scholarly journals Linea alba dehiscence following ventral midline laparotomy in horses

2021 ◽  
Vol 53 (S55) ◽  
pp. 7-7
Keyword(s):  
Ventral Midline ◽  
Midline Laparotomy ◽  
Linea Alba

scholarly journals Uterine torsion in the mare: diagnosis, operation methods and prognosis

2017 ◽  
Vol 73 (2) ◽  
pp. 124-128
Author(s):  
Maciej Witkowski ◽  
Bernard Turek ◽  
Marek Tischner
Keyword(s):  
Digestive System ◽  
Abdominal Cavity ◽  
Uterine Wall ◽  
The Other ◽  
Midline Laparotomy ◽  
Linea Alba ◽  
Clinical Observations ◽  
Uterine Torsion ◽  
Risk Of Rupture ◽  
Spontaneous Delivery

The aim of the study was to present clinical observations regarding the reposition of uterine torsion in pregnant mares. Treatments were performed in 10 mares hospitalized with a diagnosis of uterine torsion in the period from the 8th to the 11th month of pregnancy, including one mare treated during delivery. In 4 mares, obstetric examination revealed the presence of dead fetuses. In one mare admitted during labor, Kamer's repositioning technique was applied by inserting a hand through the vagina into the uterus. In all other cases, mares underwent surgical repositioning after laparotomy performed in linea alba. In 4 mares, in which the uterine wall was at risk of rupture during handling because of advanced changes, a caesarean section was performed before repositioning. Eight out of the 9 mares survived treatment and recovered without complications. One of five mares in which live fetuses were left, miscarried, while the other four delivered healthy foals. Uterine torsion reposition by midline laparotomy offers the best possibilities for inspecting the abdominal cavity, including the uterus, and for detecting any other abnormalities of the digestive system. In the case of mares in which fetuses were left, spontaneous delivery had no adverse effect on the healing of the wound.

scholarly journals Prospective comparative study of modified Smead Jones versus conventional continuous method of fascial closure in emergency midline laparotomy

2020 ◽  
Vol 7 (11) ◽  
pp. 3713
Author(s):  
Chirag B. Aghara ◽  
Ajay M. Rajyaguru ◽  
Jatin G. Bhatt
Keyword(s):  
Wound Infection ◽  
Fascial Closure ◽  
Emergency Laparotomy ◽  
Closure Technique ◽  
Midline Laparotomy ◽  
Linea Alba ◽  
Hernia Prevention ◽  
Group A ◽  
Group B ◽  
Continuous Closure

Background: A midline incision is simple, quick, bloodless and provides excellent exposure. So it is most commonly used access route for emergency laparotomy. But compare to other incision it increases incidence of postoperative wound dehiscence and an incisional hernia. Prevention of this complication is important in reducing post-operative morbidity and mortality. Present study was undertaken to compare the effectiveness of modified Smead Jones versus conventional continuous closure technique in terms of wound infection and wound dehiscence.Methods: A total of 100 patients from July 2017 to November 2019 were randomized in two groups of 50 each. Group A in which linea alba closure was done by modified Smead Jones technique and group B in which linea alba closure was done by conventional continuous closure technique.Results: 12 patients in group A and 28 patients in group B developed wound infection and 1 patient in group A and 7 patients in group B developed wound dehiscence.Conclusions: Modified Smead Jones technique is better than conventional continuous closure technique in management of closure of emergency midline laparotomy. 

scholarly journals P106 PROPHYLACTIC MESH FOR PREVENTION OF INCISIONAL HERNIA IN HIGH-RISK PATIENTS: PVDF “VISIBLE” MESH BEHAVIOUR ON MRI

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Beatriz Carrasco Aguilera ◽  
Marina da Silva Torres ◽  
Jose Rodicio ◽  
Ana Fernández del Valle ◽  
Maria Moreno ◽  
...  
Keyword(s):  
High Risk ◽  
Incisional Hernia ◽  
Gastrointestinal Surgery ◽  
Safe Procedure ◽  
Prophylactic Mesh ◽  
Midline Laparotomy ◽  
Linea Alba ◽  
High Risk Patients ◽  
Risk Patients

