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

Autor: Hurcombe SD; New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA., Klein CE; New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA., Roessner HA; New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA., Engiles JB; 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 K; New Bolton Center, Department of Clinical Sciences, The University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: Veterinary surgery : VS [Vet Surg] 2021 Aug; Vol. 50 (6), pp. 1267-1275. Date of Electronic Publication: 2021 Apr 30.
DOI: 10.1111/vsu.13644
Abstrakt: Objective: To report the use of nylon cable ties (NCT) for omentectomy in the horse.
Study Design: Experimental study.
Animals: 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.
Conclusion: The use of NCT resulted in fast and effective omentectomy in healthy horses without short-term evidence of inflammatory reaction or intra-abdominal adhesion.
Clinical Significance: The described technique provides an alternative for omentectomy in healthy adult horses.
(© 2021 American College of Veterinary Surgeons.)
Databáze: MEDLINE
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