Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus.
Abdominal wall defects in calves are commonly diagnosed and treated via laparotomy. This technique has witnessed several advancements in the management of these disorders. This study aimed to create a study model and evaluate the feasibility of video-assisted percutaneous correction of abdominal wal...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0285988 |
| _version_ | 1797801953526284288 |
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| author | Carla Rozilene Guimarães Silva Thiago da Silva Cardoso Késia Bandeira da Silva Heytor Jales Gurgel João Pedro Monteiro Barroso Luiz Henrique Vilela Araújo Luis Enrique Soza Altamirano Loise Araújo de Sousa Luiza Paula Araújo Alcântara Marcos Emanoel Martins Ferreira Lucas Santos Carvalho José Leandro da Silva Gonçalves Jhoisse Hamar Guimarães Rodrigues Francisco Décio de Oliveira Monteiro Rinaldo Batista Viana Pedro Paulo Maia Teixeira |
| author_facet | Carla Rozilene Guimarães Silva Thiago da Silva Cardoso Késia Bandeira da Silva Heytor Jales Gurgel João Pedro Monteiro Barroso Luiz Henrique Vilela Araújo Luis Enrique Soza Altamirano Loise Araújo de Sousa Luiza Paula Araújo Alcântara Marcos Emanoel Martins Ferreira Lucas Santos Carvalho José Leandro da Silva Gonçalves Jhoisse Hamar Guimarães Rodrigues Francisco Décio de Oliveira Monteiro Rinaldo Batista Viana Pedro Paulo Maia Teixeira |
| author_sort | Carla Rozilene Guimarães Silva |
| collection | DOAJ |
| description | Abdominal wall defects in calves are commonly diagnosed and treated via laparotomy. This technique has witnessed several advancements in the management of these disorders. This study aimed to create a study model and evaluate the feasibility of video-assisted percutaneous correction of abdominal wall defects in bovine fetuses (corpses) compared with the conventional technique. Sixteen bovine fetuses from pregnant cows slaughtered in slaughterhouses were included in this study. The fetuses were categorized into the control group (CG, n = 8), which was subjected to umbilical abdominorrhaphy via laparotomy, and the video-surgical group (VG, n = 8), which received video-assisted percutaneous sutures with two lateral accesses on the right flank. An abdominal wall defect was created in the VG group to generate a study model, which was corrected using the laparoscopic technique. The procedures were performed in two steps. The first step consisted of creating an abdominal wall defect in the umbilical region by laparoscopic approach in an iatrogenic manner (Step 1: E1). The second stage consisted of conventional abdominorrhaphy of the umbilical region wall defect in the CG group and video-assisted percutaneous suturing of the edges of the iatrogenic abdominal wall defect in the VG group, until reversal of the laparoscopic accesses (Step 2: E2). Step 1 showed no statistically significant difference between the two groups. However, a significant statistical difference (p < 0.0001) was observed between the two groups in step 2. The surgical time of step 2 was longer in the CG group (33.10 ± 0.43 minutes) than that in the VG group (10.13 ± 0.68 minutes, p < 0.0001), and the total surgical time was also longer in the CG group (38.48 ± 0.35 minutes) than that in the VG group (15.86 ± 0.67 minutes). The proposed laparoscopic technique allowed the creation of a study model for video-assisted percutaneous suturing with two portals and reduced the surgical time compared with the conventional technique. However, this method needs to be studied further in live animals. |
| first_indexed | 2024-03-13T04:58:22Z |
| format | Article |
| id | doaj.art-1a419f6213d243378256604069f90521 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-13T04:58:22Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj.art-1a419f6213d243378256604069f905212023-06-17T05:31:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e028598810.1371/journal.pone.0285988Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus.Carla Rozilene Guimarães SilvaThiago da Silva CardosoKésia Bandeira da SilvaHeytor Jales GurgelJoão Pedro Monteiro BarrosoLuiz Henrique Vilela AraújoLuis Enrique Soza AltamiranoLoise Araújo de SousaLuiza Paula Araújo AlcântaraMarcos Emanoel Martins FerreiraLucas Santos CarvalhoJosé Leandro da Silva GonçalvesJhoisse Hamar Guimarães RodriguesFrancisco Décio de Oliveira MonteiroRinaldo Batista VianaPedro Paulo Maia TeixeiraAbdominal wall defects in calves are commonly diagnosed and treated via laparotomy. This technique has witnessed several advancements in the management of these disorders. This study aimed to create a study model and evaluate the feasibility of video-assisted percutaneous correction of abdominal wall defects in bovine fetuses (corpses) compared with the conventional technique. Sixteen bovine fetuses from pregnant cows slaughtered in slaughterhouses were included in this study. The fetuses were categorized into the control group (CG, n = 8), which was subjected to umbilical abdominorrhaphy via laparotomy, and the video-surgical group (VG, n = 8), which received video-assisted percutaneous sutures with two lateral accesses on the right flank. An abdominal wall defect was created in the VG group to generate a study model, which was corrected using the laparoscopic technique. The procedures were performed in two steps. The first step consisted of creating an abdominal wall defect in the umbilical region by laparoscopic approach in an iatrogenic manner (Step 1: E1). The second stage consisted of conventional abdominorrhaphy of the umbilical region wall defect in the CG group and video-assisted percutaneous suturing of the edges of the iatrogenic abdominal wall defect in the VG group, until reversal of the laparoscopic accesses (Step 2: E2). Step 1 showed no statistically significant difference between the two groups. However, a significant statistical difference (p < 0.0001) was observed between the two groups in step 2. The surgical time of step 2 was longer in the CG group (33.10 ± 0.43 minutes) than that in the VG group (10.13 ± 0.68 minutes, p < 0.0001), and the total surgical time was also longer in the CG group (38.48 ± 0.35 minutes) than that in the VG group (15.86 ± 0.67 minutes). The proposed laparoscopic technique allowed the creation of a study model for video-assisted percutaneous suturing with two portals and reduced the surgical time compared with the conventional technique. However, this method needs to be studied further in live animals.https://doi.org/10.1371/journal.pone.0285988 |
| spellingShingle | Carla Rozilene Guimarães Silva Thiago da Silva Cardoso Késia Bandeira da Silva Heytor Jales Gurgel João Pedro Monteiro Barroso Luiz Henrique Vilela Araújo Luis Enrique Soza Altamirano Loise Araújo de Sousa Luiza Paula Araújo Alcântara Marcos Emanoel Martins Ferreira Lucas Santos Carvalho José Leandro da Silva Gonçalves Jhoisse Hamar Guimarães Rodrigues Francisco Décio de Oliveira Monteiro Rinaldo Batista Viana Pedro Paulo Maia Teixeira Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. PLoS ONE |
| title | Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. |
| title_full | Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. |
| title_fullStr | Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. |
| title_full_unstemmed | Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. |
| title_short | Laparoscopy-assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus. |
| title_sort | laparoscopy assisted percutaneous correction of abdominal wall defects in the umbilical region in a cadaveric model of bovine fetus |
| url | https://doi.org/10.1371/journal.pone.0285988 |
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