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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. Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases. Animals (Basel) 2024; 14:1826. [PMID: 38929445 PMCID: PMC11200771 DOI: 10.3390/ani14121826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2024] [Revised: 06/11/2024] [Accepted: 06/14/2024] [Indexed: 06/28/2024] Open
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.
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Affiliation(s)
- Francisco J. Vázquez
- Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain; (F.J.V.); (A.V.); (A.R.)
| | - David Argüelles
- Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; (F.B.); (A.S.)
- Departamento de Medicina y Cirugía Animal, Universidad de Córdoba, 14014 Córdoba, Spain
| | - Juan A. Muñoz
- Hospital de Referencia La Equina, 29691 Manilva, Spain;
| | - Martin Genton
- Clinique Vétérinaire Équine de Grosbois Altano-Gruppe, 94470 Boissy-St-Léger, France; (M.G.); (F.R.)
| | | | - Frederic Climent
- 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;
| | | | - Manuel Iglesias
- Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain or (M.I.); (J.E.)
| | - Ana Velloso Álvarez
- Hospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad CEU-Cardenal Herrera, CEU Universities, 46115 Alfara del Patriarca, Spain;
| | - Arantza Vitoria
- Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain; (F.J.V.); (A.V.); (A.R.)
| | - Fernando Bulnes
- Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; (F.B.); (A.S.)
- Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain or (M.I.); (J.E.)
| | - Aritz Saitua
- Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; (F.B.); (A.S.)
| | - Antonio Romero
- Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain; (F.J.V.); (A.V.); (A.R.)
| | - Javier Ezquerra
- Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain or (M.I.); (J.E.)
| | - Marta Prades
- Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Autònoma de Barcelona, 08036 Barcelona, Spain;
| | - F. Javier López-Sanromán
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Fabrice Rossignol
- Clinique Vétérinaire Équine de Grosbois Altano-Gruppe, 94470 Boissy-St-Léger, France; (M.G.); (F.R.)
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Silva RDM, Araújo LHV, Cardoso TDS, Franco SLI, Gurgel HJ, Cerqueira PHL, Carvalho LS, Novais LGES, Gonçalves JLDS, de Sousa LA, Albuquerque RDS, Dutra MD, Ferreira TTA, da Silveira JA, Silva MAM, Monteiro FDDO, Teixeira PPM. A Single-Port, Multiple-Access, Custom-Made Device Used in Laparoscopically Assisted Cryptorchidectomy in Standing Horses-A Preliminary Study. Animals (Basel) 2024; 14:1091. [PMID: 38612330 PMCID: PMC11011124 DOI: 10.3390/ani14071091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 03/20/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
This study evaluates a new multiport device with single access to the abdominal cavity produced with routine hospital supplies that could be applied to laparoscopically assisted cryptorchidectomy in standing horses. Initially, the new device was evaluated on five cadavers of bovine fetuses (n = 5), placed assisted in a minilaparotomy performed in the flank region. Subsequently, the device was evaluated in four cryptorchid horses treated during the hospital routine. During the evaluation of the new device, the possibilities of exploring the abdominal cavity, inspection, and intra-abdominal manipulation with two Babcock forceps were verified. The possibilities were described, and surgical time data were recorded and analyzed using descriptive statistics. In the cadavers, a wide exploration of the abdominal cavity was possible, with a laparoscopic inspection through the right paralumbar fossa and manipulation of intra-abdominal structures with Babcock forceps inserted by the new device. In cryptorchid horses, laparoscopically assisted cryptorchidectomy with a new device was feasible in two patients, and in the others, it allowed the diagnosis of adhesions and ectopic locations in the inguinal region of testicles retained in the cavity. Therefore, the new device was efficient in exploring the inguinal region of cryptorchid horses in the standing position. The present study is preliminary and can support future studies that aim to improve the developed prototype.
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Affiliation(s)
- Rafaela das Mercês Silva
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luiz Henrique Vilela Araújo
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Thiago da Silva Cardoso
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Stephany Lorrane Ishida Franco
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Heytor Jales Gurgel
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Pedro Henrique Lira Cerqueira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Lucas Santos Carvalho
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luis Gustavo e Silva Novais
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Leandro da Silva Gonçalves
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Loise Araújo de Sousa
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Rodrigo dos Santos Albuquerque
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Marcos Duarte Dutra
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Tatiane Teles Albernaz Ferreira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Alcides da Silveira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | | | | | - Pedro Paulo Maia Teixeira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
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Marr CM. A pyramid needs a foundation: Exploding some myths about what EVJ's editors are looking for from authors? Equine Vet J 2023; 55:931-937. [PMID: 37827177 DOI: 10.1111/evj.14006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 09/04/2023] [Indexed: 10/14/2023]
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Complications in Laparoscopic Access in Standing Horses Using Cannula and Trocar Units Developed for Human Medicine. Vet Sci 2023; 10:vetsci10010061. [PMID: 36669062 PMCID: PMC9863198 DOI: 10.3390/vetsci10010061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 01/18/2023] Open
Abstract
First cannulation is a critical manoeuvre in equine laparoscopy. This retrospective study aimed at the comparison of the frequency and type of complications detected when using different human laparoscopy devices for laparoscopic access in standing horses, and the influence of body condition in such complications. Forty-four procedures were included, and retrieved data comprised cannula insertion technique, body condition, and type and frequency of complications. Laparoscopic access techniques were classified into five groups: P: pneumoperitoneum created using Veress needle prior to cannulation; T: sharp trocar; D: direct access via surgical incision; V: Visiport optical trocar and H: optical helical cannula (OHC). In groups T, D, V and H, access was achieved without prior induction of pneumoperitoneum. Complications were registered in 13/44 procedures, of which retroperitoneal insufflation was the most common (6/13). Statistically significant association was found between the complication incidence and the type of access, with group D showing the highest complication frequency (80%) and group H the lowest frequency (0%). The majority of complications (9/13) were observed in overweight horses. We conclude that devices designed for human patients can be used for laparoscopic access in standing horses, with the use of OHC minimizing the appearance of complications, especially in overweight horses with OW.
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