Abstract Aim According to the guidelines, prophylactic mesh placement appears to be an effective, safe procedure in high-risk patients for the prevention of incisional hernia (IH) after midline laparotomy, without its use being standardized. Knowing its radiological behaviour can resolve doubts about its use. Material and Methods This was a prospective observational cohort study. The included patients needed to have more than one risk factor for IH (age> 60 years old, Body Mass Index > 30kg/m2, diabetes, chronic bronchopathy, heart disease, smoking, kidney disease, neoplasia, liver disease, immunosuppression or an emergency operation). Follow-up included 6-week and 12-month postoperative magnetic resonance imaging (MRI). If MRI was not performed, we used the follow-up computed tomography (CT). Results Between July 2016 and March 2021, 54 patients were enrolled in the study. Surgery was emergent in 14.8% of cases, clean-contaminated in 87% and upper gastrointestinal surgery in 51.9%. A total of 43 MRI and 3 CT at 6-week and 30 MRI and 2 CT at 12-month were carried out. The median of the mesh area were 150.7 vs 150,1cm2 respectively. 91% of cases had the mesh lined to the fascia at 12 months. The bridging in the linea alba was zero in 61% at 6-weeks and 24% at 12-month follow-up, mean 9 vs 19mm (p = 0.001). Conclusions The use of imaging tests to know the postoperative behaviour of a Polyvinylidenfluorid (PVDF) “visible” mesh shows us that there is no mesh contraction at one year or detachment of the fascia, however we observe a significant tendency in the separation of the linea alba.

Foramen epiploicum mesh closure ( FEMC ) through a ventral midline laparotomy

2017 ◽  
Vol 50 (2) ◽  
pp. 235-240 ◽  
Author(s):  
T. Bergen ◽  
A. Rötting ◽  
P. Wiemer ◽  
S. Schauvliege ◽  
K. Vanderperren ◽  
...  
Keyword(s):  
Ventral Midline ◽  
Midline Laparotomy

174 TRANSCERVICAL EMBRYO COLLECTION IN THE DOMESTIC BITCH

2010 ◽  
Vol 22 (1) ◽  
pp. 245 ◽  
Author(s):  
B. E. Eilts ◽  
J. A. Len ◽  
C. E. Pope ◽  
P. M. Pennington ◽  
M. A. E. Vermeulen ◽  
...  
Keyword(s):  
Small Volume ◽  
Animal Health ◽  
Foley Catheter ◽  
Natural Cycle ◽  
Ventral Midline ◽  
Midline Laparotomy ◽  
Tyco Healthcare ◽  
Embryo Recovery ◽  
Vaginal Cytology ◽  
Fresh Semen

