Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA.
San Luis Rey Equine Hospital, Bonsall, California, USA.
Vet Surg. 2021 Apr;50(3):600-606. doi: 10.1111/vsu.13597. Epub 2021 Feb 24.
To describe a modified celiotomy to improve access to cranial abdominal structures in horses.
Four horses.
Short case series.
Three horses with gastric impactions were treated with gastrotomies. One horse was treated for a diaphragmatic hernia with herniorrhaphy and mesh augmentation. In all horses, the ventral midline celiotomy was modified cranially with a J-incision through the body wall, along the paracostal arch.
The only surgical complications were midline incisional infections in all horses. Three of the four horses had good long-term outcomes; the remaining horse underwent euthanasia for reasons likely unrelated to incisional complications.
The J-incision improved access to the stomach and diaphragm in these horses. The paracostal component healed in all cases without evidence of infection or dehiscence.
This modified celiotomy may be considered to improve access during gastrotomy and repair of dorsally located diaphragmatic hernias.
描述一种改良的剖腹术，以改善马的颅腹部结构的进入途径。
四匹马。
短篇病例系列。
三匹患有胃扩张的马接受了胃切开术。一匹马因膈疝而行疝修补术和网片增强术治疗。在所有马中，通过腹壁的 J 形切口，沿着肋弓弓状缘，对腹中线剖腹术进行了改良。
唯一的手术并发症是所有马的中线切口感染。四匹马中有三匹预后良好；其余一匹马因可能与切口并发症无关的原因被安乐死。
J 形切口改善了这些马的胃和膈肌的进入途径。所有病例的肋弓成分均愈合，无感染或裂开的证据。
这种改良的剖腹术可考虑用于改善胃切开术和位于背部的膈疝修复的进入途径。
