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Ex Vivo Comparison of Bursting Strength of Ventral Median and Right Ventral Paramedian Celiotomies in Horses

Authors

  • Stacy L. Anderson DVM, MVSc,

    Corresponding author
    • Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, Saskatoon, Saskatchewan, Canada
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  • José L. Bracamonte DVM, DVSc, Diplomate ACVS,

    1. Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, Saskatoon, Saskatchewan, Canada
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  • Steve Hendrick DVM, DVSc,

    1. Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, Saskatoon, Saskatchewan, Canada
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  • James L. Carmalt MA, VetMB, MVSc, Diplomate ABVP & ACVS,

    1. Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, Saskatoon, Saskatchewan, Canada
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  • David G. Wilson DVM, MS, Diplomate ACVS

    1. Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, Saskatoon, Saskatchewan, Canada
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  • Presented in part at the 2011 International Colic Research Symposium, July 25–28, 2011, Indianapolis, IN; 2011 American College of Veterinary Surgeon's Symposium, November 3–5, 2011 in Chicago, IL; and 2011 American Association of Equine Practitioners Convention, November 22, 2011 in San Antonio, TX.

Corresponding Author

Stacy L. Anderson, DVM, MVSc, Western College of Veterinary Medicine, University of Saskatchewan, Large Animal Clinical Sciences, 52 Campus Drive, Saskatoon, Saskatchewan, Canada S7N 5B4.

E-mail: stacy.anderson@usask.ca

Abstract

Objective

To compare bursting strength and failure mode between ventral median (VM) and right ventral paramedian (RVP) celiotomies closed with 1 section of USP 7 braided polydioxanone (7PD).

Study Design

Ex vivo experimental.

Animals

Equine cadavers (n = 12).

Methods

A 25 cm VM or RVP (positioned 5 cm lateral to the linea alba) celiotomy was created in fresh equine cadavers. A 200 L polyurethane bladder was inserted into the abdomen. Celiotomies were closed in a simple continuous pattern with 1 section of 7PD. The bladder was inflated with compressed air until construct failure. Horse signalment, body weight, celiotomy type, failure mode (suture or abdominal wall), failure location (adjacent or remote from the celiotomy), and bursting strength (mmHg) were recorded. Interactions between independent and dependent variables were assessed with statistical tests including linear regression.

Results

Increasing age (P = .002) and Quarter horse-type breed (P = .01) had a negative effect on bursting strength. When age and breed were controlled, RVP celiotomies had a lower bursting strength compared with VM celiotomies (P = .039). None of the celiotomies failed at the suture.

Conclusion

VM celiotomies have a greater bursting strength than RVP celiotomies when age and breed are controlled. Celiotomy bursting strength decreases with increasing age and is lower in Quarter horse-type breeds compared with non-Quarter horse-type breeds.

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