Identification of risk factors for septic peritonitis and failure to survive following gastrointestinal surgery in dogs

Abstract

Multiple factors were associated with failure to survive and development of septic peritonitis after gastrointestinal surgery in dogs. Aggressive perioperative attempts to increase protein concentrations and intraoperative surgical strategies to decrease the chance of a poor outcome may be indicated in dogs with risk factors identified in this study.

Risk Factors for Dehiscence of Stapled Functional End‐to‐End Intestinal Anastomoses in Dogs: 53 Cases (2001–2012)

“…75,76 Similarly, in a retrospective canine study evaluating risk factors for mortality in septic peritonitis, intraoperative hypotension was significantly associated with postoperative development of septic peritonitis and death. 25 In our study, it is difficult to determine if the level of intraoperative hypotension experienced by dogs contributed directly to intestinal dehiscence or served as a marker for more severe systemic disease, such as septic peritonitis.…”

The use of disposable skin staples for intestinal resection and anastomosis in 63 dogs: 2000 to 2014

“…, Grimes et al . , Snowdon et al . ), including some that suggest that a foreign body increases the risk of dehiscence (Allen et al .…”

Evaluation of Data From 35 Dogs Pertaining to Dehiscence Following Intestinal Resection and Anastomosis

“…For analysis of the preoperative, intraoperative, and postoperative factors previously listed, patients were divided into the following group comparisons: (1) patients that developed dehiscence (D) and those that did not (ND), (2) patients that had a drain placed and did (DCS) or did not (NDCS) develop dehiscence, (3) patients that did not develop dehiscence and did (NDCS) or did not (NDNCS) have a drain placed, (4) patients that did not have a drain placed and did (DNCS) or did not (NDNCS) develop dehiscence, and (5) patients that developed dehiscence that did (DCS) and did not (DNCS) have a drain placed. …”

“…[1][2][3] Preoperative peritonitis, hypoalbuminemia, intraoperative hypotension, and presence of a foreign body are factors that have been shown to increase the risk of dehiscence. 1,2,4 One study found foreign bodies to be protective against dehiscence.…”

“…1,2,4 One study found foreign bodies to be protective against dehiscence. 3 Dehiscence most commonly occurs between 3 and 5 days, although occurrence has been reported 0-10 days postoperatively. 1,2,5,6 During the immediate postoperative period, when patients are hospitalized and recovering from surgery, it would be ideal if there were an easy, inexpensive, and minimally invasive way to detect impending dehiscence or detect dehiscence as soon as it occurs so that appropriate treatment could be initiated sooner, decreasing morbidity and mortality.…”