Complications of celiotomy incisions in horses.
Abstract: Complications of celiotomy incisions were evaluated retrospectively in 274 horses that survived at least 1 month after surgery, or died or were euthanatized within 1 month of surgery, as a direct result of these complications. Horses were divided into four groups; group A, a ventral median celiotomy for intestinal disease; group B, ventral median celiotomy for nonintestinal disease; group C, repair of an umbilical hernia; and group D, celiotomy in a region other than the midline. Specific incisional complications were peri-incisional edema, drainage, incisional abscess, suture sinus, and dehiscence. Incision-related complications occurred in 30% of the horses (group A, 40%; group B 18%; group C, 7%; and group D, 88%). Complications occurred more frequently in group D than group A (P = .009), which were higher than in groups B and C (P < .00001). Incisional hernia occurred in 28 of 256 (11%) horses that survived at least 4 months and were available for follow-up. Hernia formation was more common P < .00001) in horses that had other incisional complications (23 horses) than those without (5 horses). Serous or purulent incisional drainage, were more likely to be associated with hernia formation than was serosanguineous drainage or other incisional complications.
Publication Date: 1995-11-01 PubMed ID: 8560746DOI: 10.1111/j.1532-950x.1995.tb01362.xGoogle Scholar: Lookup
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- Journal Article
- Animal Health
- Animal Studies
- Celiotomy
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Complications
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Equine Health
- Hernia
- Horses
- Intestinal Surgery
- Post-Operative Period
- Retrospective Study
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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This research article investigates the complications related to celiotomy incisions in 274 horses that either survived for at least one month post-surgery, or died or were euthanized due to the complications within a month of surgery. The horses were divided into four groups based on the nature of their surgery, and complications like peri-incisional edema, drainage, incisional abscess, suture sinus, and dehiscence were studied. Results showed that 30% of the horses experienced incision-related complications, with those in certain surgical groups showing higher rates of complications than others, and incisional hernia development was significantly more common in horses that had other incisional complications.
Methodology
- 274 horses were studied for this research. They were included if they either survived for at least one month after surgery, or died or were euthanized within a month due to direct complications from the surgery.
- The horses were divided into four groups based on the type of surgery they had undergone. Group A had a ventral median celiotomy for intestinal disease, Group B had the same surgery for non-intestinal disease, Group C underwent repair of an umbilical hernia, and Group D had celiotomy in a region other than the midline.
Findings
- Out of all the horses, 30% experienced incision-related complications.
- Complications were most frequent in Group D (88%), followed by Group A (40%), Group B (18%), and Group C (7%). The difference in complications rates between the groups was statistically significant, particularly between Group D and Group A, and between Group A and Groups B and C.
- Incisional hernia occurred in 11% of the horses that were available for follow-up after surviving at least 4 months.
- In relation to the horses that developed an incisional hernia, it was statistically more common in horses that had other incisional complications. Out of the 28 horses that developed hernias, 23 had other incisional complications.
- Horses with serous or purulent incisional drainage were more prone to hernia formation, as compared to those with serosanguineous drainage or other incisional complications.
Conclusions
- The research concluded that complications from celiotomy incisions in horses are fairly common, occurring in 30% of cases.
- The type and locale of surgery influences the likelihood of complications, with non-midline surgeries showing the highest rates of complications.
- Horses with incisional complications were found to be more in danger of developing hernias, particularly in cases involving serous or purulent drainage conditions.
Cite This Article
APA
Wilson DA, Baker GJ, Boero MJ.
(1995).
Complications of celiotomy incisions in horses.
Vet Surg, 24(6), 506-514.
https://doi.org/10.1111/j.1532-950x.1995.tb01362.x Publication
Researcher Affiliations
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, USA.
MeSH Terms
- Abdomen / surgery
- Age Factors
- Animals
- Body Weight
- Female
- Horse Diseases / surgery
- Horses
- Intestinal Diseases / surgery
- Intestinal Diseases / veterinary
- Male
- Postoperative Complications / epidemiology
- Postoperative Complications / veterinary
- Retrospective Studies
- Sex Distribution
- Sutures / classification
- Sutures / veterinary
- Time Factors
- Treatment Outcome
Citations
This article has been cited 9 times.- Rockow M, Griffenhagen G, Landolt G, Hendrickson D, Pezzanite L. Current Antimicrobial Use in Horses Undergoing Exploratory Celiotomy: A Survey of Board-Certified Equine Specialists.. Animals (Basel) 2023 Apr 22;13(9).
- Gehlen H, Klein KS, Merle R, Lübke-Becker A, Stoeckle SD. Does colonization with MRSA, ESBL - producing Enterobacteriaceae, and/or Acinetobacter baumannii - increase the risk for postoperative surgical site infection?. Vet Med Sci 2023 Mar;9(2):729-737.
- Stöckle SD, Kannapin DA, Kauter AML, Lübke-Becker A, Walther B, Merle R, Gehlen H. A Pilot Randomised Clinical Trial Comparing a Short-Term Perioperative Prophylaxis Regimen to a Long-Term Standard Protocol in Equine Colic Surgery.. Antibiotics (Basel) 2021 May 16;10(5).
- Averay K, van Galen G, Ward M, Verwilghen D. Effect of three different needle holders on gastrointestinal anastomosis construction time and bursting pressure in equine jejunal segments.. BMC Vet Res 2021 Apr 15;17(1):167.
- Crosa AT, Katzman SA, Kelleher ME, Nieto JE, Kilcoyne I, Dechant JE. Incidence of incisional complications after exploratory celiotomy in equids affected with enterolithiasis.. Can Vet J 2020 Oct;61(10):1085-1091.
- Scharner D, Gittel C, Winter K, Blaue D, Schedlbauer C, Vervuert I, Brehm W. Comparison of incisional complications between skin closures using a simple continuous or intradermal pattern: a pilot study in horses undergoing ventral median celiotomy.. PeerJ 2018;6:e5772.
- Mijele D, Njoroge M, Kaitho T. Surgical treatment of an umbilical hernia in a free-ranging sub-adult African elephant in Samburu National Reserve, Kenya.. Vet Med (Auckl) 2015;6:165-170.
- Sassot LN, Ragle CA, Farnsworth KD, Lund CM. Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy.. Can Vet J 2017 Nov;58(11):1215-1220.
- Rousseau M, Anderson DE, Rozell TG, Hand JM, Faris BR. Comparison of polyglactin-910 and polydioxanone for closure of the linea alba following caudal ventral midline laparotomy in sheep.. Can Vet J 2015 Sep;56(9):959-63.
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