Incisional hernia repair in horses: A cadaveric study of endoscopic component separation
Objective To report a technique for endoscopic component separation in horses and quantify the amount of body wall advancement obtained. Study Design Descriptive study. Animals Fresh cadaveric horses (n = 14). Methods After a preliminary anatomic study, 7 horses had unilateral endoscopic component s...
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| Veröffentlicht in: | Veterinary surgery 2014-01, Vol.43 (1), p.1-5 |
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| creator | Caron, John P. |
| description | Objective
To report a technique for endoscopic component separation in horses and quantify the amount of body wall advancement obtained.
Study Design
Descriptive study.
Animals
Fresh cadaveric horses (n = 14).
Methods
After a preliminary anatomic study, 7 horses had unilateral endoscopic component separation involving transection of the external abdominal oblique fascia lateral to the rectus abdominis muscle. A laparoscope, placed using a balloon dissector, was used to create an intermuscular working space between the external abdominal oblique fascia and internal abdominal oblique muscle. A single instrument portal was created 10–12 cm medial to the laparoscope portal. Laparoscopic scissors were used to transect the external abdominal oblique fascia, lateral to its insertion to the external rectus sheath, from ∼20 cm cranial to the costochondral junction to the level of the superficial inguinal ring. Subsequently, a 30 cm ventral median celiotomy was created and the myofascial advancement was quantified at points 10 and 20 cm cranial to the umbilicus.
Results
Endoscopic component separation was successfully completed in all horses. Component separation provided a net mean (±SD) abdominal wall advancement of 3.5 ± 1.3 cm and 3.4 ± 0.5 cm, 10 cm, and 20 cm cranial to the umbilicus, respectively.
Conclusion
Endoscopic component separation in horses is technically feasible but, as conducted, results in modest abdominal wall advancement. |
| doi_str_mv | 10.1111/j.1532-950X.2013.12079.x |
| format | Article |
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To report a technique for endoscopic component separation in horses and quantify the amount of body wall advancement obtained.
Study Design
Descriptive study.
Animals
Fresh cadaveric horses (n = 14).
Methods
After a preliminary anatomic study, 7 horses had unilateral endoscopic component separation involving transection of the external abdominal oblique fascia lateral to the rectus abdominis muscle. A laparoscope, placed using a balloon dissector, was used to create an intermuscular working space between the external abdominal oblique fascia and internal abdominal oblique muscle. A single instrument portal was created 10–12 cm medial to the laparoscope portal. Laparoscopic scissors were used to transect the external abdominal oblique fascia, lateral to its insertion to the external rectus sheath, from ∼20 cm cranial to the costochondral junction to the level of the superficial inguinal ring. Subsequently, a 30 cm ventral median celiotomy was created and the myofascial advancement was quantified at points 10 and 20 cm cranial to the umbilicus.
Results
Endoscopic component separation was successfully completed in all horses. Component separation provided a net mean (±SD) abdominal wall advancement of 3.5 ± 1.3 cm and 3.4 ± 0.5 cm, 10 cm, and 20 cm cranial to the umbilicus, respectively.
Conclusion
Endoscopic component separation in horses is technically feasible but, as conducted, results in modest abdominal wall advancement.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/j.1532-950X.2013.12079.x</identifier><identifier>PMID: 24304410</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Abdominal Wall - surgery ; Animals ; Endoscopy - instrumentation ; Endoscopy - methods ; Endoscopy - veterinary ; Hernia, Ventral - surgery ; Hernia, Ventral - veterinary ; Hernias ; Horse Diseases - surgery ; Horses ; Horses - surgery ; Surgical outcomes ; Surgical techniques ; Suture Techniques - veterinary ; Veterinary medicine</subject><ispartof>Veterinary surgery, 2014-01, Vol.43 (1), p.1-5</ispartof><rights>Copyright 2013 by The American College of Veterinary Surgeons</rights><rights>Copyright 2013 by The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4369-45792584cbe92b515ce9b16bd8d78137d940ad31c1ec51edbf1453598f9f5f993</citedby><cites>FETCH-LOGICAL-c4369-45792584cbe92b515ce9b16bd8d78137d940ad31c1ec51edbf1453598f9f5f993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-950X.2013.12079.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-950X.2013.12079.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24304410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caron, John P.</creatorcontrib><title>Incisional hernia repair in horses: A cadaveric study of endoscopic component separation</title><title>Veterinary surgery</title><addtitle>Veterinary Surgery</addtitle><description>Objective
To report a technique for endoscopic component separation in horses and quantify the amount of body wall advancement obtained.
Study Design
Descriptive study.
Animals
Fresh cadaveric horses (n = 14).
Methods
After a preliminary anatomic study, 7 horses had unilateral endoscopic component separation involving transection of the external abdominal oblique fascia lateral to the rectus abdominis muscle. A laparoscope, placed using a balloon dissector, was used to create an intermuscular working space between the external abdominal oblique fascia and internal abdominal oblique muscle. A single instrument portal was created 10–12 cm medial to the laparoscope portal. Laparoscopic scissors were used to transect the external abdominal oblique fascia, lateral to its insertion to the external rectus sheath, from ∼20 cm cranial to the costochondral junction to the level of the superficial inguinal ring. Subsequently, a 30 cm ventral median celiotomy was created and the myofascial advancement was quantified at points 10 and 20 cm cranial to the umbilicus.
