• 1. Epstein KL, Fehr J. Colic surgery. In: Southwood LL, ed. Practical guide to equine colic. Oxford, England: Wiley-Blackwell, 2013; 173203.

    • Search Google Scholar
    • Export Citation
  • 2. Albanese V, Caldwell FJ. Left dorsal displacement of the large colon in the horse. Equine Vet Educ 2014; 26: 107111.

  • 3. Röcken M, Schubert C, Mosel G, et al. Indications, surgical technique, and long-term experience with laparoscopic closure of the nephrosplenic space in standing horses. Vet Surg 2005; 34: 637641.

    • Search Google Scholar
    • Export Citation
  • 4. Mariën T, Adriaenssen A, Hoeck FV, et al. Laparoscopic closure of the renosplenic space in standing horses. Vet Surg 2001; 30: 559563.

    • Search Google Scholar
    • Export Citation
  • 5. Muñoz J, Bussy C. Standing hand-assisted laparoscopic treatment of left dorsal displacement of the large colon and closure of the nephrosplenic space. Vet Surg 2013; 42: 595599.

    • Search Google Scholar
    • Export Citation
  • 6. Rocken M. Closure of the nephrosplenic space. In: Ragle CA, ed. Advances in equine laparoscopy. Oxford, England: Wiley-Blackwell, 2012; 19128.

    • Search Google Scholar
    • Export Citation
  • 7. Hendrickson DA. A review of equine laparoscopy. ISRN Vet Sci 2012; 2012: 492650.

  • 8. Farstvedt E, Hendrickson D. Laparoscopic closure of the nephrosplenic space for prevention of recurrent nephrosplenic entrapment of the ascending colon. Vet Surg 2005; 34: 642645.

    • Search Google Scholar
    • Export Citation
  • 9. Demyttenaere SV, Nau P, Henn M, et al. Barbed suture for gastrointestinal closure: a randomized control trial. Surg Innov 2009; 16: 237242.

    • Search Google Scholar
    • Export Citation
  • 10. Ruff G. Technique and uses for absorbable barbed sutures. Aesthet Surg J 2006; 26: 620628.

  • 11. Ruff GL. The history of barbed sutures. Aesthet Surg J 2013; 33(suppl 3):12S16S.

  • 12. Maheshwari AV, Naziri Q, Wong A, et al. Barbed sutures in total knee arthroplasty: are these safe, efficacious, and cost-effective? J Knee Surg 2015; 28: 151156.

    • Search Google Scholar
    • Export Citation
  • 13. Medina BC, Giraldo CH, Riaño G, et al. Barbed suture for vaginal cuff closure in laparoscopic hysterectomy. JSLS 2014; 18: 8388.

    • Search Google Scholar
    • Export Citation
  • 14. Manoucheri E, Einarsson JI. The use of barbed suture in hysterectomy and myomectomy. Surg Technol Int 2013; 23: 133136.

  • 15. Chamsy D, Lee T. The use of barbed suture in bladder and bowel surgery. Surg Technol Int 2013; 23: 153159.

  • 16. Greenberg JA. The use of barbed sutures in obstetrics and gynecology. Rev Obstet Gynecol 2010; 3: 8291.

  • 17. Hansen LA, Monnet EL. Evaluation of a novel suture material for closure of intestinal anastomoses in canine cadavers. Am J Vet Res 2012; 73: 18191823.

    • Search Google Scholar
    • Export Citation
  • 18. Ehrhart NP, Kaminskaya K, Miller JA, et al. In vivo assessment of absorbable knotless barbed suture for single layer gastrotomy and enterotomy closure. Vet Surg 2013; 42: 210216.

    • Search Google Scholar
    • Export Citation
  • 19. Omotosho P, Yurcisin B, Ceppa E, et al. In vivo assessment of an absorbable and non-absorbable knotless barbed suture for laparoscopic single-layer enterotomy closure: a clinical and biomechanical comparison against nonbarbed suture. J Laparoendosc Adv Surg Tech A 2011; 21: 893897.

    • Search Google Scholar
    • Export Citation
  • 20. Miller J, Zaruby J, Kaminsky K. Evaluation of a barbed suture device versus conventional suture in a canine enterotomy model. J Invest Surg 2012; 25: 107111.

    • Search Google Scholar
    • Export Citation
  • 21. Nemecek E, Negrin L, Beran C, et al. The application of the V-Loc closure device for gastrointestinal sutures: a preliminary study. Surg Endosc 2013; 27: 38303834.

    • Search Google Scholar
    • Export Citation
  • 22. Tyner RP, Clifton GT, Fenton SJ. Hand-sewn gastrojejunostomy using knotless unidirectional barbed absorbable suture during laparoscopic gastric bypass. Surg Endosc 2013; 27: 13601366.

