Surgical technique and short-term outcome for experimental laparoscopic closure of the epiploic foramen in 6 horses.
Abstract: To describe a laparoscopic technique for, and short-term outcome after, closure of the epiploic foramen (EF) in horses. Methods: Descriptive, experimental study. Methods: Healthy, adult horses (n = 6). Methods: Laparoscopic portals to approach the EF were identified in standing horses. Under laparoscopic observation, the gastropancreatic fold and right lobe of the pancreas were grasped with Babcock forceps and secured to the caudate hepatic lobe using helical titanium coils to obliterate the EF. Surgical procedure time and intra- and postoperative complications were recorded. Serial analysis of select serum enzymes was used as an indication of involvement of the pancreas and liver. Closure was reevaluated at 4 weeks using repeat laparoscopy, and necropsy was performed immediately after. Results: At initial surgery, EF closure was successful in all 6 horses; median surgical time was 40.5 minutes (range, 22-110 minutes). Serum gamma-glutamyl transferase (GGT) and sorbitol dehydrogenase (SDH) were not significantly altered by the surgical procedure; however, aspartate aminotransferase (AST) and amylase (AMY) were transiently increased. At repeat laparoscopic reevaluation, closure was complete in 5 horses, with partial closure of the EF observed in 1 horse. No complications related to the procedure were noted during or after surgery in any horse. Conclusions: EF closure in the standing horse can be accomplished without complications to the surrounding organs and vessels.
© Copyright 2013 by The American College of Veterinary Surgeons.
Publication Date: 2014-02-05 PubMed ID: 24491232DOI: 10.1111/j.1532-950X.2013.12116.xGoogle Scholar: Lookup
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- Journal Article
- Adult Horses
- Clinical Pathology
- Clinical Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Enzymes
- Equine Health
- Experimental Methods
- Horses
- Laparotomy
- Minimally Invasive Surgery
- Necropsy
- Observational Study
- Post Mortem
- Post-Operative Period
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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The research devised a laparascopic technique for closing the epiploic foramen (EF) in horses and evaluated its short-term consequences. The procedure was successful in all the horses, did not notably change some select serum enzyme levels, and most noticeably did not cause any operative or post-operative complications.
Research methodology
- The research was conducted on healthy, adult horses. The number of horses used for the experiment was six.
- The EF was approached in the standing horses through laparoscopic portals.
- The gastropancreatic fold and right lobe of the pancreas were held with Babcock forceps and attached to the caudate hepatic lobe using helical titanium coils. The aim was to obliterate the EF.
- The time taken for the surgical procedure and any complications that occurred during and after the operation were noted down.
- The changes in select serum enzymes were determined to check any impact on the pancreas and liver.
- EF closure was reevaluated at 4 weeks using another laparoscopy session and followed by a necropsy straight away.
Research findings
- The EF closure was successfully accomplished in all the horses during the initial surgery. The median surgical time was 40.5 minutes, ranging from 22 to 110 minutes.
- No significant alterations were observed in serum gamma-glutamyl transferase (GGT) and sorbitol dehydrogenase (SDH) due to the surgical procedure. However, there were transient increases in aspartate aminotransferase (AST) and amylase (AMY).
- During the second laparoscopic evaluation, the closure was found to be complete in five horses, while one horse exhibited partial closure of the EF.
- No operational or post-operative complications were noted in any of the horses involved in the experiment.
Conclusion
- EF closure in standing horses can be performed without any complications to the nearby organs and vessels.
- This research suggests a potentially safer surgical technique in equine veterinary medicine, that can reduce the risk of complications associated with EF procedures.
Cite This Article
APA
Munsterman AS, Hanson RR, Cattley RC, Barrett EJ, Albanese V.
(2014).
Surgical technique and short-term outcome for experimental laparoscopic closure of the epiploic foramen in 6 horses.
Vet Surg, 43(2), 105-113.
https://doi.org/10.1111/j.1532-950X.2013.12116.x Publication
Researcher Affiliations
- Equine Surgery Section, Department of Clinical Sciences, Auburn University, Auburn, Alabama.
MeSH Terms
- Animals
- Female
- Horses / surgery
- Laparoscopy / adverse effects
- Laparoscopy / methods
- Laparoscopy / veterinary
- Male
- Postoperative Complications / veterinary
Citations
This article has been cited 1 times.- Grzeskowiak RM, Barrett EJ, Rodgerson DH. Cecal entrapment within the epiploic foramen in a mare. Can Vet J 2017 Aug;58(8):842-844.
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