FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Animals (Basel) / Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hern...
Animals : an open access journal from MDPI2024; 14(12); doi: 10.3390/ani14121826

Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases.

Abstract: Inguinal hernias (IHs) and ruptures are a relatively common condition in horses, occurring in foals (congenital) and adult (acquired) animals. A retrospective observational analysis was conducted on 40 cases that underwent laparoscopic surgery to close the VRs using barbed sutures alone or combined with other techniques. Signalment, clinical presentation, surgery, and follow-up data were obtained. In total, fifty-nine VRs were closed using barbed sutures (alone or in combination with other methods), with six cases performed prophylactically and forty-four due to acquired IH. Of the forty-four cases with IH, four were non-strangulated hernias, while thirty presented with strangulated small intestines (twenty-eight acquired and two congenital). The results obtained in this study suggest that laparoscopic hernioplasty with barbed sutures is an effective and safe surgical procedure that could be recommended as a standard practice for managing inguinal hernias in horses, particularly when sparing testicles or preserving reproductive capabilities is a priority.
Get Full Text
Publication Date: 2024-06-19 PubMed ID: 38929445PubMed Central: PMC11200771DOI: 10.3390/ani14121826Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research studied the effectiveness of using knotless barbed sutures in laparoscopic surgery to treat inguinal hernias in horses. The results suggest that this method could become a standard practice, especially in cases where preservation of reproductive abilities is important.

Introduction

  • The study focused on Inguinal Hernias (IHs), a common ailment in both foals (congenital) and adult (acquired) horses.
  • Inguinal hernias occur when part of the intestine protrudes through a weak spot in the abdominal muscles near the groin. They pose serious health risks and usually require surgical intervention.

Methods

  • The researchers conducted a retrospective observational analysis on 40 cases where horses underwent laparoscopic hernioplasty using barbed sutures, either alone or in combination with other techniques.
  • Data on the horse’s breed, age, the clinical presentation of the hernia, the surgical procedure used, and post-operative observations were collected and analysed.

Results

  • Out of 40 cases, 59 Inguinal hernias were treated using barbed sutures, six of them were due to prophylactic purposes (preventive measures), and 44 were due to acquired IHs.
  • Out of the cases with IH, four were non-strangulated hernias, whereas 30 had strangulated small intestines, with 28 being acquired cases and 2 congenital ones.

Conclusion

  • The study concludes that laparoscopic hernioplasty using barbed sutures is an efficient and safe procedure to manage inguinal hernias in horses.
  • The barbed suture method is particularly recommended when the preservation of the horse’s testicles or reproductive capabilities is crucial.

Implication

  • If these findings are further confirmed by larger scale studies, this surgical technique could potentially become a new standard in veterinary surgery for the management of inguinal hernias in horses.

Cite This Article

APA
Vázquez FJ, Argüelles D, Muñoz JA, Genton M, Méndez Angulo JL, Climent F, Roquet I, Iglesias M, Velloso Álvarez A, Vitoria A, Bulnes F, Saitua A, Romero A, Ezquerra J, Prades M, López-Sanromán FJ, Rossignol F. (2024). Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases. Animals (Basel), 14(12). https://doi.org/10.3390/ani14121826

Publication

Animals : an open access journal from MDPI
ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 14
Issue: 12

Researcher Affiliations

Vázquez, Francisco J
  • Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain.
Argüelles, David
  • Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain.
  • Departamento de Medicina y Cirugía Animal, Universidad de Córdoba, 14014 Córdoba, Spain.
Muñoz, Juan A
  • Hospital de Referencia La Equina, 29691 Manilva, Spain.
Genton, Martin
  • Clinique Vétérinaire Équine de Grosbois Altano-Gruppe, 94470 Boissy-St-Léger, France.
Méndez Angulo, José L
  • Méndez Hospital Equino, 14100 La Carlota, Spain.
Climent, Frederic
  • Unitat Equina de l'Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.
  • Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Autònoma de Barcelona, 08036 Barcelona, Spain.
Roquet, Imma
  • Independent Researcher, 08551 Tona, Spain.
Iglesias, Manuel
  • Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain.
Velloso Álvarez, Ana
  • Hospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad CEU-Cardenal Herrera, CEU Universities, 46115 Alfara del Patriarca, Spain.
Vitoria, Arantza
  • Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain.
Bulnes, Fernando
  • Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain.
  • Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain.
Saitua, Aritz
  • Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain.
Romero, Antonio
  • Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain.
Ezquerra, Javier
  • Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain.
Prades, Marta
  • Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Autònoma de Barcelona, 08036 Barcelona, Spain.
López-Sanromán, F Javier
  • Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Rossignol, Fabrice
  • Clinique Vétérinaire Équine de Grosbois Altano-Gruppe, 94470 Boissy-St-Léger, France.

