Trabalho de Conclusão de Curso - Graduação

Abordagem videocirúrgica na terapêutica de hérnias umbilicais em bezerros

The umbilical hernias are one of the main problems faced during calf rearing, with umbilical hernias being the most common in these animals. Its main form of correction is through conventional umbilical herniorrhaphy. Thus, the objective of this work was to establish a new surgical approach for the...

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Autor principal: CARVALHO, Lucas Santos
Grau: Trabalho de Conclusão de Curso - Graduação
Publicado em: 2024
Assuntos:
Acesso em linha: https://bdm.ufpa.br/jspui/handle/prefix/7182
Resumo:
The umbilical hernias are one of the main problems faced during calf rearing, with umbilical hernias being the most common in these animals. Its main form of correction is through conventional umbilical herniorrhaphy. Thus, the objective of this work was to establish a new surgical approach for the treatment of umbilical hernias, creating a study model in bovine fetuses, and to evaluate the feasibility of the video-assisted percutaneous correction technique compared to the conventional technique. Sixteen bovine fetuses from pregnant cows slaughtered at the slaughterhouse were used for the experiment, dividing them into two groups: the control group represented open surgery, abdominorraphy by laparotomy (GA=8) and the ideocirurgical group (GV=8), with video-assisted percutaneous suture with 3 accesses on the right flank. Divided into two stages, stage 1 consisted of accessing and exploring the umbilical base, resecting the umbilical structures, and creating the abdominal lesion, and stage 2, consisting of abdominorraphy by laparotomy in GA and percutaneous suture on the edges of the lesion in the GV group and final exploration until reversal of the accesses. When analyzing the data, it was possible to observe that there was no statistically significant difference between the groups in E1. However, in E2, there was a substantial statistical difference between the two groups (p < 0.0001), with group GA having the longest surgical time (33.10±0.43 minutes) compared to group GV (10.13±0.68 minutes) and the total surgical time was higher in group GC (38.48 ± 0.35 minutes) compared to group GV (15.86 ± 0.67 minutes). Hernia correction using the laparoscopic approach allowed, satisfactorily, the creation of a study model for video assisted percutaneous suture with three portals in less surgical time compared to the conventional technique.