
- The study concluded that laparoscopic placement of polypropylene mesh leads to obliteration of the nephrosplenic space within four weeks, theoretically preventing any entrapment of viscera within this space.
Cite This Article
APA
Epstein KL, Parente EJ.
(2006).
Laparoscopic obliteration of the nephrosplenic space using polypropylene mesh in five horses.
Vet Surg, 35(5), 431-437.
https://doi.org/10.1111/j.1532-950X.2006.00171.x Publication
Researcher Affiliations
- Department of Clinical Studies, University of Pennsylvania, New Bolton Center, Kennett Square, PA, USA. kirae@vet.upenn.edu
MeSH Terms
- Animals
- Colonic Diseases / surgery
- Colonic Diseases / veterinary
- Female
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- Laparoscopy / veterinary
- Male
- Polypropylenes
- Postoperative Complications / veterinary
- Surgical Mesh / veterinary
- Treatment Outcome
Citations
This article has been cited 2 times.- 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).
- Hendrickson DA. A review of equine laparoscopy.. ISRN Vet Sci 2012;2012:492650.
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