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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Simple Summary

Inguinal hernias (IHs) occur uni- or bilaterally when intestinal loops enter the vaginal ring (VR), exiting the abdominal cavity. They are a relatively common problem in foals and mature horses, mostly affecting intact male animals. In stallions (acquired hernias), the clinical scenario presents with colic and is an emergency, life-threatening condition, while in foals (congenital hernias), conservative management could be carried out. However, surgical treatment may be necessary as a preventive or therapeutic measure to close the VR. Several laparoscopic techniques have been reported, each with different results and postoperative complications. This retrospective study describes the results using barbed sutures. Barbed sutures are characterized by the presence of “barbs” along their length, which provide better tissue engagement and eliminate the need for knots, which is a great advantage in minimally invasive surgery. This technique was applied to 40 animals, successfully closing a total of 59 VRs. Barbed sutures were used alone or in combination with other techniques, and postoperative follow-up data was gathered from owners and/or referring veterinarians. This multicentric retrospective study suggests that laparoscopic hernioplasty using barbed sutures is a safe and effective method for the treatment and prevention of inguinal hernias in horses.

Abstract

Inguinal hernias (IHs) and ruptures are a relatively common condition in horses, occurring in foals (congenital) and adult (acquired) animals. A retrospective observational analysis was conducted on 40 cases that underwent laparoscopic surgery to close the VRs using barbed sutures alone or combined with other techniques. Signalment, clinical presentation, surgery, and follow-up data were obtained. In total, fifty-nine VRs were closed using barbed sutures (alone or in combination with other methods), with six cases performed prophylactically and forty-four due to acquired IH. Of the forty-four cases with IH, four were non-strangulated hernias, while thirty presented with strangulated small intestines (twenty-eight acquired and two congenital). The results obtained in this study suggest that laparoscopic hernioplasty with barbed sutures is an effective and safe surgical procedure that could be recommended as a standard practice for managing inguinal hernias in horses, particularly when sparing testicles or preserving reproductive capabilities is a priority.

Details

Title
Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases
Author
Vázquez, Francisco J 1   VIAFID ORCID Logo  ; Argüelles, David 2   VIAFID ORCID Logo  ; Muñoz, Juan A 3 ; Genton, Martin 4 ; Méndez Angulo, José L 5 ; Climent, Frederic 6 ; Roquet, Imma 7 ; Iglesias, Manuel 8 ; Ana Velloso Álvarez 9   VIAFID ORCID Logo  ; Vitoria, Arantza 1   VIAFID ORCID Logo  ; Bulnes, Fernando 10   VIAFID ORCID Logo  ; Saitua, Aritz 11   VIAFID ORCID Logo  ; Romero, Antonio 1 ; Ezquerra, Javier 8   VIAFID ORCID Logo  ; Prades, Marta 12 ; López-Sanromán, F Javier 13   VIAFID ORCID Logo  ; Rossignol, Fabrice 4 

 Servicio de Cirugía y Medicina Equina del Hospital Veterinario, Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain; [email protected] (F.J.V.); [email protected] (A.V.); [email protected] (A.R.) 
 Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; [email protected] (F.B.); [email protected] (A.S.); Departamento de Medicina y Cirugía Animal, Universidad de Córdoba, 14014 Córdoba, Spain 
 Hospital de Referencia La Equina, 29691 Manilva, Spain; [email protected] 
 Clinique Vétérinaire Équine de Grosbois Altano-Gruppe, 94470 Boissy-St-Léger, France; [email protected] (M.G.); [email protected] (F.R.) 
 Méndez Hospital Equino, 14100 La Carlota, Spain; [email protected] 
 Unitat Equina de l’Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain; [email protected]; Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Autònoma de Barcelona, 08036 Barcelona, Spain; [email protected] 
 Independent Researcher, 08551 Tona, Spain; [email protected] 
 Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain or [email protected] (M.I.); [email protected] (J.E.) 
 Hospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad CEU-Cardenal Herrera, CEU Universities, 46115 Alfara del Patriarca, Spain; [email protected] 
10  Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; [email protected] (F.B.); [email protected] (A.S.); Hospital Clínico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 Cáceres, Spain or [email protected] (M.I.); [email protected] (J.E.) 
11  Hospital Clínico Veterinario, Universidad de Córdoba, 14014 Córdoba, Spain; [email protected] (F.B.); [email protected] (A.S.) 
12  Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Autònoma de Barcelona, 08036 Barcelona, Spain; [email protected] 
13  Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, 28040 Madrid, Spain 
First page
1826
Publication year
2024
Publication date
2024
Publisher
MDPI AG
e-ISSN
20762615
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3072247134
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.