Gibson K T, Curtis C R, Turner A S, McIlwraith C W, Aanes W A, Stashak T S
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523.
Vet Surg. 1989 Sep-Oct;18(5):360-6. doi: 10.1111/j.1532-950x.1989.tb01100.x.
Medical records of 210 horses that survived ventral midline celiotomy for at least 4 months were examined and owners were queried to determine factors contributing to incisional hernia formation. The incidence rate of incisional hernias within 4 months was 16%. Factors significantly associated with occurrence of incisional hernias were incisional drainage, closure of the linea alba with chromic gut suture material, previous midline celiotomy, excessive incisional edema, castrated male sex, postoperative leukopenia, and postoperative pain (colic). Factors not significantly associated with occurrence of incisional hernias were suture pattern used for linea alba closure, concurrent enterotomy or intestinal resection, postoperative bandage or stent, postoperative fever, hypoproteinemia, diarrhea, respiratory disease (coughing), and peritonitis. Hernias developed in horses within 12 weeks of surgery, with the earliest hernia recognized at week 2. Of 30 horses for which information was available, only one hernia developed in 24 (80%) and two or more hernias developed in 6 (20%) along the incision. Multiple hernias tended to be smaller than single hernias.
对210匹接受腹中线剖腹术且存活至少4个月的马的病历进行了检查，并向马主询问了导致切口疝形成的因素。4个月内切口疝的发生率为16%。与切口疝发生显著相关的因素有切口引流、用铬制肠线缝合材料缝合白线、既往腹中线剖腹术、切口水肿过度、去势公马、术后白细胞减少和术后疼痛（绞痛）。与切口疝发生无显著相关的因素有用于缝合白线的缝合方式、同期肠切开术或肠切除术、术后绷带或支架、术后发热、低蛋白血症、腹泻、呼吸道疾病（咳嗽）和腹膜炎。疝在术后12周内出现在马身上，最早在第2周发现疝。在有信息可查的30匹马中，沿切口24匹马（80%）仅出现1个疝，6匹马（20%）出现2个或更多疝。多发疝往往比单发疝小。
