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Objectives:
Nephrosplenic entrapment (NSE) has reported recurrence rates of 8-23%, and closure of the nephrosplenic space (NSS) has been shown to lower the incidence. Described techniques for nephrosplenic space closure (NSC) with concurrent entrapment of the left colon at the time of surgery consist of reducing the displaced colon prior to closure. A more recent technique without repositioning of the colon was proposed in 2019. The aim of this study was to determine long-and short-term outcome and difference in surgical time.
Methods:
A retrospective study was performed to evaluate the medical records of horses undergoing NSC between 2017-2024. The horses were divided into two groups: NSE or non-NSE (control group) at the time of surgery. Surgical time, post-operative complications, and short- and long-term outcomes were compared.
Results:
A total of 18 horses with NSE at time of NSC and 21 without NSE at time of NSC were evaluated. Surgical time were similar for both groups. Long term follow-up was available for 37 horses. Thirty-four (92%) of the horses were alive at the time the survey was conducted.
No significant association was found between NSE at time of surgery and signs of colic after surgery (P=0.86). A statistically significant decrease in number of colic episodes after surgery was seen in both groups (P<0.001 and P=0.009 respectively), and none of the horses represented with NSE.
Conclusions:
Full-laparoscopic closure of the NSS in subacute or chronic cases with an entrapped colon, and without prior repositioning of the colon, is technically feasible and does not increase total surgical time.
34th Annual Scientific Meeting proceedings
Stream:
|
Session: Large Animal Resident Forum
Date/Time: 03-07-2025 (18:30 - 18:45) | Location: Okapi 2+3
Date/Time: 03-07-2025 (18:30 - 18:45) | Location: Okapi 2+3
A Full-Laparoscopic Nephrosplenic Space Closure With Barbed Knotless Suture In Horses With Nephrosplenic Entrapment At Time Of Surgery Without Colon Repositioning
Willems T, Dedecker L, Mourato Dias AB, Sureda S, De Lange L, De Beauregard T*
Clinique Equine de Meslay, Meslay du Maine, France.
Objectives:
Nephrosplenic entrapment (NSE) has reported recurrence rates of 8-23%, and closure of the nephrosplenic space (NSS) has been shown to lower the incidence. Described techniques for nephrosplenic space closure (NSC) with concurrent entrapment of the left colon at the time of surgery consist of reducing the displaced colon prior to closure. A more recent technique without repositioning of the colon was proposed in 2019. The aim of this study was to determine long-and short-term outcome and difference in surgical time.
Methods:
A retrospective study was performed to evaluate the medical records of horses undergoing NSC between 2017-2024. The horses were divided into two groups: NSE or non-NSE (control group) at the time of surgery. Surgical time, post-operative complications, and short- and long-term outcomes were compared.
Results:
A total of 18 horses with NSE at time of NSC and 21 without NSE at time of NSC were evaluated. Surgical time were similar for both groups. Long term follow-up was available for 37 horses. Thirty-four (92%) of the horses were alive at the time the survey was conducted.
No significant association was found between NSE at time of surgery and signs of colic after surgery (P=0.86). A statistically significant decrease in number of colic episodes after surgery was seen in both groups (P<0.001 and P=0.009 respectively), and none of the horses represented with NSE.
Conclusions:
Full-laparoscopic closure of the NSS in subacute or chronic cases with an entrapped colon, and without prior repositioning of the colon, is technically feasible and does not increase total surgical time.
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