Use of barbed suture for thoracoscopic repair of diaphragmatic hernias: Three cases

Summary Three horses were diagnosed with a dorsally located diaphragmatic hernia/tear associated with either a penetrating injury in the first case or with signs of small intestine strangulation in the remaining two cases. After diagnosis during exploratory thoracoscopy (Case 1) or emergency laparot...

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Bibliographic Details
Published in:Equine veterinary education 2023-03, Vol.35 (3), p.e180-e185
Main Authors: Kamus, Louis, Ruzickova, Pavlina, Piat, Perrine, Trencart, Pierre, Bonilla, Alvaro
Format: Article
Language:English
Subjects:
Complications
Defects
Diaphragm
Hernia
horse
Horses
Intestine
Small intestine
Sutures
suturing device
thorax
V‐Loc
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Summary:Summary Three horses were diagnosed with a dorsally located diaphragmatic hernia/tear associated with either a penetrating injury in the first case or with signs of small intestine strangulation in the remaining two cases. After diagnosis during exploratory thoracoscopy (Case 1) or emergency laparotomy (Cases 2 and 3), closure of the dorsal defect in the diaphragm was performed through a thoracoscopic approach in all cases. Defects were closed with barbed suture with either a direct suturing technique or an automated suturing device. All horses recovered uneventfully and were alive at follow‐up (2 to 3 years after surgery). No significant complications or recurrence were reported.
ISSN:0957-7734
2042-3292
DOI:10.1111/eve.13643