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 42 references
  1. Archer D.C.. Diseases of the Small Intestine. In: Blikslager A.T., White N.A. II, Moore J.N., Mair T.S., editors. The Equine Acute Abdomen. 3rd ed. John Wiley & Sons, Inc.; Hoboken, NJ, USA: 2017. pp. 704–736.
  2. Schneider R.K., Milne D.W., Kohn C.W.. Acquired inguinal hernia in the horse: A review of 27 cases. J. Am. Vet. Med. Assoc. 1982;180:317–320.
    pubmed: 7056686
  3. Weaver A.D.. Acquired Incarcerated Inguinal Hernia: A Review of 13 Horses. Can. Vet. J. 1987;28:195–199.
    pmc: PMC1680402pubmed: 17422760
  4. van der Velden M.A.. Surgical treatment of acquired inguinal hernia in the horse: A review of 51 cases. Equine Vet. J. 1988;20:173–177.
    doi: 10.1111/j.2042-3306.1988.tb01491.xpubmed: 3402410google scholar: lookup
  5. Muñoz E., Argüelles D., Areste L., Miguel L.S., Prades M.. Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds. Vet. Rec. 2008;162:303–306.
    doi: 10.1136/vr.162.10.303pubmed: 18326841google scholar: lookup
  6. François I., Lepage O.M., Schramme M.C., Salciccia A., Detilleux J., Grulke S.. Clinical findings, surgical techniques, prognostic factors for short-term survival and long-term outcome in horses with acquired inguinal hernias: Ninety-eight cases (2005–2020). Vet. Surg. 2024;53:468–476.
    doi: 10.1111/vsu.14023pubmed: 37650370google scholar: lookup
  7. Fischer A.T., Jr., Vachon A.M., Klein S.R.. Laparoscopic inguinal herniorrhaphy in two stallions. J. Am. Vet. Med. Assoc. 1995;207:1599–1601.
    doi: 10.2460/javma.1995.207.12.1599pubmed: 7493899google scholar: lookup
  8. Baranková K., de Bont M.P., Simon O., Meulyzer M., Boussauw B., Vandenberghe F., Wilderjans H.. Non-surgical manual reduction of indirect inguinal hernias in 89 adult stallions. Equine Vet. Educ. 2022;34:e385–e392.
    doi: 10.1111/eve.13494google scholar: lookup
  9. Schumacher J., Perkins J.. Inguinal herniation and rupture in horses. Equine Vet. Educ. 2010;22:7–12.
    doi: 10.2746/095777309X473google scholar: lookup
  10. Caron J.P., Brakenhoff J.. Intracorporeal suture closure of the internal inguinal and VRs in foals and horses. Vet. Surg. 2008;37:126–131.
    doi: 10.1111/j.1532-950X.2007.00366.xpubmed: 18251805google scholar: lookup
  11. Mariën T.. Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis. Equine Vet. J. 2001;33:91–96.
    doi: 10.2746/042516401776767476pubmed: 11191617google scholar: lookup
  12. Rossignol F., Perrin R., Boening K.J.. Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap. Vet. Surg. 2007;36:557–562.
    doi: 10.1111/j.1532-950X.2007.00282.xpubmed: 17686129google scholar: lookup
  13. Wilderjans H., Meulyzer M., Simon O.. Standing laparoscopic peritoneal flap hernioplasty technique for preventing recurrence of acquired strangulating inguinal herniation in stallions. Vet. Surg. 2012;41:292–299.
    doi: 10.1111/j.1532-950X.2011.00914.xpubmed: 22103312google scholar: lookup
  14. Rossignol F., Mespoulhes-Rivière C., Vitte A., Lechartier A., Boening K.J.. Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions. Vet. Surg. 2014;43:6–11.
    doi: 10.1111/j.1532-950X.2013.12083.xpubmed: 24283386google scholar: lookup
  15. Wilderjans H., Meulyzer M.. Laparoscopic closure of the VRs in the standing horse using a tacked intraperitoneal slitted mesh (TISM) technique. Equine Vet. J. 2022;54:359–367.
    doi: 10.1111/evj.13454pubmed: 33864714google scholar: lookup
