Allen D

Bettina Dunkel

Boone LH

Celia M. Marr

Dabareiner RM

David M. Bolt

de Bont MP

Freeman DE

French NP

Garcia-Seco E

Gibson KT

Gorvy DA

Hassel DM

Holcombe SJ

Ingle-Fehr JE

Jordan Carnwath

Koenig JB

Lundin C

Mair TS

Moore JN

Parker JE

Proudman CJ

Smith LC

Stewart S

Suthers JM

Tim Mair

English

Dunkel, B

Mair, T

Marr, C M

Carnwath, J

Bolt, D M

RVC Repository (Royal Veterinary College)

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005-2013)

Bell Equine Veterinary Clinic

Rossdales Equine Hospital

RVC Research Online

Abstract
Objective—To examine factors associated with short- and long-term prognosis for horses undergoing repeated celiotomy within 14 days after the first colic surgery.
Design—Retrospective case series.
Animals—95 horses that had undergone 2 celiotomies within a 14-day period between 2005 and 2013 at 3 equine referral hospitals.
Procedures—Historical, clinical, and laboratory data were compared between horses that did not survive and horses that did survive to hospital discharge (short-term survival rate) and to &gt; 3 and &gt; 6 months after hospital discharge (long-term survival rates).
Results—Strangulating small intestinal lesions were the most common finding during the first celiotomy (60/95 [63.2%]), and persistent gastric reflux was the most common reason for the second celiotomy (56/95 [58.9%]). Reasons for a second celiotomy were not associated with survival rate. For horses that had long-term follow-up, 22 of 92 (23.9%) survived &gt; 6 months after hospital discharge. Two of 13 horses with intestinal resections during both surgeries survived to &gt; 6 months after hospital discharge. Compared with horses not undergoing intestinal resection, significantly fewer horses requiring resection during 1 or both surgeries survived to hospital discharge and to &gt; 3 and &gt; 6 months after hospital discharge. Incisional infections occurred in 68.4% (26/38) of horses that survived to hospital discharge, and 31.6% (12/38) developed incisional hernias or dehiscence.
Conclusions and Clinical Relevance—Results indicated that the prognosis for horses undergoing repeated celiotomy is guarded, and intestinal resection negatively affects the long-term survival rate.</jats:p

Crossref

Journal of the American Veterinary Medical Association

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

https://rvc-repository.worktribe.com/preview/1401710/8970.pdf

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005-2013)

Abstract

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RVC Repository (Royal Veterinary College)

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