Complications of Abdominal Approaches

Lawless, Shauna P.; Hackett, Eileen S.

doi:10.1002/9781119190332.ch26

Cited by 1 publication

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“…In most studies SSI prevalence is 15%–20%, but the reported occurrence ranges widely: 0%–43% (Bauck et al, 2017; Biedrzycki & Brounts, 2016; Costa‐Farré et al, 2014; Darnaud et al, 2016; Freeman et al, 2012; Isgren et al, 2017; Kelmer et al, 2020; Kilcoyne et al, 2019; Phillips & Walmsley, 1993). Infection of the incision has a wide array of definitions, ranging from incisions with purulent drainage, having positive bacterial culture, to incisions that are sensitive to the touch with abnormal ultrasonographic findings (Lawless & Hacket, 2021). However, by the commonly used strict definition, any surgical abdominal wound draining over 24 h after colic surgery is considered infected (Colbath et al, 2014; Kilcoyne et al, 2019; Scharner et al, 2018, Torfs et al, 2010).…”

Section: Surgical Site Infectionmentioning

confidence: 99%

What do we currently know about incisional complications of colic surgery?

Kelmer

2023

Equine Veterinary Education

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Summary It is common for horses to suffer from incisional complications after colic surgery. The complications encountered are oedema, infection, hernia and dehiscence. Oedema is a natural response to surgical trauma but when it is severe it can be associated with additional complications such as infection, hernia and dehiscence. Thus, it is worthwhile preventing marked oedema, and an abdominal bandage is an effective method for that. Infection of the incision is common, but mostly it is mild and does not require significant intervention. Many of the infections manifest after the horse is discharged from the hospital; thus, these infections are markedly underreported. Since multidrug resistance in bacteria are becoming a major problem in equine medicine, sampling the incision for monitoring is important. Hernia formation is typically preceded by incisional infection. Most hernias do not require intervention but some warrant surgical correction. The most simple and effective method to repair them is primary closure of the hernial ring followed by subcutaneous mesh implantation. By this method, one achieves both a strong body wall and a good cosmetic outlook. Complete body wall dehiscence is fortunately uncommon and is often associated with incisional infection and pregnancy. Complete body wall dehiscence usually occurs in about 5 days after surgery and is the most fatal complication. If dehiscence is noticed prior to any evisceration, conservative therapy with close monitoring and a supportive bandage is indicated and has a good chance of success. Once evisceration is noted, emergency secondary body wall closure is indicated, and the prognosis is guarded. To conclude, incisional complications are commonly encountered after colic surgery, most of them have clinically mild implications. Occasionally, these complications may become significant and even fatal. Careful attention to surgical technique and protecting the incision in the immediate post‐operative period can significantly decrease the risk of these complications.

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Section: Surgical Site Infectionmentioning

confidence: 99%

What do we currently know about incisional complications of colic surgery?

Kelmer

2023

Equine Veterinary Education

View full text Add to dashboard Cite

show abstract

Complications of Abdominal Approaches

Cited by 1 publication

References 44 publications

What do we currently know about incisional complications of colic surgery?

What do we currently know about incisional complications of colic surgery?

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