Suture length to wound length ratio in 175 small animal abdominal midline closures
Experimental and human studies have reported the advantages of a suture length to wound length (SL:WL) ratio greater than 4:1 in midline abdominal closure. This is achieved when the tissue bite (TB) is equal to or larger than the stitch interval (SI). Although TB and SI values are recommended in som...
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| description | Experimental and human studies have reported the advantages of a suture length to wound length (SL:WL) ratio greater than 4:1 in midline abdominal closure. This is achieved when the tissue bite (TB) is equal to or larger than the stitch interval (SI). Although TB and SI values are recommended in some textbooks, SL:WL ratios are rarely reported in veterinary textbooks. Additionally, no clinical data regarding these parameters could be found in small animals. Therefore, the aim of this study was to evaluate the SL:WL ratio of midline laparotomy closure in dogs and cats performed by surgeons with different levels of expertise and to compare the findings with current textbook recommendations. Midline laparotomy incisions of 100 dogs and 75 cats were closed in continuous pattern by diplomates and residents of both the European College of Veterinary Surgeons (ECVS) and the European College of Animal Reproduction (ECAR). The mean SL:WL ratio was 2.5 ± 0.7:1. The surgeons´ level of experience and the species and body weights of the animals did not have any significant influence on the SL:WL ratio. A moderate negative correlation was observed between the mean SI to mean TB (SI:TB) ratio and the SL:WL ratio. In this study, the mean SI matched the textbook recommendations both in feline and canine species, whereas the TB in cats was different. In this study, the SL:WL ratio was less than 4:1 without apparent complications. Because of the low prevalence of incisional hernia in dogs and cats larger studies are necessary to evaluate clinical significance of the presented data. |
| doi_str_mv | 10.1371/journal.pone.0216943 |
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This is achieved when the tissue bite (TB) is equal to or larger than the stitch interval (SI). Although TB and SI values are recommended in some textbooks, SL:WL ratios are rarely reported in veterinary textbooks. Additionally, no clinical data regarding these parameters could be found in small animals. Therefore, the aim of this study was to evaluate the SL:WL ratio of midline laparotomy closure in dogs and cats performed by surgeons with different levels of expertise and to compare the findings with current textbook recommendations. Midline laparotomy incisions of 100 dogs and 75 cats were closed in continuous pattern by diplomates and residents of both the European College of Veterinary Surgeons (ECVS) and the European College of Animal Reproduction (ECAR). The mean SL:WL ratio was 2.5 ± 0.7:1. The surgeons´ level of experience and the species and body weights of the animals did not have any significant influence on the SL:WL ratio. A moderate negative correlation was observed between the mean SI to mean TB (SI:TB) ratio and the SL:WL ratio. In this study, the mean SI matched the textbook recommendations both in feline and canine species, whereas the TB in cats was different. In this study, the SL:WL ratio was less than 4:1 without apparent complications. Because of the low prevalence of incisional hernia in dogs and cats larger studies are necessary to evaluate clinical significance of the presented data.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0216943</identifier><identifier>PMID: 31107892</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdomen ; Abdomen - pathology ; Abdomen - surgery ; Abdominal Wound Closure Techniques - veterinary ; Analysis ; Animal health ; Animals ; Biology and Life Sciences ; Body Weight ; Cats ; Complications ; Dogs ; Domestic cats ; Female ; Hernia ; Humans ; Incisional Hernia - pathology ; Incisional Hernia - surgery ; Incisional Hernia - veterinary ; Laparotomy ; Laparotomy - methods ; Laparotomy - veterinary ; Levels ; Male ; Medical personnel ; Medical research ; Medical societies ; Medicine and Health Sciences ; People and Places ; Physicians ; Social Sciences ; Studies ; Surgeons ; Surgery ; Surgery, Veterinary - instrumentation ; Surgery, Veterinary - methods ; Suture Techniques - veterinary ; Sutures ; Sutures - veterinary ; Textbooks ; Veterinary medicine ; Veterinary surgeons ; Wound healing ; Wounds</subject><ispartof>PloS one, 2019-05, Vol.14 (5), p.e0216943-e0216943</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Winter et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This is achieved when the tissue bite (TB) is equal to or larger than the stitch interval (SI). Although TB and SI values are recommended in some textbooks, SL:WL ratios are rarely reported in veterinary textbooks. Additionally, no clinical data regarding these parameters could be found in small animals. Therefore, the aim of this study was to evaluate the SL:WL ratio of midline laparotomy closure in dogs and cats performed by surgeons