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Veterinary surgery : VS2021; 50(6); 1267-1275; doi: 10.1111/vsu.13644

Use of polyamide cable ties during experimental omentectomy in adult horses with histopathological assessment.

Abstract: To report the use of nylon cable ties (NCT) for omentectomy in the horse. Methods: Experimental study. Methods: Eight healthy adult horses. Methods: Horses underwent nylon cable tie (NCT) ligation of the greater omentum after ventral midline celiotomy. The time required to complete the omentectomy was recorded. Horses were recovered for 14 days before repeat celiotomy, adhesions assessment, and histological examination of the omentectomy site using a proposed histologic grading scheme. The total time for omentectomy procedure and histologic score was assessed for normality. Data are expressed as mean ± standard deviation. Results: NCT ligation provided sufficient hemostasis to complete the omentectomy (28 ± 15 s), without rescue ligation. No gross evidence of intra-abdominal adhesion or morbidity was associated with the omentectomy site 14 days after surgery. NCT were intact at the site of application, covered with smooth fibrous connective tissue. Adiponecrosis with minimal inflammation and fibrovascular occlusion of omental vessels was present at the surgical site. Mild inflammation was present at the NCT-tissue interface. Conclusions: The use of NCT resulted in fast and effective omentectomy in healthy horses without short-term evidence of inflammatory reaction or intra-abdominal adhesion. Conclusions: The described technique provides an alternative for omentectomy in healthy adult horses.
Publication Date: 2021-04-30 PubMed ID: 33929768DOI: 10.1111/vsu.13644Google Scholar: Lookup
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  • Clinical Trial
  • Veterinary
  • Journal Article

Summary

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This study investigates the efficacy of using nylon cable ties (NCT) for omentectomy in horses. The researchers conducted the technique on eight healthy adult horses and found that it was quick, effective, and did not result in any short-term signs of inflammation or adhesion in the abdomen.

Research Methodology

  • The study was performed on eight healthy adult horses.
  • The greater omentum of each horse, a large fold of visceral peritoneum, was ligated using nylon cable ties (NCT), following ventral midline celiotomy, a surgical procedure that involves creating an opening in the horse’s abdomen.
  • The researchers noted the time taken to complete each omentectomy.
  • After 14 days, surgery was repeated to assess any possible adhesions and to conduct a histological examination of the omentectomy site following a proposed grading scheme.
  • The total time for the omentectomy procedure and scores of the histologic review were measured for regularity.

Results of the Study

  • The application of NCT provided adequate control of bleeding, enabling the researchers to perform the omentectomy in an average of 28 ± 15 seconds, without having to resort to rescue ligation.
  • Inspecting the site of surgery 14 days after operation revealed no notable intra-abdominal adhesion or morbidity, indicating the absence of complications or diseases related to the omentectomy.
  • NCT was found intact at the site of application, covered with smooth fibrous connective tissue, showing that the ties were not being rejected or degraded by the horse’s body.
  • The site of operation exhibited signs of adiponecrosis, the death of fat cells, and minimal inflammation. There was also fibrovascular occlusion of omental vessels, which indicates the closure or blockage of blood vessels in the omentum.
  • Slight inflammation was observed where the NCT interacted with the tissue.

Conclusion of the Study

  • The application of NCT was determined to be a rapid and efficient method for performing omentectomy in healthy horses, with no short-term evidence of problematic inflammation or abdominal adhesion observed.
  • The researchers concluded by establishing their NCT-based technique as a viable alternative for performing omentectomy in healthy adult horses.

Cite This Article

APA
Hurcombe SD, Klein CE, Roessner HA, Engiles JB, Hopster K. (2021). Use of polyamide cable ties during experimental omentectomy in adult horses with histopathological assessment. Vet Surg, 50(6), 1267-1275. https://doi.org/10.1111/vsu.13644

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 50
Issue: 6
Pages: 1267-1275

Researcher Affiliations

Hurcombe, Samuel D
  • New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Klein, Chelsea E
  • New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Roessner, Holly A
  • New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Engiles, Julie B
  • New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
  • Department of Pathobiology, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Hopster, Klaus
  • New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.

MeSH Terms

  • Abdomen
  • Animals
  • Horse Diseases / surgery
  • Horses / surgery
  • Nylons
  • Omentum / surgery
  • Tissue Adhesions / veterinary

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Citations

This article has been cited 1 times.
  1. Sjöberg I, Law E, Södersten F, Höglund OV, Wattle O. A preliminary investigation of the subcutaneous tissue reaction to a 3D printed polydioxanone device in horses. Acta Vet Scand 2023 Nov 20;65(1):48.
    doi: 10.1186/s13028-023-00710-0pubmed: 37986118google scholar: lookup