Surgical treatment of traumatic eventration with polyester button and polypropylene mesh to strengthen the suture technique in equine.
Abstract: Defects in the abdominal wall of horses have high relapse rate. This is mainly in lateral eventrations and hernias caused by trauma from kicks of other horses or installation structures. The eventration region normally becomes swollen and there may be complications due to intestinal loop incarceration. The surgical treatment, consisting of reconstruction of the abdominal wall, frequently require biological or synthetic materials for the reinforcement of the suture line and tension support. Therefore, several studies have reported new materials for the repair of the abdominal wall, with the aim of improving the integration among adjacent tissues and reducing risks and complications such as rejection and infection. This report describes for the first time the use of a regular polypropylene mesh reinforced with polyester buttons for the herniorrhaphy. Methods: A male, three-year-old, Appaloosa with 500 Kg presented to our hospital with a 10 days history of an increased volume on the left ventro-lateral region of the abdomen. During the physical examination, a deventration following traumatic rupture of the abdominal wall was diagnosed via ultrasonography. Then, the equine was anesthetized and moved to surgery for correction of the eventration which was performed according to conventional technique described in literature. Two days later, an eventration relapse was observed and confirmed via ultrasonography. After that, a second surgical intervention was performed using polyester buttons and polypropylene mesh. After the second surgical procedure, no complications related to eventration were observed either intra or postoperatively. After that, a recheck was performed thirty days later where satisfactory wound healing and total recovery were observed. Conclusions: The use of polypropylene mesh reinforced with polyester buttons is an effective technique for the repair of traumatic eventration in horses. This technique provides effective reinforcement against the abdominal tension and was a good option for reconstruction of lacerated muscles in cases of equine post-traumatic eventration, including relapsing cases.
Publication Date: 2016-03-19 PubMed ID: 26995736PubMed Central: PMC4799844DOI: 10.1186/s12917-016-0686-8Google Scholar: Lookup
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- Case Reports
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Summary
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This research study discusses the successful use of a new method involving polyester buttons and polypropylene mesh for treating abdominal wall defects in horses, particularly in relation to traumatic eventrations. It was found that this technique provided effective reinforcement against abdominal tension and was a good option for reconstruction of lacerated muscles.
Introduction
- The report starts by acknowledging a common issue for horses, which is defects in the abdominal wall. These defects often occur from traumas such as kicks from other horses or impact from installation structures.
- The area of the defect often becomes swollen and can lead to significant complications due to the infringement of the intestinal loops.
- Typically, the treatment for these defects involves a surgical process in which the abdominal wall is reconstructed. However, due to the high tension experienced in this area, often additional materials are needed to support the reconstructed wall and suture line.
Study Overview
- The study reported on here was designed to test the effectiveness of the use of polypropylene mesh reinforced with polyester buttons as the reinforcement material for the abdominal wall reconstruction surgery.
- The case study was performed on a three-year-old male Appaloosa weighing 500 kg that had been suffering from an increased volume in the left ventro-lateral region of the abdomen due to a traumatic eventration, diagnosed via ultrasonography.
- The horse was first treated with a standard surgical technique to repair the eventration but experienced a relapse two days later. At this point, the researchers decided to introduce the novel technique involving the use of polyester buttons and polypropylene mesh to reinforce the repaired area.
Results and Conclusions
- After the second surgery using the new technique, no further complications related to the eventration were observed. A follow-up examination thirty days later showed satisfactory wound healing and full recovery.
- This led to the conclusion that using polypropylene mesh reinforced with polyester buttons could be an effective method for treating horses with abdominal wall defects.
- The technique offers not only reinforcement against the high tension of the abdominal wall, but it is also a particularly useful method for reconstructing lacerated muscles resulting from traumatic defections. It is also suitable for cases where there has been a relapse after initial surgery.
Cite This Article
APA
Orlandini CF, Steiner D, Boscarato AG, Gimenes GC, Alberton LR.
(2016).
Surgical treatment of traumatic eventration with polyester button and polypropylene mesh to strengthen the suture technique in equine.
BMC Vet Res, 12, 58.
https://doi.org/10.1186/s12917-016-0686-8 Publication
Researcher Affiliations
- Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil.
- Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil.
- Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil.
- Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil.
- Department of Veterinary Medicine and Graduate Program in Animal Science, Universidade Paranaense, Praça Mascarenhas de Moraes 4282, Zona III, 87502-210, Umuarama, Paraná, Brazil. romulo@unipar.br.
MeSH Terms
- Abdominal Injuries / diagnostic imaging
- Abdominal Injuries / surgery
- Abdominal Injuries / therapy
- Abdominal Wall / diagnostic imaging
- Abdominal Wall / surgery
- Abdominal Wound Closure Techniques / standards
- Abdominal Wound Closure Techniques / veterinary
- Animals
- Horses
- Male
- Polyesters / therapeutic use
- Polypropylenes / therapeutic use
- Suture Techniques / veterinary
- Treatment Outcome
- Ultrasonography / veterinary
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