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Laparoscopic evaluation of the epiploic foramen after celiotomy for epiploic foramen entrapment in the horse

Thomas van Bergen (UGent) , Peter Wiemer (UGent) , Stijn Schauvliege (UGent) , Ellen Paulussen (UGent) , Franz Ugahary and Ann Martens (UGent)
(2016) VETERINARY SURGERY. 45(5). p.596-601
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Abstract
Objectives: To evaluate the epiploic foramen using laparoscopy in horses previously treated for epiploic foramen entrapment to determine if spontaneous epiploic foramen closure had occurred. Study Design: Non-consecutive case series. Animals: Seven horses. Methods: The epiploic foramen was inspected by right flank laparoscopy between 35 and 71 days after successful surgical treatment for epiploic foramen entrapment. Data were collected on the presence of behavior vices, details of surgery for epiploic foramen entrapment (time from colic onset to surgery, site and length of entrapped intestine, direction of entrapment, compromise of the intestine, intestine resected), the time between surgery for epiploic foramen entrapment and laparoscopy, and the laparoscopic appearance of the epiploic foramen. If the epiploic foramen was open, a mesh was introduced to obliterate the epiploic foramen (Foramen Epiploicum Mesh Closure [FEMC]). Clinical progress of the horses was followed by owner telephone interview at 1 and 4 months after laparoscopy, and a final interview between 135 and 282 days after laparoscopy. Owners were questioned on specific postoperative complications and the exercise level of the horse. Results: At laparoscopy, 3/7 horses had complete closure of the epiploic foramen by dense fibrous tissue. The FEMC was performed in 4 horses without major complications. Postoperative colic episodes were recorded in 3 horses, all of them displaying windsucking/cribbing behavior. Conclusion: Laparoscopic evaluation after celiotomy for epiploic foramen entrapment revealed spontaneous closure of the epiploic foramen in 3/7 horses. This finding could explain the reported low recurrence rate after surgical treatment for epiploic foramen entrapment.
Keywords
SMALL-INTESTINE, LONG-TERM SURVIVAL, RISK-FACTORS, PREVENTING RECURRENCE, INGUINAL HERNIATION, NEPHROSPLENIC SPACE, POLYPROPYLENE MESH, SURGICAL TECHNIQUE, PERITONEAL FLAP, PART 1

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MLA
van Bergen, Thomas et al. “Laparoscopic Evaluation of the Epiploic Foramen After Celiotomy for Epiploic Foramen Entrapment in the Horse.” VETERINARY SURGERY 45.5 (2016): 596–601. Print.
APA
van Bergen, T., Wiemer, P., Schauvliege, S., Paulussen, E., Ugahary, F., & Martens, A. (2016). Laparoscopic evaluation of the epiploic foramen after celiotomy for epiploic foramen entrapment in the horse. VETERINARY SURGERY, 45(5), 596–601.
Chicago author-date
van Bergen, Thomas, Peter Wiemer, Stijn Schauvliege, Ellen Paulussen, Franz Ugahary, and Ann Martens. 2016. “Laparoscopic Evaluation of the Epiploic Foramen After Celiotomy for Epiploic Foramen Entrapment in the Horse.” Veterinary Surgery 45 (5): 596–601.
Chicago author-date (all authors)
van Bergen, Thomas, Peter Wiemer, Stijn Schauvliege, Ellen Paulussen, Franz Ugahary, and Ann Martens. 2016. “Laparoscopic Evaluation of the Epiploic Foramen After Celiotomy for Epiploic Foramen Entrapment in the Horse.” Veterinary Surgery 45 (5): 596–601.
Vancouver
1.
van Bergen T, Wiemer P, Schauvliege S, Paulussen E, Ugahary F, Martens A. Laparoscopic evaluation of the epiploic foramen after celiotomy for epiploic foramen entrapment in the horse. VETERINARY SURGERY. 2016;45(5):596–601.
IEEE
[1]
T. van Bergen, P. Wiemer, S. Schauvliege, E. Paulussen, F. Ugahary, and A. Martens, “Laparoscopic evaluation of the epiploic foramen after celiotomy for epiploic foramen entrapment in the horse,” VETERINARY SURGERY, vol. 45, no. 5, pp. 596–601, 2016.
@article{8023873,
  abstract     = {Objectives: To evaluate the epiploic foramen using laparoscopy in horses previously treated for epiploic foramen entrapment to determine if spontaneous epiploic foramen closure had occurred.
Study Design: Non-consecutive case series.
Animals: Seven horses.
Methods: The epiploic foramen was inspected by right flank laparoscopy between 35 and 71 days after successful surgical treatment for epiploic foramen entrapment. Data were collected on the presence of behavior vices, details of surgery for epiploic foramen entrapment (time from colic onset to surgery, site and length of entrapped intestine, direction of entrapment, compromise of the intestine, intestine resected), the
time between surgery for epiploic foramen entrapment and laparoscopy, and the laparoscopic appearance of the epiploic foramen. If the epiploic foramen was open, a mesh was introduced to obliterate the epiploic foramen (Foramen Epiploicum Mesh Closure [FEMC]). Clinical progress of the horses was followed by owner telephone interview at 1 and 4 months after laparoscopy, and a final interview between 135 and 282 days after laparoscopy. Owners were questioned on specific postoperative complications and the exercise level of the horse.
Results: At laparoscopy, 3/7 horses had complete closure of the epiploic foramen by dense fibrous tissue. The FEMC was performed in 4 horses without major complications. Postoperative colic episodes were recorded in 3 horses, all of them displaying windsucking/cribbing behavior.
Conclusion: Laparoscopic evaluation after celiotomy for epiploic foramen entrapment revealed spontaneous closure of the epiploic foramen in 3/7 horses. This finding could explain the reported low recurrence rate after surgical treatment for epiploic foramen entrapment.},
  author       = {van Bergen, Thomas and Wiemer, Peter and Schauvliege, Stijn and Paulussen, Ellen and Ugahary, Franz and Martens, Ann},
  issn         = {1532-950X},
  journal      = {VETERINARY SURGERY},
  keywords     = {SMALL-INTESTINE,LONG-TERM SURVIVAL,RISK-FACTORS,PREVENTING RECURRENCE,INGUINAL HERNIATION,NEPHROSPLENIC SPACE,POLYPROPYLENE MESH,SURGICAL TECHNIQUE,PERITONEAL FLAP,PART 1},
  language     = {eng},
  number       = {5},
  pages        = {596--601},
  title        = {Laparoscopic evaluation of the epiploic foramen after celiotomy for epiploic foramen entrapment in the horse},
  url          = {http://dx.doi.org/10.1111/vsu.12493},
  volume       = {45},
  year         = {2016},
}

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