Steiner A, Lischer C J, Oertle C
Clinic of Veterinary Surgery, University of Zürich, Switzerland.
Vet Surg. 1993 May-Jun;22(3):184-9. doi: 10.1111/j.1532-950x.1993.tb00380.x.
Omphalophlebitis with liver involvement was diagnosed by ultrasonography in 13 calves. In the initial surgical procedure, the infected umbilical vein was marsupialized by cranial translocation in a median celiotomy and was flushed daily until healing occurred. In a second surgical procedure, the contracted umbilical vein was removed. Nine calves were clinically healthy after treatment. One had reformation of two abscesses because of inadequate post-surgical treatment. One calf was euthanatized because of an intussusception of the small intestine, and two calves had adverse reactions and developed septic shock when some of the lavage fluid, which was applied under pressure, entered the systemic circulation. It was concluded that umbilical vein abscesses should not be flushed under pressure in calves younger than 2 months of age. The principal advantages of cranial translocation of the umbilical vein in a median celiotomy are that only one abdominal incision is required and that the infected umbilical vein tissue does not have to be passed intraabdominally to a paramedian position.
通过超声检查诊断出13头犊牛患有伴有肝脏受累的脐静脉炎。在初次手术过程中，在正中剖腹术中通过向头侧移位将感染的脐静脉袋状化，并每天冲洗直至愈合。在第二次手术中，切除收缩的脐静脉。9头犊牛治疗后临床健康。1头因术后治疗不充分而重新形成两个脓肿。1头犊牛因小肠套叠而实施安乐死，2头犊牛在加压注入部分灌洗液进入体循环时出现不良反应并发生感染性休克。得出的结论是，2月龄以下的犊牛不应加压冲洗脐静脉脓肿。在正中剖腹术中将脐静脉向头侧移位的主要优点是仅需一个腹部切口且感染的脐静脉组织不必在腹腔内转移至旁正中位置。
