Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus.

Autor: Silva CRG; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Cardoso TDS; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., da Silva KB; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Gurgel HJ; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Barroso JPM; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Araújo LHV; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Altamirano LES; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., de Sousa LA; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Alcântara LPA; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Ferreira MEM; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Carvalho LS; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Gonçalves JLDS; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Rodrigues JHG; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Monteiro FDO; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil., Viana RB; Institute of Animal Health and Production, Federal Rural University of Amazonia (ISPA/UFRA), Belém-Pará, Brazil., Teixeira PPM; Institute of Veterinary Medicine, Federal University of Pará (UFPA), Castanhal, Pará, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 May 31; Vol. 18 (5), pp. e0285988. Date of Electronic Publication: 2023 May 31 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0285988
Abstrakt: Abdominal wall defects in calves are commonly diagnosed and treated via laparotomy. This technique has witnessed several advancements in the management of these disorders. This study aimed to create a study model and evaluate the feasibility of video-assisted percutaneous correction of abdominal wall defects in bovine fetuses (corpses) compared with the conventional technique. Sixteen bovine fetuses from pregnant cows slaughtered in slaughterhouses were included in this study. The fetuses were categorized into the control group (CG, n = 8), which was subjected to umbilical abdominorrhaphy via laparotomy, and the video-surgical group (VG, n = 8), which received video-assisted percutaneous sutures with two lateral accesses on the right flank. An abdominal wall defect was created in the VG group to generate a study model, which was corrected using the laparoscopic technique. The procedures were performed in two steps. The first step consisted of creating an abdominal wall defect in the umbilical region by laparoscopic approach in an iatrogenic manner (Step 1: E1). The second stage consisted of conventional abdominorrhaphy of the umbilical region wall defect in the CG group and video-assisted percutaneous suturing of the edges of the iatrogenic abdominal wall defect in the VG group, until reversal of the laparoscopic accesses (Step 2: E2). Step 1 showed no statistically significant difference between the two groups. However, a significant statistical difference (p < 0.0001) was observed between the two groups in step 2. The surgical time of step 2 was longer in the CG group (33.10 ± 0.43 minutes) than that in the VG group (10.13 ± 0.68 minutes, p < 0.0001), and the total surgical time was also longer in the CG group (38.48 ± 0.35 minutes) than that in the VG group (15.86 ± 0.67 minutes). The proposed laparoscopic technique allowed the creation of a study model for video-assisted percutaneous suturing with two portals and reduced the surgical time compared with the conventional technique. However, this method needs to be studied further in live animals.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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