New Perspectives in Postoperative Complications After Abdominal Surgery

Klohnen, Andreas

doi:10.1016/j.cveq.2009.05.003

Cited by 34 publications

(47 citation statements)

References 23 publications

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“…In humans, sham feeding as been postulated to increase vagal tone and the production of gastrointestinal hormones favoring and increase in intestinal motility [19].…”

Section: Discussionmentioning

confidence: 99%

Effects of Bit Chewing on Right Upper Quadrant Intestinal Sound Frequency in Adult Horses

Giusto

Pagliara

Gandini

2014

Journal of Equine Veterinary Science

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“…In humans, sham feeding as been postulated to increase vagal tone and the production of gastrointestinal hormones favoring and increase in intestinal motility [19].…”

Section: Discussionmentioning

confidence: 99%

Effects of Bit Chewing on Right Upper Quadrant Intestinal Sound Frequency in Adult Horses

Giusto

Pagliara

Gandini

2014

Journal of Equine Veterinary Science

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“…Horses with poor anaesthetic recoveries are potentially exposed to more incisional contamination in the recovery stall than horses with good anaesthetic recoveries. Klohnen et al [20] concluded that contamination occurring during recovery is important in the development of post operative infection. Our results support his findings.…”

Section: Discussionmentioning

confidence: 99%

Post operative infection, pyrexia and perioperative antimicrobial drug use in surgical colic patients

Freeman

Southwood

Lane

et al. 2011

Equine Veterinary Journal

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SummaryReasons for performing study: Infections are common complications in post operative colic patients. It is the impression of some surgeons that pyrexia in the early post operative period is a sign of infection and appropriate timing of perioperative antimicrobials will decrease the incidence of post operative infection. Objective: To determine the association between 1) post operative pyrexia and development of infection and 2) perioperative antimicrobial drug use and infection rate in post operative colic patients. Methods: Medical records of patients undergoing surgical treatment for colic were reviewed. Horses recovering from surgery and surviving >48 h were included. Data relating to case details, duration of surgery, post operative infection, peri-and post operative antimicrobial administration, presence, intensity and duration of pyrexia, were recorded. Data were analysed using standard statistical methods for simple comparisons between groups and by logistic regression for more complex comparisons. Results: One-hundred-and-thirteen horses were included in the final analyses, 48 (43%) of which were diagnosed with a post operative infection. Duration of surgery and anaesthesia were associated with post operative infection. Eighty-five percent of horses (n = 96) exhibited pyrexia (rectal temperature >38.3°C) post operatively. Peak temperature >39.2°C, time post surgery to peak temperature >48 h and duration of pyrexia >48 h were significantly associated with infection. In a combined model, time to first pyrexic >48 h post surgery, peak temperature and time to peak >48 h were equally weighted and the model's positive predictive value for post operative infection was 72%. Timing and dose rate of preoperative antimicrobials were not associated with infection but duration of post operative antimicrobial drug use was. Conclusion and clinical relevance: Slight to mild pyrexia (38-39.4°C) in the early post operative period is not necessarily associated with impending bacterial infection in colic patients and the use of antimicrobials in these patients may be costly and unnecessary.

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“…Komplikationen an der Laparotomiewunde Nahtinfektionen Infektionen der Laparotomiewunde zählen zu den häufigsten Komplikationen und betragen je nach Klinik zwischen 10 und 35 Prozent (Klohnen 2009). Nach Relaparotomie beträgt diese Komplikationsrate 87.5 % (Kobluk et al 1989 Abb.…”

Section: Darmnekroseunclassified

Potential complications in equine colic surgery

Fürst¹,

Kummer²,

Kümmerle³

et al. 2012

PHK

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Potential complications in equine colic surgeryThere are many potential complications of intestinal surgery in the horse. Inability to reposition displaced intestines and rupture or life-threatening to fatal haemorrhage after manipulation of the intestines can impede surgical success. Postoperative complications include peritonitis, endotoxaemia, colitis, haemoabdomen and recurring colic because of paralytic ileus. Laminitis, cardiac arrhythmia, postoperative myopathy and hyperammonaemia are other potential postoperative problems. Suture failure, abscessation or constriction of the intestinal lumen may occur after enterotomy or anastomosis. Intestines that appear vital during surgery may later become necrotic. Intraabdominal adhesions are common sequelae of colic surgery. Important complications involving the laparotomy incision include suture line infection, suture dehiscence and incisional herniation. Differentiation of the various causes of postoperative colic is difficult and requires serial examination of the patient. Horses undergoing colic surgery present a particular challenge to the anaesthesia team because of circulatory compromise and the need for dorsal recumbency of the patient. Placement of a jugular catheter under aseptic conditions and regular catheter maintenance are critical for the prevention of thrombophlebitis. Postoperative analgesia is critical to the outcome, even after surgery without apparent complications. Because of advances in veterinary medicine, survival rates of approximately 80% are now seen in horses after colic surgery. There is a strong correlation between the experience of the surgeon and a favourable outcome.

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New Perspectives in Postoperative Complications After Abdominal Surgery

Cited by 34 publications

References 23 publications

Effects of Bit Chewing on Right Upper Quadrant Intestinal Sound Frequency in Adult Horses

Effects of Bit Chewing on Right Upper Quadrant Intestinal Sound Frequency in Adult Horses

Post operative infection, pyrexia and perioperative antimicrobial drug use in surgical colic patients

Potential complications in equine colic surgery

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