    • Search Google Scholar
    • Export Citation
  • 23. Nelson BB, Hassel DM. In vitro comparison of V-LocTM versus BiosynTM in a one-layer end-to-end anastomosis of equine jejunum. Vet Surg 2014; 43: 8084.

    • Search Google Scholar
    • Export Citation
  • 24. Ragle CA, Yiannikouris S, Tibary AA, et al. Use of a barbed suture for laparoscopic closure of the internal inguinal rings in a horse. J Am Vet Med Assoc 2013; 242: 249253.

    • Search Google Scholar
    • Export Citation
  • 25. Albanese V, Hanson RR, McMaster MA, et al. Use of a knotless suture for laparoscopic closure of the nephrosplenic space in four horses. Vet Surg 2016; 45: 824830.

    • Search Google Scholar
    • Export Citation
  • 26. Covidien Ltd. V-LOC product overview. Available at: www.covidien.com/surgical/products/wound-closure/barbed-sutures. Accessed Sep 12, 2015.

    • Search Google Scholar
    • Export Citation

Advertisement

Laparoscopic nephrosplenic space ablation with barbed suture in eight horses

Marco Gandini DVM, PhD1, Sara Nannarone DVM, PhD2, Gessica Giusto DVM3, Marco Pepe DVM, PhD4, Francesco Comino DVM5, Vittorio Caramello DVM6, and Rodolfo Gialletti DVM, PhD7
View More View Less
  • 1 Department of Veterinary Sciences, University of Turin, 10095 Grugliasco TO, Italy.
  • | 2 Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.
  • | 3 Department of Veterinary Sciences, University of Turin, 10095 Grugliasco TO, Italy.
  • | 4 Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.
  • | 5 Department of Veterinary Sciences, University of Turin, 10095 Grugliasco TO, Italy.
  • | 6 Department of Veterinary Sciences, University of Turin, 10095 Grugliasco TO, Italy.
  • | 7 Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy.

Abstract

CASE DESCRIPTION 8 horses (5 geldings and 3 mares) were evaluated for laparoscopic closure of the nephrosplenic space following a history of recurrent left dorsal displacement of the large colon.

CLINICAL FINDINGS All horses underwent a physical examination and routine clinicopathologic testing. Transrectal palpation and transabdominal ultrasonography were performed to exclude the presence of organs in the left paralumbar region.

TREATMENT AND OUTCOME A left flank laparoscopic approach with the horses standing was used. A continuous suture was placed in a craniocaudal direction between the renal and splenic capsules with unidirectional barbed suture material. This allowed obliteration of the nephrosplenic space without the need for knots to secure the leading and terminal ends of the suture line. In all horses, transrectal palpation was performed 2 months after surgery; at this time, closure of the caudal part of the nephrosplenic space was evident. In 2 horses, follow-up laparoscopy was performed, and complete closure of the nephrosplenic space was confirmed. Telephone follow-up revealed that none of the horses had any signs of recurrent left dorsal displacement of the large colon.

CLINICAL RELEVANCE Results suggested that laparoscopic nephrosplenic space closure with unidirectional barbed suture material could be considered as an option for prevention of left dorsal displacement of the large colon in horses. In the horses of this report, barbed suture material allowed secure ablation of the nephrosplenic space and eliminated the need for intracorporeal knot tying.

Abstract

CASE DESCRIPTION 8 horses (5 geldings and 3 mares) were evaluated for laparoscopic closure of the nephrosplenic space following a history of recurrent left dorsal displacement of the large colon.

CLINICAL FINDINGS All horses underwent a physical examination and routine clinicopathologic testing. Transrectal palpation and transabdominal ultrasonography were performed to exclude the presence of organs in the left paralumbar region.

TREATMENT AND OUTCOME A left flank laparoscopic approach with the horses standing was used. A continuous suture was placed in a craniocaudal direction between the renal and splenic capsules with unidirectional barbed suture material. This allowed obliteration of the nephrosplenic space without the need for knots to secure the leading and terminal ends of the suture line. In all horses, transrectal palpation was performed 2 months after surgery; at this time, closure of the caudal part of the nephrosplenic space was evident. In 2 horses, follow-up laparoscopy was performed, and complete closure of the nephrosplenic space was confirmed. Telephone follow-up revealed that none of the horses had any signs of recurrent left dorsal displacement of the large colon.

CLINICAL RELEVANCE Results suggested that laparoscopic nephrosplenic space closure with unidirectional barbed suture material could be considered as an option for prevention of left dorsal displacement of the large colon in horses. In the horses of this report, barbed suture material allowed secure ablation of the nephrosplenic space and eliminated the need for intracorporeal knot tying.

Contributor Notes

Address correspondence to Dr. Gandini (marco.gandini@unito.it)