Incidence of incisional complications after exploratory celiotomy in equids affected with enterolithiasis

Albert Torrent Crosa, Scott A Katzman, Maureen E. Kelleher, Jorge E. Nieto, Isabelle Kilcoyne, Julie E Dechant

Research output: Contribution to journalArticlepeer-review

Abstract

This study reports the prevalence of and risk factors for incisional complications in equids after ventral midline celiotomy for enterolithiasis. This study covered the years 2008 to 2015 and included 72 equids. Enteroliths were removed from the ascending or descending colon through 1 or more enterotomies. Complications were defined as surgical site infection and/or incisional hernia formation. Follow-up by telephone questionnaire or medical records determined that 10/72 (13.9%) equids experienced complications, with 6/72 (8.3%) developing a surgical site infection and 5/72 (6.9%) a hernia. Seven of ten were presented for chronic abdominal discomfort (> 24 hours), and 8/10 had right dorsal colon and pelvic flexure enterotomies. All equids that developed an incisional hernia and 4 with surgical site infection had enteroliths > 15 cm diameter removed from the right dorsal colon. Antimicrobial powder applied to the ventral midline incision during closure significantly reduced incisional complications. Removal of > 15 cm diameter enteroliths from the right dorsal colon may predispose to postoperative incisional complications.

Original languageEnglish (US)
Pages (from-to)1085-1091
Number of pages7
JournalThe Canadian veterinary journal = La revue veterinaire canadienne
Volume61
Issue number10
StatePublished - Oct 1 2020

ASJC Scopus subject areas

  • veterinary(all)

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