Results
Endoscopic component separation was successfully completed in all horses. Component separation provided a net mean (±SD) abdominal wall advancement of 3.5 ± 1.3 cm and 3.4 ± 0.5 cm, 10 cm, and 20 cm cranial to the umbilicus, respectively.
Conclusion
Endoscopic component separation in horses is technically feasible but, as conducted, results in modest abdominal wall advancement.</description><subject>Abdominal Wall - surgery</subject><subject>Animals</subject><subject>Endoscopy - instrumentation</subject><subject>Endoscopy - methods</subject><subject>Endoscopy - veterinary</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernia, Ventral - veterinary</subject><subject>Hernias</subject><subject>Horse Diseases - surgery</subject><subject>Horses</subject><subject>Horses - surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Suture Techniques - veterinary</subject><subject>Veterinary medicine</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtu1DAYRi1ERYfCKyBLbNgk-BrHLJCqEb2IUbuAQsXGcmxH9ZCJUzuBmbev0ymzYFVvbNnn-375AAAxKnFeH9cl5pQUkqPbkiBMS0yQkOX2BVgcHl6CBcIVLiiT8hi8TmmNEJKM0VfgmDCKGMNoAW4ve-OTD73u4J2LvdcwukH7CH0P70JMLn2Cp9Boq_-46A1M42R3MLTQ9TYkE4Z8Z8JmCL3rR5hyNuox970BR63uknv7tJ-Am7Mv35cXxer6_HJ5uioMo5UsGBeS8JqZxknScMyNkw2uGltbUWMqrGRIW4oNdoZjZ5sWM065rFvZ8lZKegI-7HuHGO4nl0a18cm4rtO9C1NSmEkkaC1IndH3_6HrMMX885kStOKYyJmq95SJIaXoWjVEv9FxpzBSs321VrNkNUtWs331aF9tc_Td04Cp2Th7CP7TnYHPe-Cv79zu2cXqx7ebx2MuKPYFPo1ueyjQ8beqBBVc_bw6V7-I-Lo8oytV0Qf2EKI0</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Caron, John P.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Incisional hernia repair in horses: A cadaveric study of endoscopic component separation</title><author>Caron, John P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4369-45792584cbe92b515ce9b16bd8d78137d940ad31c1ec51edbf1453598f9f5f993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Wall - surgery</topic><topic>Animals</topic><topic>Endoscopy - instrumentation</topic><topic>Endoscopy - methods</topic><topic>Endoscopy - veterinary</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernia, Ventral - veterinary</topic><topic>Hernias</topic><topic>Horse Diseases - surgery</topic><topic>Horses</topic><topic>Horses - surgery</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Suture Techniques - veterinary</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caron, John P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caron, John P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incisional hernia repair in horses: A cadaveric study of endoscopic component separation</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Veterinary Surgery</addtitle><date>2014-01</date><risdate>2014</risdate><volume>43</volume><issue>1</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To report a technique for endoscopic component separation in horses and quantify the amount of body wall advancement obtained.
Study Design
Descriptive study.
Animals
Fresh cadaveric horses (n = 14).
Methods
After a preliminary anatomic study, 7 horses had unilateral endoscopic component separation involving transection of the external abdominal oblique fascia lateral to the rectus abdominis muscle. A laparoscope, placed using a balloon dissector, was used to create an intermuscular working space between the external abdominal oblique fascia and internal abdominal oblique muscle. A single instrument portal was created 10–12 cm medial to the laparoscope portal. Laparoscopic scissors were used to transect the external abdominal oblique fascia, lateral to its insertion to the external rectus sheath, from ∼20 cm cranial to the costochondral junction to the level of the superficial inguinal ring. Subsequently, a 30 cm ventral median celiotomy was created and the myofascial advancement was quantified at points 10 and 20 cm cranial to the umbilicus.
Results
Endoscopic component separation was successfully completed in all horses. Component separation provided a net mean (±SD) abdominal wall advancement of 3.5 ± 1.3 cm and 3.4 ± 0.5 cm, 10 cm, and 20 cm cranial to the umbilicus, respectively.
Conclusion
Endoscopic component separation in horses is technically feasible but, as conducted, results in modest abdominal wall advancement.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24304410</pmid><doi>10.1111/j.1532-950X.2013.12079.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Veterinary surgery, 2014-01, Vol.43 (1), p.1-5 |
| issn | 0161-3499 1532-950X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1490738728 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdominal Wall - surgery Animals Endoscopy - instrumentation Endoscopy - methods Endoscopy - veterinary Hernia, Ventral - surgery Hernia, Ventral - veterinary Hernias Horse Diseases - surgery Horses Horses - surgery Surgical outcomes Surgical techniques Suture Techniques - veterinary Veterinary medicine |
| title | Incisional hernia repair in horses: A cadaveric study of endoscopic component separation |
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