Evaluation of postoperative peritoneal lavage in standing horses for prevention of experimentally induced abdominal adhesions.
Abstract: To evaluate the postoperative use of peritoneal lavage for prevention of experimentally induced intraabdominal adhesions in horses. Methods: Areas of serosal abrasion were created on the jejunum of 12 horses. Postoperatively, six horses had peritoneal lavage, and six horses did not (controls). The number of adhesions was determined at necropsy 2 weeks after surgery. Methods: 12 horses. Methods: Five sites of jejunal serosal abrasion were created in each horse. A 32 French thoracic catheter was placed into the right ventral aspect of the abdomen before closure of the abdominal incision. Treated horses had abdominal lavage with 10 L of lactated Ringer's solution on four occasions, then catheters were removed from all horses 34 hours after celiotomy. Horses were necropsied at 2 weeks to quantify the number of intraabdominal adhesions. Results: All control horses and one treated horse developed intraabdominal adhesions. The number of adhesions was significantly less (P < .0293) in treated horses. No adverse inflammatory reactions appeared to be associated with repeated peritoneal lavage using lactated Ringer's solution or use of an abdominal drain. Conclusions: Peritoneal lavage reduced the frequency of intraabdominal adhesions. Conclusions: When postoperative adhesions are likely to develop, postoperative peritoneal lavage may decrease the frequency of adhesion formation.
Publication Date: 1998-04-03 PubMed ID: 9525026DOI: 10.1111/j.1532-950x.1998.tb00107.xGoogle Scholar: Lookup
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- Journal Article
Summary
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The research investigates the use of peritoneal lavage after surgery in preventing the formation of abdominal adhesions in horses.
Objective of the Study
The primary aim of the research was to evaluate the preventative effects of postoperative peritoneal lavage on the formation of intra-abdominal adhesions, which were experimentally induced in horses.
Methodology
- The research made use of 12 horses, wherein five areas of serosal abrasion on the jejunum were created in each horse to simulate conditions leading to adhesion development.
- The horses were then split into two groups: one group underwent peritoneal lavage post-operation (treatment group), while the other did not (control group).
- A thoracic catheter was inserted into the right ventral aspect of each horse’s abdomen before closing up the incision.
- The treatment group were subjected to abdominal lavage using 10 liters of lactated Ringer’s solution, repeated four times, following the surgical operation.
- The catheters were removed from all horses 34 hours post celiotomy (surgical incision into the abdominal cavity).
- Two weeks after the surgery, all horses were necropsied to determine the number of intra-abdominal adhesions that had formed.
Results
- Every horse in the control group and one horse from the treatment group had intraabdominal adhesions.
- Significantly less adhesions were recorded in treated horses (P < .0293), showing the effectivity of peritoneal lavage treatment in preventing adhesion formation.
- There appeared to be no adverse inflammatory reactions associated with the use of lactated Ringer’s solution or the repeated peritoneal lavage.
Conclusion
- The study concluded that peritoneal lavage effectively reduces the frequency of intraabdominal adhesions in horses after surgical operations.
- As such, peritoneal lavage post-surgery may be a viable preventative treatment against the development of adhesions in cases where postoperative adhesions are expected.
Cite This Article
APA
Hague BA, Honnas CM, Berridge BR, Easter JL.
(1998).
Evaluation of postoperative peritoneal lavage in standing horses for prevention of experimentally induced abdominal adhesions.
Vet Surg, 27(2), 122-126.
https://doi.org/10.1111/j.1532-950x.1998.tb00107.x Publication
Researcher Affiliations
- Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, USA.
MeSH Terms
- Animals
- Horses / surgery
- Jejunal Diseases / prevention & control
- Jejunal Diseases / veterinary
- Jejunum / surgery
- Peritoneal Lavage / methods
- Peritoneal Lavage / veterinary
- Postoperative Complications / prevention & control
- Postoperative Complications / veterinary
- Random Allocation
- Tissue Adhesions / prevention & control
- Tissue Adhesions / veterinary
Citations
This article has been cited 3 times.- Cribb NC, Arroyo LG, Bouré L. Standing laparoscopic abdominal lavage using a suction-irrigation device in 2 horses with primary suppurative peritonitis.. Can Vet J 2021 Apr;62(4):397-402.
- Alonso Jde M, Alves AL, Watanabe MJ, Rodrigues CA, Hussni CA. Peritoneal response to abdominal surgery: the role of equine abdominal adhesions and current prophylactic strategies.. Vet Med Int 2014;2014:279730.
- Fang CC, Chou TH, Lin GS, Yen ZS, Lee CC, Chen SC. Peritoneal infusion with cold saline decreased postoperative intra-abdominal adhesion formation.. World J Surg 2010 Apr;34(4):721-7.
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