Complications of the Postoperative Colic Patient

Southwood, Louise L.

doi:10.1002/9781119190332.ch28

Cited by 4 publications

(6 citation statements)

References 275 publications

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“…27,29,[32][33][34]37,38 Acute abdominal dehiscence following ventral midline celiotomy in horses has been reported to occur at the body wall, along the suture line or at the knot with suture breakage or knot slippage. 24,40 In this study, suture failure was the principle mode of failure (83% of cases), occurring in close proximity to all the knots for the standard suture and at various locations along the suture line for the barbed suture. The results for the standard suture are comparable with the failure mode described in other studies.…”

Section: Discussionmentioning

confidence: 88%

Comparison of incisional bursting strength of a bidirectional absorbable knotless suture material versus a standard continuous absorbable suture material for closure of the equine linea alba

Bellitto,

Oliver,

Pollock

2023

Veterinary Surgery

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ObjectiveTo evaluate the use of bidirectional knotless barbed suture material for closure of the equine linea alba.Study designLaboratory study.Animal or sample populationAdult light horse cadavers (n = 24).MethodsA 25 cm incision was made through the linea alba, and a 200 L polyurethane bladder was positioned within the abdomen. The linea alba was closed either using USP2/EP5 bidirectional polydioxanone barbed suture or USP2/EP5 standard polydioxanone suture in a simple continuous pattern. Closure time was recorded for each suture type. The bladder was air‐insufflated at 40 L/min, and the pressure at body wall failure recorded. The length of suture used for wound closure and wound failure modes were recorded. Suture length, closure time, bursting pressure, and failure modes were compared using Welch‐Aspin t‐tests.ResultsThe incisional bursting pressure was comparable between the two groups (p > .05). Less suture material (p < .01) was required with the barbed suture than the standard suture. Closure time was less for the barbed suture than the standard suture (p < .01). Suture failure was the main failure mode in both groups (83% cases).ConclusionsClosure of the equine linea alba using bidirectional barbed suture material reduced the amount of foreign material in the wound and decreased closure time without compromising incisional strength.Clinical relevanceBidirectional barbed suture material could be considered as an alternative to standard suture materials for closure of the equine line alba.

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Section: Discussionmentioning

confidence: 88%

Comparison of incisional bursting strength of a bidirectional absorbable knotless suture material versus a standard continuous absorbable suture material for closure of the equine linea alba

Bellitto,

Oliver,

Pollock

2023

Veterinary Surgery

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“…While clinical practice guidelines for SAP for human surgical patients have been well defined by the Surgical Infection Society, Infectious Disease Society of America, American Society of Health-System Pharmacists, and Society for Healthcare Epidemiology of America [47], there are fewer studies in equine surgery [25]. When compared to musculoskeletal procedures such as arthroscopy, exploratory celiotomy in horses tends to have a higher complication and infection rate [55]. A recent survey of antimicrobial use for equine celiotomy by Rockow et al in 2023 showed little difference from a similar survey performed in 2002 by Traub-Dargatz et al, which indicated that most surgeons used penicillin and gentamicin for 24 h for standard exploratory laparotomy procedures, but implemented extended SAP for 3 to 5 days for horses undergoing enterotomy/resection or cases with large colon volvulus [5,56].…”

Section: Discussionmentioning

confidence: 99%

The Effects of Antimicrobial Protocols and Other Perioperative Factors on Postoperative Complications in Horses Undergoing Celiotomy: A Retrospective Analysis, 2008–2021

