{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:03:52Z","timestamp":1771232632850,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T00:00:00Z","timestamp":1572393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011179","name":"Cornell Feline Health Center","doi-asserted-by":"publisher","award":["4808859"],"award-info":[{"award-number":["4808859"]}],"id":[{"id":"10.13039\/100011179","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effect of three methods of subcutaneous tissue closure on postoperative incisional complications and pain in cats.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Single\u2010center, randomized, blinded, controlled trial conducted in a veterinary teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Two hundred ninety\u2010seven cats undergoing midline celiotomy for ovariohysterectomy (n = 280) or other abdominal procedure (n = 17).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cats (n = 297) were assigned to one of three subcutaneous closure methods: simple continuous apposition with tacking to the rectus fascia (n = 108, quilting [Q] group); simple continuous apposition (SC; n = 94); no subcutaneous closure (NC; n = 95). Primary outcomes were incidence of seroma formation, postoperative pain, and surgical site infection or dehiscence. Active follow\u2010up was obtained at 10 and 30\u2009days postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline characteristics did not differ between groups. Seroma was less common in the Q group (13.0%) than in the NC (27.3%) and SC (25.9%) groups (<jats:italic>P<\/jats:italic> = .03). Compared with the other two groups, the relative risk of seroma formation in the Q group was 0.49 (95% CI = 0.28\u20100.86, <jats:italic>P<\/jats:italic> = .01). Median mechanical pain thresholds were higher (indicating greater comfort) in cats with subcutaneous sutures (Q and SC = 1.23 [interquartile range (IQR), 0.2\u20102.6\u2009N], NC = 0.83 [IQR, 0\u20101.87\u2009N], <jats:italic>P<\/jats:italic> = .04) on the day after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Closing subcutaneous tissues with a quilting closure pattern reduced seroma formation in cats undergoing celiotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Placing a quilting suture pattern in the subcutaneous tissues after celiotomy is a simple low\u2010cost measure that reduces seromas in cats. Abstaining from subcutaneous closure cannot be recommended because of increased seroma formation and pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13344","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T13:14:25Z","timestamp":1572441265000},"page":"321-328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of subcutaneous closure technique on incisional complications and postoperative pain in cats undergoing midline celiotomy: A randomized, blinded, controlled trial"],"prefix":"10.1111","volume":"49","author":[{"given":"Daniel J.","family":"Lopez","sequence":"first","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1365-3284","authenticated-orcid":false,"given":"Galina M.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilad","family":"Fefer","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah A.","family":"McCalla","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise F.","family":"LaLonde\u2010Paul","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Flanders","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia P.","family":"Sumner","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies Cornell University Hospital for Animals  Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1992.tb00080.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3138\/jvme.38.4.408"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009903"},{"key":"e_1_2_6_5_1","first-page":"1","article-title":"Using quilting sutures in deceasing seroma formation after managing large ventral hernia: a comparative study","author":"Alhussini MA","year":"2018","journal-title":"Hernia."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-011-9807-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2017.00088"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003213"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/287398"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2016.05.017"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2014.12.014"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001267"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sju103"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12754"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3359-x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2004.04081.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2005.00105.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1987.tb00984.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0114730"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2010.0648.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12267.x"},{"key":"e_1_2_6_22_1","unstructured":"Centers for Disease Control and Prevention. Surgical Site Infection.https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/ssi\/index.htmlAccessed October 16 2019."},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.72.2.174"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1258\/la.2010.009080"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(95)90100-0"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(07)70076-1"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12339"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1998.tb02465.x"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.2012.01013.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.13344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vsu.13344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.13344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T22:53:58Z","timestamp":1694127238000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.13344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,30]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1111\/vsu.13344"],"URL":"https:\/\/doi.org\/10.1111\/vsu.13344","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,30]]},"assertion":[{"value":"2019-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}