Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, 00014, Helsinki, Finland.
4 Pharma, 20520, Turku, Finland.
Acta Vet Scand. 2017 Jan 5;59(1):5. doi: 10.1186/s13028-016-0273-9.
Surgical treatment of colic is expensive and complications may occur. Information on the prognosis and the use of the horse after surgery for colic is important for surgeons and owners. Current literature on return to athletic function after celiotomy is limited. The present study reviewed surgical cases of the Veterinary Teaching Hospital, Helsinki, Finland for 2006-2012. The aim was to follow the population of horses of different breeds for surgical findings, postsurgical complications, long-term recovery and prognosis. The findings and their influence on survival, return to previous or intended use and performance were assessed.
Most of the operated horses (82.6%; 195/236) recovered from anesthesia and 74.9% (146/195) were discharged. The total follow-up time was 8 years and 10 months and the median survival time 79.2 months. Age of the horse, location of the abdominal lesion (small vs. large intestine), incidence of postoperative colic, surgical site infection, incisional hernia or convalescence time after surgery, did not significantly affect the probability of performing in the previous or intended discipline after the surgery. A majority of the discharged horses (83.7%) was able to perform in the previous or intended discipline and 78.5% regained their former or higher level of performance. Operated horses had 0.18 colic episodes per horse-year during the long-term follow-up. The incidence of colic was 20.0% within the first year after surgery. Horses operated for large intestinal colic were 3.3-fold more prone to suffer postoperative colic than horses operated for small intestinal colic. The majority of the owners (96.3%) were satisfied with the veterinary care and nearly all (98.5%) evaluated the recovery after the colic surgery to be satisfactory or above.
If the horse survives to discharge, prognosis for long-term survival and return to previous level of sporting activity and performance was good after colic surgery in a population of horses of different breeds. None of the factors studied were found to decrease the probability of performing in the same or intended discipline after surgery. The majority of horses were able to return to their previous activity and perform satisfactorily for several years after surgery.
对腹痛进行外科治疗费用昂贵，且可能出现并发症。对于外科医生和马主来说，了解手术后的预后和马匹的使用情况非常重要。目前关于剖腹手术后恢复竞技功能的文献有限。本研究回顾了芬兰赫尔辛基兽医教学医院 2006-2012 年的手术病例。目的是对不同品种的马进行随访，以了解手术结果、术后并发症、长期恢复和预后。评估了这些发现及其对生存、恢复到以前或预期用途以及表现的影响。
大多数接受手术的马匹（82.6%；195/236）从麻醉中恢复，74.9%（146/195）出院。总随访时间为 8 年 10 个月，中位生存时间为 79.2 个月。马匹的年龄、腹部病变的位置（小肠与大肠）、术后腹痛的发生率、手术部位感染、切口疝或术后康复时间，均未显著影响术后马匹在以前或预期的运动项目中的表现概率。大多数出院的马匹（83.7%）能够在以前或预期的项目中表现，78.5%的马匹恢复到以前或更高的表现水平。在长期随访中，每匹马每年发生 0.18 次腹痛。术后第一年的腹痛发生率为 20.0%。与接受小肠手术的马匹相比，接受大肠手术的马匹发生术后腹痛的风险高 3.3 倍。大多数（96.3%）主人对兽医护理满意，几乎所有人（98.5%）都认为术后腹痛的恢复令人满意或以上。
如果马匹存活至出院，那么对于不同品种的马来说，在经历腹痛手术后，长期生存和恢复到以前的竞技活动和表现水平的预后良好。研究中没有发现任何因素会降低术后在相同或预期项目中表现的概率。大多数马在手术后能够恢复到以前的活动，并在数年内表现令人满意。