Rockow,

Griffenhagen,

Landolt

et al. 2023

Animals

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Recognition of antimicrobial resistance in equine practice has increased over the past decade. The objective of this study was to provide an updated retrospective review of antimicrobial regimens in one tertiary referral hospital and to evaluate the association with postoperative complications. A secondary objective was to evaluate other perioperative factors including surgical procedure, anesthetic and recovery parameters, and the effect of perioperative medications on complications and outcomes. A computerized search of medical records was performed to identify horses undergoing exploratory celiotomy from 1 January 2008 to 31 December 2021. A total of 742 celiotomies were performed (608 completed, 134 terminated intraoperatively). Factors recorded were evaluated using logistic regression for the presence of either incisional infection, postoperative ileus, or other complications postoperatively. Antimicrobial type or timing (pre-, intra-, or postoperative) were not associated with decreased risk of incisional infection or postoperative ileus; however, the duration of NSAID use was positively associated with incisional infection (OR 1.14 per day). Lidocaine and alpha-2-agonist administration postoperatively were also associated with increased incidence of postoperative ileus (OR 21.5 and 1.56, respectively). Poor recovery quality (OR 4.69), the addition of other antimicrobials besides penicillin/gentamicin postoperatively (OR 3.63), and an increased number of different NSAID classes used (OR 1.46 per additional) were associated with other complications. Implementation of enterotomy was associated with decreased risk of other complications (OR 0.64). These findings provide an updated summary of factors associated with postoperative complications in horses undergoing celiotomy.

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“…Location was not recorded in 7 cases. To resolve the fecalith obstruction, a pelvic flexure enterotomy (n = 77), small colon enterotomy (6), right dorsal colon enterotomy (1), or combination of pelvic flexure and small colon enterotomy (32) was performed. Small colon fecaliths were disrupted manually without enterotomy in 29 cases and were resolved with assistance of an enema in 2 cases.…”

Section: Surgical Interventionmentioning

confidence: 99%

Ponies, miniatures, and younger equids are at higher risk of fecalith obstruction compared to a general colic population

Miklavcic,

Dechant,

Kilcoyne

2024

javma

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OBJECTIVE To determine breed, age, and sex predispositions for fecalith obstruction and to evaluate short-term survival and prognostic factors following surgical treatment of fecalith intestinal obstruction in equids. ANIMALS 151 equids. METHODS Medical records of equids undergoing surgery for fecalith obstruction from 2000 to 2020 were reviewed. Signalment, history, presenting clinicopathological data, surgical findings, complications, and short-term survival were recorded and compared between survivors and nonsurvivors. Signalment of the fecalith population was compared to a contemporaneous colic population. Clinical factors were assessed for association with outcome. RESULTS 64 females, 53 castrated males, and 31 intact males were included. Three equids presented twice. Miniature horses, ponies, and miniature donkeys/mules represented 48% (71/148) of fecalith population and full-sized breeds represented 52% (77/148). Miniature horses and ponies were overrepresented and equids ≤ 1 year of age were overrepresented in the fecalith population compared to the colic population. One hundred thirty-nine equids (92%) survived to discharge, 6% (9/148) were euthanized intraoperatively, and 2% (3/148) were euthanized during hospitalization. Nonsurvivors showed more severe colic signs on admission, tachycardia on admission, and hyperlipemia. Equids with postoperative colic (P = .01) and complications (P = .002) were less likely to survive. CLINICAL RELEVANCE Miniature horses and ponies were overrepresented compared to the colic population; however, full-sized breeds were also affected. Surgical treatment had an excellent short-term prognosis. Severe colic signs, tachycardia, hyperlipemia, postoperative colic, and surgical complications negatively affected short-term survival.

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Complications of the Postoperative Colic Patient

Cited by 4 publications

References 275 publications

Comparison of incisional bursting strength of a bidirectional absorbable knotless suture material versus a standard continuous absorbable suture material for closure of the equine linea alba

Comparison of incisional bursting strength of a bidirectional absorbable knotless suture material versus a standard continuous absorbable suture material for closure of the equine linea alba

The Effects of Antimicrobial Protocols and Other Perioperative Factors on Postoperative Complications in Horses Undergoing Celiotomy: A Retrospective Analysis, 2008–2021

Ponies, miniatures, and younger equids are at higher risk of fecalith obstruction compared to a general colic population

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