William R. Pritchard Veterinary Medical Teaching Hospital (Torrent), Department of Surgical and Radiological Sciences (Katzman, Nieto, Kilcoyne, Dechant), School of Veterinary Medicine, University of California, Davis, California 95616, USA; Virginia-Maryland College of Veterinary Medicine, Marion duPont Scott Equine Medical Center, Leesburg, Virginia, USA (Kelleher).
Can Vet J. 2020 Oct;61(10):1085-1091.
This study reports the prevalence of and risk factors for incisional complications in equids after ventral midline celiotomy for enterolithiasis. This study covered the years 2008 to 2015 and included 72 equids. Enteroliths were removed from the ascending or descending colon through 1 or more enterotomies. Complications were defined as surgical site infection and/or incisional hernia formation. Follow-up by telephone questionnaire or medical records determined that 10/72 (13.9%) equids experienced complications, with 6/72 (8.3%) developing a surgical site infection and 5/72 (6.9%) a hernia. Seven of ten were presented for chronic abdominal discomfort (> 24 hours), and 8/10 had right dorsal colon and pelvic flexure enterotomies. All equids that developed an incisional hernia and 4 with surgical site infection had enteroliths > 15 cm diameter removed from the right dorsal colon. Antimicrobial powder applied to the ventral midline incision during closure significantly reduced incisional complications. Removal of > 15 cm diameter enteroliths from the right dorsal colon may predispose to postoperative incisional complications.
本研究报告了马属动物因肠结石病行腹中线切开术后切口并发症的发生率和危险因素。本研究涵盖了 2008 年至 2015 年，共纳入 72 匹马属动物。通过一个或多个肠切开术将肠石从升结肠或降结肠取出。并发症定义为手术部位感染和/或切口疝形成。通过电话问卷调查或病历随访确定，72 例中有 10 例（13.9%）发生并发症，其中 6 例（8.3%）发生手术部位感染，5 例（6.9%）发生疝。10 例中有 7 例出现慢性腹部不适（>24 小时），8 例（100%）行右背结肠和骨盆曲肠切开术。所有发生切口疝和 4 例手术部位感染的马属动物均从右背结肠取出直径>15cm 的肠石。在关闭时将抗菌粉应用于腹中线切口可显著减少切口并发症。从右背结肠取出直径>15cm 的肠石可能会导致术后切口并发症。