  16. Vitoria A., Romero A., Barrachina L., Fuente S., Gil L., de Blas I., Vázquez Bringas F.J.. Development of a laparoscopic technique for inguinal hernioplasty in standing horses. Vet. Rec. 2023;192:e2584.
    doi: 10.1002/vetr.2584pubmed: 36642935google scholar: lookup
  17. Adler D.M.T., 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;16:250.
    doi: 10.1186/s12917-020-02449-6pmc: PMC7368766pubmed: 32680516google scholar: lookup
  18. Straticò P., Guerri G., Palozzo A., Varasano V., Petrizzi L.. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021. Vet. Sci. 2022;9:41.
    doi: 10.3390/vetsci9020041pmc: PMC8876348pubmed: 35202295google scholar: lookup
  19. 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 2021;11:1096.
    doi: 10.3390/ani11041096pmc: PMC8069580pubmed: 33921312google scholar: lookup
  20. Albanese V., Hanson R.R., McMaster M.A., Koehler J.W., Caldwell F.J.. Use of a Barbed Knotless Suture for Laparoscopic Ablation of the Nephrosplenic Space in 8 Horses. Vet. Surg. 2016;45:824–830.
    doi: 10.1111/vsu.12520pubmed: 27410676google scholar: lookup
  21. Corsalini J., Gialletti R., Lotto E., Nannarone S.. Laparoscopic Uteropexy (Mesometrium Imbrication) in Three Mares Using a Barbed Suture. J. Equine Vet. Sci. 2016;40:102–105.
    doi: 10.1016/j.jevs.2016.02.236google scholar: lookup
  22. Nelson B.B., Hassel D.M.. In vitro comparison of V-Loc™ versus Biosyn™ in a one-layer end-to-end anastomosis of equine jejunum. Vet. Surg. 2014;43:80–84.
    doi: 10.1111/j.1532-950X.2013.12081.xpubmed: 24256315google scholar: lookup
  23. Ruzickova P., Burns P., Piat P., Frasch M.G., Beauchamp G., Elce Y.A.. Ex Vivo Biomechanical Comparison of 4 Suture Materials for Laparoscopic Bladder Closure in the Horse. Vet. Surg. 2016;45:374–379.
    doi: 10.1111/vsu.12455pubmed: 27012927google scholar: lookup
  24. Giusto G., Caramello V., Comino F., Gandini M.. Ex vivo comparison of barbed and unbarbed sutures for the closure of caecal and pelvic flexure enterotomies in horses. Vet. Ital. 2019;55:269–274.
    doi: 10.12834/VetIt.691.3383.2pubmed: 31599552google scholar: lookup
  25. Ragle C.A., Yiannikouris S., Tibary A.A., Fransson B.A.. Use of a barbed suture for laparoscopic closure of the internal inguinal rings in a horse. J. Am. Vet. Med. Assoc. 2013;242:249–253.
    doi: 10.2460/javma.242.2.249pubmed: 23276104google scholar: lookup
  26. Maurer T., McEntee T.M., O’Brien T., Coleridge M., Brünisholz H.P., Petruccione I., Koch C.. Minimally invasive repair of congenital inguinal hernias in nine foals using an automated laparoscopic suturing device and barbed suture. Equine Vet. Educ. 2023;36:296–306.
    doi: 10.1111/eve.13884google scholar: lookup
  27. Gracia-Calvo L.A., Duque J., Balao da Silva C., Ezquerra J., Ortega-Ferrusola C.. Testicular perfusion after standing laparoscopic peritoneal flap hernioplasty in stallions. Theriogenology 2015;84:797–804.
    doi: 10.1016/j.theriogenology.2015.05.014pubmed: 26116054google scholar: lookup
  28. Klohnen A., Wilson D.G.. Laparoscopic repair of scrotal hernia in two foals. Vet. Surg. 1996;25:414–416.
    doi: 10.1111/j.1532-950X.1996.tb01437.xpubmed: 8879113google scholar: lookup
  29. Huhn J.C.. Advances in Equipment and Instrumentation in Laparoscopic Surgery. Vet. Clin. N. Am. Small Anim. Pract. 2016;46:13–29.
    doi: 10.1016/j.cvsm.2015.08.005pubmed: 26604154google scholar: lookup
  30. Gardella B., Dominoni M., Iacobone A.D., De Silvestri A., Tinelli C., Bogliolo S., Spinillo A.. What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation. Gynecol. Obstet. Investig. 2018;83:521–532.
