Grimes Janet, Schmiedt Chad, Milovancev Milan, Radlinsky MaryAnn, Cornell Karen
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
J Am Anim Hosp Assoc. 2013 Jul-Aug;49(4):246-9. doi: 10.5326/JAAHA-MS-5870. Epub 2013 May 20.
The objective of this study was to evaluate the correlation of serosal patching in dogs with existing septic peritonitis with continued postoperative septic peritonitis and death. Records were collected from dogs that underwent intestinal surgery from 1998 to 2007 at four veterinary teaching hospitals and one private referral clinic. Dogs were included if they were diagnosed with septic peritonitis and had subsequent surgery of either the small intestine or cecum. Eighty-two surgeries were evaluated. Eighteen dogs (22%) received a serosal patch during surgery. Of those, three dogs (16.7%) had septic peritonitis postoperatively. Sixty-four dogs (78%) did not receive a serosal patch, and 19 of those dogs (29.7%) had postoperative septic peritonitis (P = 0.27). Of the 18 cases with serosal patching, 6 (33.3%) died prior to discharge. Of the 63 cases that did not receive a patch and had information regarding survival, 14 (22.2%) died prior to discharge (P = 0.34). Use of a serosal patch did not protect dogs from either postoperative septic peritonitis or failure to survive.
本研究的目的是评估患有现有化脓性腹膜炎的犬只中浆膜修补术与术后持续化脓性腹膜炎及死亡之间的相关性。收集了1998年至2007年在四家兽医教学医院和一家私人转诊诊所接受肠道手术的犬只的记录。如果犬只被诊断为化脓性腹膜炎并随后接受了小肠或盲肠手术，则将其纳入研究。共评估了82例手术。18只犬（22%）在手术期间接受了浆膜修补。其中，3只犬（16.7%）术后发生了化脓性腹膜炎。64只犬（78%）未接受浆膜修补，其中19只犬（29.7%）术后发生了化脓性腹膜炎（P = 0.27）。在接受浆膜修补的18例病例中，6例（33.3%）在出院前死亡。在63例未接受修补且有生存信息的病例中，14例（22.2%）在出院前死亡（P = 0.34）。使用浆膜修补并不能保护犬只免于术后化脓性腹膜炎或无法存活。
