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Mesh closure of epiploic foramen by ventral laparotomy in 17 horses with entrapment
  1. Sigrid Grulke1,2,
  2. Alexandra Salciccia1,2,
  3. José Manuel Arévalo Rodríguez1,
  4. Charlotte Sandersen1,2,
  5. Isabelle Caudron1,
  6. Didier Serteyn1,2 and
  7. Geoffroy de la Rebière de Pouyade1,2
  1. 1 Department of Clinical Sciences (Companion Animals and Equids), Faculty of Veterinary Medicine, Equine Clinic, Liege University, Liege, Belgium
  2. 2 FARAH Research Unit, Liege University, Liege, Belgium
  1. Correspondence to Dr Sigrid Grulke, Department of Clinical Sciences (Companion Animals and Equids), Faculty of Veterinary Medicine, B41, Equine Clinic, Liege University, Liege, Belgium; sgrulke{at}ulg.ac.be

Abstract

Background Epiploic foramen entrapment (EFE) of small intestine is a severe cause of strangulating small intestinal obstruction (SSI) with long-term survival seeming lower than for other causes of SSI in horses. Different techniques via laparoscopy or laparotomy for epiploic foramen (EF) closure have been developed.

Methods This study describes a technique of peroperative mesh closure of the EF in clinical cases and their long-term follow up.

Results In the study period of 5.5 years, 36 horses were admitted to the clinic with EFE. Of these, 17 horses had peroperative mesh closure, with resection anastomosis in 4 cases and enterotomy in 4 other cases. Fifteen of these survived to discharge. Long-term follow-up (one to three years, median three years) was favourable in all 15 horses not showing recurrence of EFE nor other related signs of colic. Laparoscopic evaluation of the EF was performed in two cases and showed integration of the mesh. One horse was euthanased 3.5 years after mesh placement for an unrelated cause and the mesh was well adherent obliterating the EF.

Conclusion Mesh closure of EF during emergency coeliotomy did not cause short-term complications even in horses with resection or enterotomy and may reduce the risk of recurrence of EFE in horses.

  • horse
  • epiploic foramen entrapment
  • peroperative mesh closure
  • long-term follow-up
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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information. Additional clinical data of the cases are available in the clinical records.

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