Santschi E M, Adams S B, Robertson J T, DeBowes R M, Mitten L A, Sojka J E
Department of Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN, USA.
Vet Surg. 1995 Mar-Apr;24(2):165-71. doi: 10.1111/j.1532-950x.1995.tb01311.x.
Six mares had ovariohysterectomy performed for chronic pyometra associated with cervical abnormalities, uterine neoplasia, or removal of a macerated fetus. Ovariohysterectomy was performed through a ventral midline incision with access to the ovarian and uterine vessels aided by traction on the uterus and retraction of abdominal viscera. Abdominal pain, the most common complication after surgery, occurred in four mares but resolved within 36 hours. Peritonitis occurred in two mares; one mare was subsequently euthanatized. Other complications that resolved with treatment included infection of the uterine stump (two mares), abdominal hemorrhage (one mare), diarrhea (one mare), and incisional infection (one mare). Complications after surgery can be reduced by removing as much of the uterus as possible, minimizing peritoneal contamination with uterine contents, and providing a secure closure of the caudal reproductive tract.
六匹母马因慢性子宫蓄脓伴宫颈异常、子宫肿瘤或取出浸软胎儿而接受了卵巢子宫切除术。卵巢子宫切除术通过腹中线切口进行，在牵拉子宫和回缩腹腔脏器的辅助下暴露卵巢和子宫血管。腹痛是术后最常见的并发症，四匹母马出现腹痛，但在36小时内缓解。两匹母马发生腹膜炎；其中一匹母马随后实施了安乐死。经治疗后缓解的其他并发症包括子宫残端感染（两匹母马）、腹腔出血（一匹母马）、腹泻（一匹母马）和切口感染（一匹母马）。通过尽可能多地切除子宫、尽量减少子宫内容物对腹膜的污染以及确保尾部生殖道的安全闭合，可以减少术后并发症。
