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Veterinary surgery : VS2014; 44(2); 256-264; doi: 10.1111/j.1532-950X.2014.12281.x

Short-term complications after colic surgery in geriatric versus mature non-geriatric horses.

Abstract: To compare in geriatric and mature horses the occurrence of short-term complications and short-term outcome associated with complications after colic surgery. Methods: Retrospective case-control study. Methods: Horses aged ≥20 years (geriatric, n = 78) and 4-15 years (mature non-geriatric, n = 156) that had exploratory celiotomy for colic and survived recovery from general anesthesia. Methods: Medical records (2000-2010) of horses that recovered from general anesthesia after colic surgery were reviewed. Postoperative complications evaluated included postoperative reflux (POR), diarrhea, inappetence, fever, leukopenia, incisional infection, incisional dehiscence, thrombophlebitis, colic, repeat celiotomy, pneumonia, and laminitis. Short-term outcome (alive vs. dead at hospital discharge) of geriatric and mature horses with these complications were compared. Data were analyzed using a χ(2) or Fisher's exact test or an ANOVA. Level of significance P < .05. Results: Geriatric horses had higher odds of having a small intestinal strangulating lesion than mature horses. A higher proportion of geriatric horses had POR and inappetence; however, there was no difference in the proportion of geriatric and mature horses with small intestinal strangulating lesions having POR. Short-term outcome with and without complications was similar between the 2 age groups. Conclusions: Geriatric and mature horses have similar occurrences of short-term complications and short-term outcomes associated with complications after colic surgery.
Publication Date: 2014-10-07 PubMed ID: 25289944DOI: 10.1111/j.1532-950X.2014.12281.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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The research focuses on comparing the short-term complications and potential outcomes after a horse undergoes colic surgery, specifically looking at geriatric horses (20 years old and over) and mature non-geriatric horses (4-15 years old).

Study Objective and Methodology

The objective of the study was to determine if there are significant differences in the occurrence of postoperative complications and outcomes in geriatric and mature non-geriatric horses who have undergone colic surgery. The investigation was a retrospective case-control study using medical records from 2000 to 2010 of horses that have recovered from anesthesia following colic surgery.

  • The study involved geriatric horses (78 in total) and mature non-geriatric horses (156 in total) who have undergone exploratory celiotomy for colic and survived recovery from the general anesthesia used during surgery.
  • The complications evaluated post-surgery included postoperative reflux, diarrhea, inappetence, fever, leukopenia, incisional infection and dehiscence, thrombophlebitis, colic, repeat celiotomy, pneumonia, and laminitis.

Results

The study found a few key observations.

  • Geriatric horses were more likely to have a small intestinal strangulating lesion compared to mature horses.
  • More geriatric horses experienced postoperative reflux and inappetence. However, among horses with small intestinal strangulating lesions, the occurrence of postoperative reflux was similar in both age groups.
  • Despite the above differences, the short-term outcome, whether there were complications or not, was not significantly different between the geriatric and mature horse groups. This means that both age groups had similar rates of survival till hospital discharge.

Conclusion

The study concluded that the rate of short-term complications and the associated outcomes after colic surgery are fairly similar in geriatric and mature non-geriatric horses. While there were some differences in specific complications, the overall short-term prognosis was comparable across the two age groups. The information generated from this research may be useful for veterinary practitioners in predicting and managing potential postoperative complications in older horses undergoing colic surgery.

Cite This Article

APA
Gazzerro DM, Southwood LL, Lindborg S. (2014). Short-term complications after colic surgery in geriatric versus mature non-geriatric horses. Vet Surg, 44(2), 256-264. https://doi.org/10.1111/j.1532-950X.2014.12281.x

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 44
Issue: 2
Pages: 256-264

Researcher Affiliations

Gazzerro, Deanna M
  • Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.
Southwood, Louise L
    Lindborg, Sue

      MeSH Terms

      • Age Factors
      • Aging
      • Animals
      • Case-Control Studies
      • Cecal Diseases / surgery
      • Cecal Diseases / veterinary
      • Colic / surgery
      • Colic / veterinary
      • Female
      • Horse Diseases / surgery
      • Horses
      • Laparotomy / adverse effects
      • Laparotomy / veterinary
      • Male
      • Postoperative Complications / etiology
      • Postoperative Complications / veterinary
      • Retrospective Studies
      • Surgical Wound Infection / etiology
      • Surgical Wound Infection / veterinary