Enterocutaneous fistulae in horses: 18 cases (1964 to 1992).

The research article focuses on a study of 18 cases of enterocutaneous fistulae in horses from 1964 to 1992. It explores the most common reasons for the development of this condition, treatment methods, and the complications that can ensue.

Understanding Enterocutaneous Fistulae

• Enterocutaneous fistulae are an uncommon condition in horses, often arising as a complication of umbilical hernias or their treatment. These fistulae are abnormal connections or passageways between the intestine and the skin surface.

Method of Treatment

• The research presents two main methods of treating this condition in horses. The first treatment method involves an en bloc resection, which is a surgical procedure that removes the body wall and intestine. The second method is allowing second intention healing, which is a process where wounds heal by forming granulation tissue and contracting.
• A point of interest in the research is the two cases where nonsurgical management was employed – in these instances, the horses with presumptive large colon fistulae healed without complications, indicating this could be a potential treatment route for these specific types of fistulae.

Complications from Treatment

• The research identifies several complications that might occur following a surgical intervention, demonstrating the risks inherent in invasive treatment methods. These complications include fever, colic (severe abdominal pain), problems with the surgical incision, and the possible recurrence of the fistula.

Implications of the Study

• The findings from this study could potentially guide treatment decisions in horses suffering from enterocutaneous fistulae. By understanding common causes, effective treatment methods (both surgical and nonsurgical), as well as potential complications, veterinary practitioners may provide more effective and targeted care for horses with this condition.