Sams A E, Fubini S L
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Vet Surg. 1993 May-Jun;22(3):190-3. doi: 10.1111/j.1532-950x.1993.tb00381.x.
Abomasal fistulae resulting from right paramedian abomasopexy in eight adult dairy cattle were treated by primary closure of the abdominal wall after surgical resection of the fistulae. The median elapsed time from the abomasopexy to recognition of fistula formation was 16 days (range, 10 to 90 days). All cows had normal electrolyte values, and five cows had mildly increased base excess values (range = 4.0 to 7.8 mEq/L). Surgery was performed with the cows in dorsal recumbency using general anesthesia. The fistulated tissue was resected and the abomasum and body wall were closed primarily. One or two layers of appositional sutures using #2 or #3 polyglactin 910 were used to close the body wall. Mean surgical time was 2.2 hours (range, 1.8 to 2.9 hours). Two cows were lost to follow-up. Five of the remaining six cows returned to production (range, 5 to 30 months). Primary closure of the abdominal wall should be considered in the surgical repair of abomasal fistulae in cows that do not have diffuse peritonitis.
对8头成年奶牛因右侧正中旁皱胃固定术导致的皱胃瘘，在手术切除瘘管后通过腹壁一期缝合进行治疗。从皱胃固定术到瘘管形成被发现的中位间隔时间为16天（范围为10至90天）。所有奶牛的电解质值均正常，5头奶牛的碱剩余值轻度升高（范围为4.0至7.8 mEq/L）。手术在奶牛仰卧位全身麻醉下进行。切除有瘘管的组织，皱胃和体壁进行一期缝合。使用2号或3号聚乙醇酸910进行一层或两层对合缝合来关闭体壁。平均手术时间为2.2小时（范围为1.8至2.9小时）。2头奶牛失访。其余6头奶牛中有5头恢复产奶（范围为5至30个月）。对于没有弥漫性腹膜炎的奶牛，在手术修复皱胃瘘时应考虑腹壁一期缝合。
