{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T22:40:18Z","timestamp":1727304018075},"reference-count":24,"publisher":"American Veterinary Medical Association (AVMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe the repair utilizing integral-anchor barbed suture in equine rectal tears.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>3 horses aged 3 to 10 years old with grade 3 to 4 rectal tears.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION<\/jats:title>\n<jats:p>Grade 3 and 4 rectal tears were referred for surgical repair immediately after iatrogenic tearing or tearing during parturition. Integral-anchor barbed suture (Stratafix Symmetric PDS Plus, size 1, 18\u201d CT-1) was placed using long-handled instruments or hand closure depending on the accessibility and visibility of the tear. Closure of grade 3 tears was performed using a continuous appositional pattern. A horizontal mattress pattern was performed in the grade 4 tear. No other surgical procedures were performed.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Two grade 3 tears were successfully repaired with no complications and discharged from the hospital. One grade 4 tear was successfully repaired; however, 4 days post-surgery partial dehiscence of the suture site occurred, and the horse was euthanized.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Grade 3 rectal tears were repaired successfully by using an integral-anchor barbed suture. No post-operative complications were reported. Blind hand suturing could be performed in cranial locations when the laceration could not be made visible. For grade 4 rectal tears, additional surgical procedures beyond barbed suture closure are needed.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.23.04.0215","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T15:10:55Z","timestamp":1695827455000},"page":"125-129","source":"Crossref","is-referenced-by-count":0,"title":["Rectal tear repair using barbed suture in the horse"],"prefix":"10.2460","volume":"262","author":[{"given":"J. Lacy","family":"Kamm","sequence":"first","affiliation":[{"name":"Oregon State University, Corvallis, OR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Equine Surgery","first-page":"632","article-title":"Rectum and anus","author":"Freeman D","year":"2019","unstructured":"Freeman D. Rectum and anus. In: Auer JA, Stick JA, Kummerle LM, Prange T, eds. 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