Robert Mickaël P, Chapuis Ronan J J, de Fourmestraux Claire, Geffroy Olivier J
Oniris - CISCO, Site de la Chantrerie, CS 40706, 44307 NANTES Cedex 03, France.
Can Vet J. 2017 May;58(5):466-471.
Castration with primary wound closure reportedly has lower complication rates and shorter recovery periods compared to castration with second intention healing. However, little is known about risk factors associated with complications using primary wound closure. Medical records of 159 horses castrated and having primary wound closure were reviewed. Main short-term complications were: scrotal hematoma in 12 horses (7.6%), signs of colic in 6 horses (3.8%), fever in 4 horses (2.5%), and peri-incisional edema in 3 horses (1.9%). As for long-term complications, 24 out of 105 (23%) horses sustained some form of edema. One horse was euthanized because of a suspected inguinal abscess. Among tested parameters, horses aged 3 to 6 years old and French trotters appeared to be more at risk of developing complications. Intraoperative ligation of the cremaster muscle and use of electrocautery prevented complications. Overall, client satisfaction was excellent (98%).
据报道，与二期愈合的去势术相比，一期伤口闭合的去势术并发症发生率更低，恢复时间更短。然而，对于一期伤口闭合去势术并发症的相关危险因素知之甚少。回顾了159匹接受去势术并进行一期伤口闭合的马的病历。主要的短期并发症有：12匹马（7.6%）出现阴囊血肿，6匹马（3.8%）出现绞痛症状，4匹马（2.5%）发热，3匹马（1.9%）出现切口周围水肿。至于长期并发症，105匹马中有24匹（23%）出现某种形式的水肿。一匹马因疑似腹股沟脓肿而实施安乐死。在测试的参数中，3至6岁的马和法国快步马似乎发生并发症的风险更高。术中结扎提睾肌和使用电烙术可预防并发症。总体而言，客户满意度很高（98%）。