    doi: 10.1159/000488241pubmed: 29649814google scholar: lookup
  31. Arbaugh M., Case J.B., Monnet E.. Biomechanical comparison of glycomer 631 and glycomer 631 knotless for use in canine incisional gastropexy. Vet. Surg. 2013;42:205–209.
    doi: 10.1111/j.1532-950X.2012.01051.xpubmed: 23094713google scholar: lookup
  32. Demyttenaere S.V., Nau P., Henn M., Beck C., Zaruby J., Primavera M., Kirsch D., Miller J., Liu J.J., Bellizzi A.. Barbed suture for gastrointestinal closure: A randomized control trial. Surg. Innov. 2009;16:237–242.
    doi: 10.1177/1553350609342988pubmed: 19783567google scholar: lookup
  33. 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;61:3.
    doi: 10.1186/s13028-018-0437-xpmc: PMC6321647pubmed: 30611301google scholar: lookup
  34. Omotosho P., Yurcisin B., Ceppa E., Miller J., Kirsch D., Portenier D.D.. In vivo assessment of an absorbable and nonabsorbable knotless barbed suture for laparoscopic single-layer enterotomy closure: A clinical and biomechanical comparison against nonbarbed suture. J. Laparoendosc. Adv. Surg. Tech. 2011;21:893–897.
    doi: 10.1089/lap.2011.0281pubmed: 22129144google scholar: lookup
  35. Sinovich M., Archer D.C., Meunier N.V., Kelly P.G.. Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses. Vet. Surg. 2020;49:487–495.
    doi: 10.1111/vsu.13353pubmed: 31724764google scholar: lookup
  36. Hidding J., Bucher J., Heiliger C., Andrade D., Trupka L., Halmen M., Werner J., Karcz K., Frank A.. Laparoscopy training of novices with complex curved instruments using 2D- and 3D-visualization. Langenbeck’s Arch. Surg. 2024;409:109.
    doi: 10.1007/s00423-024-03297-wpmc: PMC10990991pubmed: 38570339google scholar: lookup
  37. Awad P.B.A., Hassan B.H.A., Kashwaa M.F.A., Abdel-Maksoud I.M.. A comparative study between open pre-peritoneal approach versus laparoscopic trans-abdominal pre-peritoneal approach in recurrent inguinal hernia repair: A prospective cohort study. Hernia 2024;28:629–635.
    doi: 10.1007/s10029-024-02967-4pmc: PMC10997692pubmed: 38300399google scholar: lookup
  38. Chan K.S., Lee J., Ong M.W.. Evaluating a Single Surgeon’s Learning Curve for Laparoscopic Totally Extraperitoneal Repair of Inguinal Hernia with Telescopic Dissection: A Cumulative Sum Control Chart Analysis. J. Laparoendosc. Adv. Surg. Tech. 2024;34:227–234.
    doi: 10.1089/lap.2023.0418pubmed: 38285183google scholar: lookup
  39. Etele É.E., Annamária D.B., Tibor K., Márton D., Árpád T., Mircea N.R.. Influence of learning curve and surgeon experience on postoperative pain after laparoscopic treatment of inguinal hernias. Ann. Ital. Chir. 2023;94:483–492.
    pubmed: 38051509
  40. Hendrickson D.A.. Complications of laparoscopic surgery. Vet. Clin. N. Am. Equine Pract. 2008;24:557–571.
    doi: 10.1016/j.cveq.2008.09.003pubmed: 19203701google scholar: lookup
  41. Gracia-Calvo L.A., Ezquerra L.J., Martín-Cuervo M., Durán M.E., Tapio H., Gallardo J.M., Peña F.J., Ortega-Ferrusola C.. Standing laparoscopic peritoneal flap hernioplasty of the vaginal rings does not modify the sperm production and motility characteristics in intact male horses. Reprod. Domest. Anim. 2014;49:1043–1048.
    doi: 10.1111/rda.12434pubmed: 25307792google scholar: lookup
  42. Barone R.. Anatomie Comparée des Mammifères Domestiques. Tome 5, Angiologie. Editions Vigot; Paris, France: 1996. p. 368.
Subscribe to our newsletter
Join 99,357 horse owners like you who receive our email updates on horse health and nutrition.