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Incisional hernia repair in horses: a cadaveric study of endoscopic component separation
1Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan.
Veterinary Surgery : VS
|December 6, 2013
Summary
This study details a new endoscopic component separation technique in horses, successfully achieving modest abdominal wall advancement. The method is technically feasible for equine surgical applications.
Area of Science:
- Veterinary Surgery
- Equine Abdominal Surgery
- Minimally Invasive Techniques
Background:
- Abdominal wall defects in horses can be challenging to repair.
- Component separation is a surgical technique used to increase abdominal wall length.
- Endoscopic approaches offer potential benefits for minimally invasive surgery.
Purpose of the Study:
- To describe a novel technique for endoscopic component separation in horses.
- To quantify the degree of abdominal wall advancement achieved with this endoscopic method.
Main Methods:
- A descriptive study was conducted on 14 equine cadavers.
- Unilateral endoscopic component separation involved transecting the external abdominal oblique fascia.
- Laparoscopy was used to create an intermuscular space, followed by instrument portal placement and fascial transection.
Main Results:
- The endoscopic component separation technique was successfully performed in all horses.
- A mean abdominal wall advancement of 3.5 cm and 3.4 cm was achieved at 10 cm and 20 cm cranial to the umbilicus, respectively.
- The procedure demonstrated technical feasibility in equine cadavers.
Conclusions:
- Endoscopic component separation is a technically feasible procedure in horses.
- The current technique provides modest abdominal wall advancement.
- Further research may explore modifications to enhance myofascial advancement.
