Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

• DOI: 10.3791/65546
• Publication Date: 2024-05-11T02:07:06Z
• Authors: Alexandra Salciccia; Geoffroy de la Re...; Isabelle Caudron; Jérôme Ponthier; Didier Serteyn; Charlotte Sandersen; Stéfan Deleuze; Sigrid Grulke
• Keywords: Incisional Hernia; Granulation tissue

Although rarely fatal, complications of ventral midline laparotomy incision in equine patients increase hospitalization cost and duration may jeopardize return to athletic function. Therefore, many techniques have been developed reduce their occurrence expedite resolution when they occur. Our technique celiotomy closure includes the use tension sutures (vertical U mattress) polyglactin 910 on linea alba, which is then apposed by interrupted or a simple continuous pattern suture with stop midway before routine superficial layers. The protected an elastic bandage during immediate postoperative period. This has associated favorable results: 5.3% confirmed incisional infections after single 26.7% repeat celiotomy. overall complication (serous/sanguineous discharge, hematoma, infection, hernia formation, complete wound breakdown) was 9.5% 33.3% laparotomy, respectively. In cases considered more susceptible infection (early relaparotomy incisions longer than 30 cm), negative pressure therapy found easy apply closed incisions. No detrimental effects were observed. However, potential prophylactic benefit this needs be larger group. infected wounds requiring drainage, seemed positive effect formation granulation tissue. there no control group allow statistical confirmation. Finally, one case breakdown managed stainless steel retention sutures, application therapy, belt. At re-evaluation 15 months post-surgery, several small hernias detected, but horse had returned his previous level sports performance not shown any episode colic.