Abstract
Objective - To describe the insertion technique, efficacy, and complications associated with the use of an active (closed-suction) abdominal drain in horses. Study Design - Retrospective study. Animals - Sixty-seven horses with abdominal contamination treated by abdominal lavage and use of a closed-suction abdominal drain. Methods - Medical records of horses (1989-1996) that had a closed-suction abdominal drain were reviewed. Follow-up information was obtained by telephone interviews with owners. Results - Sixty-eight closed-suction abdominal drains were used in 67 horses that had abdominal contamination, peritonitis, or to prevent adhesion formation. The drain was placed under general anesthesia (62 horses) or in a standing position (6 horses). Abdominal lavage was performed every 4 to 12 hours and about 83% of the peritoneal lavage solution was retrieved. Minor complications associated with drain use occurred in 49% of the horses and included obstruction or slow passage of fluid through the drain in 18 horses (26%), leakage of fluid around the drain in 11 horses (16%), and subcutaneous fluid accumulation around the drain in 8 horses (12%). Incisional suppuration developed in 20 of 62 (32%) and incisional herniation in 5 of 46 (11%) horses. Conclusions - A closed-suction drain system was easily placed and was associated with only minor complications in most horses. Clinical Relevance - Active abdominal drainage and lavage is a useful adjunct in the treatment of peritonitis or as a prophylactic procedure in horses at risk of developing septic peritonitis and abdominal adhesions. Clinicians should be aware of the high incidence of minor complications.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1-7 |
| Number of pages | 7 |
| Journal | Veterinary Surgery |
| Volume | 32 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2004 |
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ASJC Scopus subject areas
- veterinary(all)
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Use of an Active Intra-abdominal Drain in 67 Horses. / Nieto, Jorge; Snyder, Jack R.; Vatistas, Nicholas J.; Spier, Sharon; Van Hoogmoed, Linda.
In: Veterinary Surgery, Vol. 32, No. 1, 01.2004, p. 1-7.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Use of an Active Intra-abdominal Drain in 67 Horses
AU - Nieto, Jorge
AU - Snyder, Jack R.
AU - Vatistas, Nicholas J.
AU - Spier, Sharon
AU - Van Hoogmoed, Linda
PY - 2004/1
Y1 - 2004/1
N2 - Objective - To describe the insertion technique, efficacy, and complications associated with the use of an active (closed-suction) abdominal drain in horses. Study Design - Retrospective study. Animals - Sixty-seven horses with abdominal contamination treated by abdominal lavage and use of a closed-suction abdominal drain. Methods - Medical records of horses (1989-1996) that had a closed-suction abdominal drain were reviewed. Follow-up information was obtained by telephone interviews with owners. Results - Sixty-eight closed-suction abdominal drains were used in 67 horses that had abdominal contamination, peritonitis, or to prevent adhesion formation. The drain was placed under general anesthesia (62 horses) or in a standing position (6 horses). Abdominal lavage was performed every 4 to 12 hours and about 83% of the peritoneal lavage solution was retrieved. Minor complications associated with drain use occurred in 49% of the horses and included obstruction or slow passage of fluid through the drain in 18 horses (26%), leakage of fluid around the drain in 11 horses (16%), and subcutaneous fluid accumulation around the drain in 8 horses (12%). Incisional suppuration developed in 20 of 62 (32%) and incisional herniation in 5 of 46 (11%) horses. Conclusions - A closed-suction drain system was easily placed and was associated with only minor complications in most horses. Clinical Relevance - Active abdominal drainage and lavage is a useful adjunct in the treatment of peritonitis or as a prophylactic procedure in horses at risk of developing septic peritonitis and abdominal adhesions. Clinicians should be aware of the high incidence of minor complications.
AB - Objective - To describe the insertion technique, efficacy, and complications associated with the use of an active (closed-suction) abdominal drain in horses. Study Design - Retrospective study. Animals - Sixty-seven horses with abdominal contamination treated by abdominal lavage and use of a closed-suction abdominal drain. Methods - Medical records of horses (1989-1996) that had a closed-suction abdominal drain were reviewed. Follow-up information was obtained by telephone interviews with owners. Results - Sixty-eight closed-suction abdominal drains were used in 67 horses that had abdominal contamination, peritonitis, or to prevent adhesion formation. The drain was placed under general anesthesia (62 horses) or in a standing position (6 horses). Abdominal lavage was performed every 4 to 12 hours and about 83% of the peritoneal lavage solution was retrieved. Minor complications associated with drain use occurred in 49% of the horses and included obstruction or slow passage of fluid through the drain in 18 horses (26%), leakage of fluid around the drain in 11 horses (16%), and subcutaneous fluid accumulation around the drain in 8 horses (12%). Incisional suppuration developed in 20 of 62 (32%) and incisional herniation in 5 of 46 (11%) horses. Conclusions - A closed-suction drain system was easily placed and was associated with only minor complications in most horses. Clinical Relevance - Active abdominal drainage and lavage is a useful adjunct in the treatment of peritonitis or as a prophylactic procedure in horses at risk of developing septic peritonitis and abdominal adhesions. Clinicians should be aware of the high incidence of minor complications.
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U2 - 10.1053/jvet.2003.50013
DO - 10.1053/jvet.2003.50013
M3 - Article
VL - 32
SP - 1
EP - 7
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 1
ER -