Embryo collection in the bitch is usually performed via surgical collection or uterine excision. Our objective was to collect embryos nonsurgically, or with minimal surgical invasion. Estrus was monitored using vaginal cytology and progesterone analysis during 1 natural cycle and 13 cycles induced by the submucosal insertion of a 2.1-mg deslorelin implant into the vestibulum of Walker-type hounds (n = 10, 30 kg). Bitches (n = 14 cycles) were transcervically inseminated twice in 12 cycles, (3.3 and 5.2 days post-LH) and once on 2 cycles (Day 6 post-LH) with fresh semen. Uterine flushes (n = 14) using an equine medium (ViGro, Bioniche Animal Health USA Inc., Athens, GA, USA) were done 13 to 15 days after the LH peak. Nonsurgical, nonanesthetized flushes were attempted in 9 cycles. In one cycle an 8-Fr, 55-cm Foley catheter with a 1-mL cuff (SurgiVet, Waukesha, WI, USA) stiffened with a metal stylette was inserted through the cervix using a 22-Fr sheath (63027KL, Karl Storz Veterinary Endoscopy, Goleta, CA, USA) and a 3.5-mm cystoscope, (63325BA, Karl Storz Veterinary Endoscopy) and flushed with 1.5 mL of medium infused and recovered by aspiration. In a one bitch, an 8-Fr polypropylene catheter (Sovereign, Tyco Healthcare, Mansfield, MA, USA) was transcervically passed after failing to pass an 8-Fr Foley catheter, but a flush was not done. In 5 cycles, the 22-Fr sheath could not be passed into the cranial vagina, so a 9.5-Fr, 43-cm cystoscope (27012L, Karl Storz Veterinary Endoscopy) was used to transcervically pass a 5-Fr, non-cuffed catheter (17500/0005, Minitube of America, Verona, WI, USA). Only non-cuffed catheters could be passed through the 9.5-Fr cystoscope, so no flushes were attempted. In 2 cycles, the cervix could not be visualized. Surgical flushes under anesthesia were attempted in 5 cycles. One was by transcervical catheterization using an 8-Fr catheter identical to the nonsurgical attempts, but adding surgical exteriorization of the uterine horns and retrograde flushing with 20 mL of medium. In 4 bitches the uterus was exteriorized by ventral midline laparotomy; one had a pyometra at surgery, and in three, 14-gauge i.v. catheters (Angiocath, BD, Sandy, UT, USA) were placed in the tip and body of each horn, and the uterus was retrograde flushed with 20 mL of medium. No embryos were recovered by the nonsurgical and/or transcervical flushes. Passing the 22-Fr sheathed cystoscope that accommodated a cuffed catheter into the cranial vagina, passing a cuffed catheter, or visualizing the cervix was unsuccessful in 7 of 9 cycles. Uterine distension appeared to cause discomfort during nonsurgical flushes. Three of 5 bitches that had a 5-Fr, non-cuffed catheter were subsequently pregnant. One blastocyst was recovered after surgical flushing with the i.v. catheters in the uterus. Nonsurgical embryo recovery in the bitch was most likely unsuccessful, compared to ours and previous work, due to inabilities to pass a cystoscope into the cranial vagina, to pass a catheter through the cervix, to visualize the cervix, or to create uterine distension using a small volume of medium. Pregnancies were maintained after successful transcervical catheterization of mated bitches.

scholarly journals A comparative study of single layer closure versus conventional layered closure of laparotomy wounds

2018 ◽  
Vol 5 (4) ◽  
pp. 1459
Author(s):  
Akash Bande ◽  
Divish Saxena ◽  
Prabhat B. Nichkaode ◽  
Murtaza Akhtar
Keyword(s):  
Abdominal Wall ◽  
Tertiary Care ◽  
Single Layer ◽  
Closure Technique ◽  
Midline Laparotomy ◽  
Linea Alba ◽  
Mass Closure ◽  
Interrupted Suture ◽  
Closure Group ◽  
Better Than

Background: The goal of wound closure after laparotomy is to restore the function of the abdominal wall. The techniques for closure of anterior abdominal wall includes either layered closure, modified Smead-Jones technique, mass closure or retention suture or combination of above mentioned techniques. The studies which compared the continuous and interrupted suture techniques have concluded that enmass continuous sutures have an advantage of holding the fascia together. The present study tries to compare the two techniques i.e. single layer closure (mass closure) and layered closure in patients undergoing laparotomy by midline incision in tertiary care hospital.Methods: 97 patients undergoing either emergency or elective midline laparotomy were included in the study, where in 64 patients laparotomy closure was done in single layer using polypropylene 1-0 and in 33 patients by layered closure where peritoneum was closed with polygalactin 2-0 and linea alba by polypropylene 1-0. Patients were allocated two groups as per convenience of operating surgeon without using any method of randomization.Results: The single layer closure technique required statistically significant less closure time of 18.2±3.2 minutes as compared to conventional layered closure 26.4±4 minutes time of (p <0.001). Also, the incidence of postoperative complications was found to be comparatively less (17.18%) in single layer closure group as compared to complications (42.42%) in layered closure group.Conclusions: Single layer closure technique continues to be better than conventional layered closure technique of laparotomy wounds in terms of operative time and post-operative complications.

Sign in / Sign up

Export Citation Format

Share Document