Hance S R, Embertson R M
Rood and Riddle Equine Hospital, Lexington, KY 40580-2070.
J Am Vet Med Assoc. 1992 Sep 1;201(5):782-7.
Colopexies were performed in 44 broodmares requiring abdominal surgery for large colon volvulus or right dorsal displacement of the large colon. Colopexies were performed by suturing the lateral bands of the left and right ventral colon to the ventral abdominal wall. Forty-seven percent of the mares in which a colopexy was performed had previous surgery for a large colon volvulus or right dorsal displacement of the large colon. Postoperative complications considered directly associated with the colopexy procedure were intermittent abdominal pain in 7, reoperation in 5, subcutaneous fistulous tracts in 1, and catastrophic rupture of the left ventral colon in 2 horses. Thirty-six horses survived greater than 6 months after colopexy, 34 of which had complete follow-up examinations. Twenty-seven mares have foaled at least once subsequent to the colopexy procedure, totalling 40 foals. Colopexy was considered a viable technique to prevent recurrence of large colon displacement or volvulus in selected predisposed populations.
对44匹因大结肠扭转或大结肠右背侧移位而需要进行腹部手术的母马进行了结肠固定术。结肠固定术通过将左、右腹侧结肠的侧带缝合到腹前壁来完成。接受结肠固定术的母马中,47%曾因大结肠扭转或大结肠右背侧移位接受过手术。被认为与结肠固定术直接相关的术后并发症包括7匹马出现间歇性腹痛、5匹马再次手术、1匹马出现皮下瘘管以及2匹马发生左腹侧结肠灾难性破裂。36匹马在结肠固定术后存活超过6个月,其中34匹接受了完整的随访检查。27匹母马在结肠固定术后至少产驹一次,共产下40匹驹。结肠固定术被认为是一种可行的技术,可防止特定易感群体中大结肠移位或扭转的复发。