with different levels of expertise and to compare the findings with current textbook recommendations. Midline laparotomy incisions of 100 dogs and 75 cats were closed in continuous pattern by diplomates and residents of both the European College of Veterinary Surgeons (ECVS) and the European College of Animal Reproduction (ECAR). The mean SL:WL ratio was 2.5 ± 0.7:1. The surgeons´ level of experience and the species and body weights of the animals did not have any significant influence on the SL:WL ratio. A moderate negative correlation was observed between the mean SI to mean TB (SI:TB) ratio and the SL:WL ratio. In this study, the mean SI matched the textbook recommendations both in feline and canine species, whereas the TB in cats was different. In this study, the SL:WL ratio was less than 4:1 without apparent complications. Because of the low prevalence of incisional hernia in dogs and cats larger studies are necessary to evaluate clinical significance of the presented data.</description><subject>Abdomen</subject><subject>Abdomen - pathology</subject><subject>Abdomen - surgery</subject><subject>Abdominal Wound Closure Techniques - veterinary</subject><subject>Analysis</subject><subject>Animal health</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Body Weight</subject><subject>Cats</subject><subject>Complications</subject><subject>Dogs</subject><subject>Domestic cats</subject><subject>Female</subject><subject>Hernia</subject><subject>Humans</subject><subject>Incisional Hernia - pathology</subject><subject>Incisional Hernia - surgery</subject><subject>Incisional Hernia - veterinary</subject><subject>Laparotomy</subject><subject>Laparotomy - methods</subject><subject>Laparotomy - veterinary</subject><subject>Levels</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medical societies</subject><subject>Medicine and Health Sciences</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery, Veterinary - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winter, Verena</au><au>Degasperi, Brigitte</au><au>Bockstahler, Barbara</au><au>Dupré, Gilles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suture length to wound length ratio in 175 small animal abdominal midline closures</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-05-20</date><risdate>2019</risdate><volume>14</volume><issue>5</issue><spage>e0216943</spage><epage>e0216943</epage><pages>e0216943-e0216943</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Experimental and human studies have reported the advantages of a suture length to wound length (SL:WL) ratio greater than 4:1 in midline abdominal closure. This is achieved when the tissue bite (TB) is equal to or larger than the stitch interval (SI). Although TB and SI values are recommended in some textbooks, SL:WL ratios are rarely reported in veterinary textbooks. Additionally, no clinical data regarding these parameters could be found in small animals. Therefore, the aim of this study was to evaluate the SL:WL ratio of midline laparotomy closure in dogs and cats performed by surgeons with different levels of expertise and to compare the findings with current textbook recommendations. Midline laparotomy incisions of 100 dogs and 75 cats were closed in continuous pattern by diplomates and residents of both the European College of Veterinary Surgeons (ECVS) and the European College of Animal Reproduction (ECAR). The mean SL:WL ratio was 2.5 ± 0.7:1. The surgeons´ level of experience and the species and body weights of the animals did not have any significant influence on the SL:WL ratio. A moderate negative correlation was observed between the mean SI to mean TB (SI:TB) ratio and the SL:WL ratio. In this study, the mean SI matched the textbook recommendations both in feline and canine species, whereas the TB in cats was different. In this study, the SL:WL ratio was less than 4:1 without apparent complications. Because of the low prevalence of incisional hernia in dogs and cats larger studies are necessary to evaluate clinical significance of the presented data.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31107892</pmid><doi>10.1371/journal.pone.0216943</doi><tpages>e0216943</tpages><orcidid>https://orcid.org/0000-0002-8521-0597</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdomen - pathology Abdomen - surgery Abdominal Wound Closure Techniques - veterinary Analysis Animal health Animals Biology and Life Sciences Body Weight Cats Complications Dogs Domestic cats Female Hernia Humans Incisional Hernia - pathology Incisional Hernia - surgery Incisional Hernia - veterinary Laparotomy Laparotomy - methods Laparotomy - veterinary Levels Male Medical personnel Medical research Medical societies Medicine and Health Sciences People and Places Physicians Social Sciences Studies Surgeons Surgery Surgery, Veterinary - instrumentation Surgery, Veterinary - methods Suture Techniques - veterinary Sutures Sutures - veterinary Textbooks Veterinary medicine Veterinary surgeons Wound healing Wounds |
| title | Suture length to wound length ratio in 175 small animal abdominal midline closures |
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