Complications and Comorbidities in Foals Undergoing Surgical Repair for Uroperitoneum

Ford, Matthew G.; Nelson, Brad B.; Ford, Troy S.; Souza, Camila R.S.; Easley, Jeremiah T.; Hackett, Eileen S.

doi:10.1016/j.jevs.2021.103852

Cited by 4 publications

(7 citation statements)

References 14 publications

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“…Surgeons performed a double-layer suture without debridement of the defect, as described in the literature ( Schott and Woodie, 2019a ; Fubini and Delco, 2022 ). Suture material and pattern and the decision to debride the bladder tear margins have been associated with the development of complications ( Bryant and Gaughan, 2005 ; Schott and Woodie, 2019a ; Ford et al , 2022 ; Fubini and Delco, 2022 ). Although the recurrence of uroperitoneum appears to be more common in cases where no debridement is performed, Ford et al (2022) have not highlighted a clear relationship between debridement procedure, uroperitoneum recurrence, or survival rate.…”

Section: Discussionmentioning

confidence: 99%

“…Suture material and pattern and the decision to debride the bladder tear margins have been associated with the development of complications ( Bryant and Gaughan, 2005 ; Schott and Woodie, 2019a ; Ford et al , 2022 ; Fubini and Delco, 2022 ). Although the recurrence of uroperitoneum appears to be more common in cases where no debridement is performed, Ford et al (2022) have not highlighted a clear relationship between debridement procedure, uroperitoneum recurrence, or survival rate. Fubini and Delco (2022) suggested that debridement is not necessary if the bladder is closed with an inverted suture.…”

Section: Discussionmentioning

confidence: 99%

“…The most common complication of urinary surgery is a recurrence of uroperitoneum due to dehiscence of the suture or failure to completely suture the tear ( Hardy, 1998 ), incontinence, infection, urine scalding, and fistulas ( Steward and Rubio-Martinez, 2021 ). Bladder atony, renal failure, intestinal adhesions, peritonitis, and pleural effusion are less frequently reported sequelae ( Ford et al , 2022 ). Mortality is higher in the immediate perioperative period, especially for hyperkalemia and respiratory distress ( Bernick et al , 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…, 2002 ; Jenei, 2012 ). Surgical correction is the first choice to repair a bladder rupture ( Rodgerson et al , 1999 ; Bryant and Gaughan, 2005 ; Schott and Woodie, 2019a ), even if complications, including recurrence, incontinence, infection, urine scalding, and fistulas, are common ( Hardy, 1998 ; Ford et al , 2022 ). Nonsurgical methods of treating uroperitoneum, such as urine removal via urinary catheters and abdominal drains, have been successfully performed in foals as well.…”

Section: Introductionmentioning

confidence: 99%

“…Nonsurgical methods of treating uroperitoneum, such as urine removal via urinary catheters and abdominal drains, have been successfully performed in foals as well. However, data about short- and long-term follow-up are still limited ( Kritchevsky et al , 1984 ; Lavoie and Harnagel, 1988 ; Hendrickson and Lee, 2012 ; Ford et al . , 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Montano,

Forni,

Lanci

et al. 2023

Open Vet J

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Background: Ruptures of the urinary bladder and urachus are the most frequent cause of uroperitoneum in foals. Surgical correction is often the first treatment choice, however nonsurgical methods, such as urine removal via urinary catheters and abdominal drains, have been successfully performed in foals. Case Description: Two foals were referred to the Equine Perinatology Unit for suspicion of uroperitoneum. Diagnosis was confirmed by hematobiochemical and ultrasound examinations, thus cystorrhaphy and cystoplasty were attempted. Surgeons found a lesion in the dorsocranial margin of the bladder (Case 1) and a tear in the pelvic urethra (Case 2); in the first case the defect was routinely repaired, while the last lesion was impossible to repair due to its localization. A urinary catheter was left in place in both cases. Uroperitoneum recurred 72 hours after the surgery in both foals: a second surgical correction was not recommended due to the localization of the tears and conservative treatment, with the placement of a 32F chest tube in the most ventral part of the abdomen, was preferred. Abdominal drains were removed 5-7 days after surgery, while urinary catheters were left in place for up to 7-8 days. Colts’ conditions improved during hospitalizations. Two months after bladder surgery, Case 1 was euthanized due to multiple adhesions between the small intestine and the abdominal wall. Case 2 was still alive one year post-operatively. Conclusion: Although it cannot be considered the first choice for treatment of uroperitoneum in the foal, nonsurgical treatment was successful in both cases in the short-term follow-up. However, the prognosis should be cautious due to the risk of long-term complications. Conservative management may be used to manage bladder/urethral tears that cannot be solved by surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Montano,

Forni,

Lanci

et al. 2023

Open Vet J

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Urinary Tract Disorders

Wong,

McCoy,

Wilkins

2024

Equine Neonatal Medicine

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Ultrasound findings in 34 newborn foals with uroperitoneum

Bernick,

Demattio,

Wehrend

2024

Veterinary Medicine & Sci

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BackgroundUroperitoneum is a typical disease of the newborn foal, which occurs rarely but regularly. Ultrasonography is considered the most important imaging method for diagnosing this disease. Thus far, only one older case series comprising 31 foals suffering from uroperitoneum has systematically listed results of ultrasound examinations.ObjectiveThis paper presents the findings of an ultrasonographic examination of 34 foals with uroperitoneum in order to inform future interpretation of ultrasonographic data in suspected uroperitoneum cases.MethodUltrasonographic data of 34 neonatal foals up to the age of 14 days diagnosed with uroperitoneum between 2006 and 2022 were analysed.ResultsMost foals demonstrated highly increased levels of free (97%), anechogenic (91%) fluid in the abdomen. Although the urinary bladder was frequently visible (50%), bladder wall discontinuity was only occasionally detectable (18%).ConclusionTransabdominal ultrasonography has proved to be a very reliable imaging method for diagnosing suspected uroperitoneum. It is recommended that it be used in every case of suspected uroperitoneum in order to exclude differential diagnoses.

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Complications and Comorbidities in Foals Undergoing Surgical Repair for Uroperitoneum

Cited by 4 publications

References 14 publications

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Urinary Tract Disorders

Ultrasound findings in 34 newborn foals with uroperitoneum

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