Wilson D A, Baker G J, Boero M J
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, USA.
Vet Surg. 1995 Nov-Dec;24(6):506-14. doi: 10.1111/j.1532-950x.1995.tb01362.x.
Complications of celiotomy incisions were evaluated retrospectively in 274 horses that survived at least 1 month after surgery, or died or were euthanatized within 1 month of surgery, as a direct result of these complications. Horses were divided into four groups; group A, a ventral median celiotomy for intestinal disease; group B, ventral median celiotomy for nonintestinal disease; group C, repair of an umbilical hernia; and group D, celiotomy in a region other than the midline. Specific incisional complications were peri-incisional edema, drainage, incisional abscess, suture sinus, and dehiscence. Incision-related complications occurred in 30% of the horses (group A, 40%; group B 18%; group C, 7%; and group D, 88%). Complications occurred more frequently in group D than group A (P = .009), which were higher than in groups B and C (P < .00001). Incisional hernia occurred in 28 of 256 (11%) horses that survived at least 4 months and were available for follow-up. Hernia formation was more common P < .00001) in horses that had other incisional complications (23 horses) than those without (5 horses). Serous or purulent incisional drainage, were more likely to be associated with hernia formation than was serosanguineous drainage or other incisional complications.
对274匹马的剖腹手术切口并发症进行了回顾性评估。这些马在手术后至少存活1个月，或者因这些并发症在手术后1个月内死亡或被实施安乐死。马被分为四组：A组，因肠道疾病进行腹正中剖腹手术；B组，因非肠道疾病进行腹正中剖腹手术；C组，脐疝修补术；D组，在中线以外区域进行剖腹手术。特定的切口并发症包括切口周围水肿、引流、切口脓肿、缝线窦道和切口裂开。30%的马出现了与切口相关的并发症（A组为40%；B组为18%；C组为7%；D组为88%）。D组并发症的发生率高于A组（P = 0.009），A组高于B组和C组（P < 0.00001）。在至少存活4个月且可供随访的256匹马中，有28匹（11%）发生了切口疝。与未出现其他切口并发症的马（5匹）相比，出现其他切口并发症的马（23匹）切口疝形成更为常见（P < 0.00001）。浆液性或脓性切口引流比血清样引流或其他切口并发症更易与疝形成相关。
