Complications associated with closure of the linea alba using a combination of interrupted vertical mattress and simple interrupted sutures in equine laparotomies.
Salciccia, Alexandra; de la Rebière de Pouyade, Geoffroy; Gougnard, Alexandraet al.
[en] Objectives (1) Evaluate the occurrence and variables associated with incisional morbidities (IMs) after ventral
median laparotomy when using interrupted vertical mattress sutures (IVMS) and (2) determine the occurrence of
abdominal bandage-associated
complications in horses.
Methods Occurrence of IM and bandage-associated
complications were determined after single laparotomies (SL
group; n=546 horses) and repeat laparotomies (RL group: multiple laparotomies within four weeks; n=30 horses)
in horses that survived ≥7 days postoperatively. Univariate analysis and multivariate logistic regression were
performed to evaluate variables associated with IM.
Results The IM rate was 9.52 per cent in the SL group and 33.33 per cent in the RL group. The actual infection
rate was 5.31 per cent in the SL group and 26.67 per cent in the RL group. Overall, long-term
clinically relevant
wound complications was 1.68 per cent. After multivariate analysis, increased anaesthesia duration was
associated with IM and performing an enterotomy and postoperative intravenous lidocaine administration
were associated with incisional infection in the SL group; no parameter remained significant in the RL group.
Bandage-related
complications were recorded in 2.95 per cent of the cases.
Conclusions These results suggest that the use of IVMS for closure of the linea alba is another viable option for
closure and that an abdominal bandage does not appear to cause significant complications.
de la Rebière de Pouyade, Geoffroy ; Université de Liège - ULiège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Gougnard, Alexandra ; Université de Liège - ULiège > Dép. clinique des animaux de compagnie et des équidés (DCA)
Detilleux, Johann ; Université de Liège - ULiège > Dpt. de gestion vétérinaire des Ressources Animales (DRA) > Génétique quantitative
Caudron, Isabelle ; Université de Liège - ULiège > Chirurgie et clinique chirurgicale des équidés
Serteyn, Didier ; Université de Liège - ULiège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Grulke, Sigrid ; Université de Liège - ULiège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Dép. clinique des animaux de compagnie et des équidés (DCA)
Language :
English
Title :
Complications associated with closure of the linea alba using a combination of interrupted vertical mattress and simple interrupted sutures in equine laparotomies.
Alternative titles :
[fr] Complications associées à une fermeture de la ligne blanche par une combinaison de points en U verticaux et de points simples lors de laparotomies équines
Salem SE, Proudman CJ, Archer DC. Prevention of post operative complications following surgical treatment of equine colic: current evidence. Equine Vet J 2016;48:143-51.
Mair TS, Smith LJ, Sherlock CE. Evidence-based gastrointestinal surgery in horses. Vet Clin North Am Equine Pract 2007;23:267-92.
Dukti S, White N. Surgical complications of colic surgery. Vet Clin North Am Equine Pract 2008;24:515-34.
Klohnen A. New perspectives in postoperative complications after abdominal surgery. Vet Clin North Am Equine Pract 2009;25:341-50.
Shearer TR, Holcombe SJ, Valberg SJ. Incisional infections associated with ventral midline celiotomy in horses. J Vet Emerg Crit Care 2020;30:136-48.
Freeman DE, Rotting AK, Inoue OJ. Abdominal closure and complications. Clinical Techniques in Equine Practice 2002;1:174-87.
Kobluk CN, Ducharme NG, Lumsden JH, et al. Factors affecting incisional complication rates associated with colic surgery in horses: 78 cases (1983-1985). J Am Vet Med Assoc 1989;195:639-42.
Bischofberger AS, Brauer T, Gugelchuk G, et al. Difference in incisional complications following exploratory celiotomies using antibacterial-coated suture material for subcutaneous closure: prospective randomised study in 100 horses. Equine Vet J 2010;42:304-9.
Rinnovati R, Romagnoli N, Stancampiano L, et al. Occurrence of incisional complications after closure of equine ventral midline celiotomies with 2 polyglycolic acid in simple interrupted suture pattern. J Equine Vet Sci 2016;47:80-3.
Smith LJ, Mellor DJ, Marr CM, et al. Incisional complications following exploratory celiotomy: does an abdominal bandage reduce the risk? Equine Vet J 2007;39:277-83.
Chism PN, Latimer FG, Patton CS, et al. Tissue strength and wound morphology of the equine linea alba after ventral median celiotomy. Vet Surg 2000;29:145-51.
Torfs S, Levet T, Delesalle C, et al. Risk factors for incisional complications after exploratory celiotomy in horses: do skin staples increase the risk? Vet Surg 2010;39:616-20.
Tnibar A, Grubbe Lin K, Thuroe Nielsen K, et al. Effect of a stent bandage on the likelihood of incisional infection following exploratory coeliotomy for colic in horses: a comparative retrospective study. Equine Vet J 2013;45:564-9.
Verwilghen D, Weese S. Surgical site infections. In: Complications in equine surgery, 2020.
Durward-Akhurst SA, Mair TS, Boston R, et al. Comparison of two antimicrobial regimens on the prevalence of incisional infections after colic surgery. Vet Rec 2013;172:287.
Freeman DE, Hammock P, Baker GJ, et al. Short-and long-term survival and prevalence of postoperative ileus after small intestinal surgery in the horse. Equine Vet J 2000;32:42-51.
Wilson DA, Baker GJ, Boero MJ. Complications of celiotomy incisions in horses. Vet Surg 1995;24:506-14.
Phillips TJ, Walmsley JP. Retrospective analysis of the results of 151 exploratory laparotomies in horses with gastrointestinal disease. Equine Vet J 1993;25:427-31.
Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 2: short-term complications. Equine Vet J 2005;37:303-9.
Proudman CJ, Smith JE, Edwards GB, et al. Long-term survival of equine surgical colic cases. Part 1: patterns of mortality and morbidity. Equine Vet J 2002;34:432-7.
Dunkel B, Mair T, Marr CM, et al. Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005-2013). J Am Vet Med Assoc 2015;246:540-6.
Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 4: early (acute) relaparotomy. Equine Vet J 2005;37:315-8.
Provost PJ, Bailey JV. Principles of plastic and reconstructive surgery. 4th edn. Missouri: Elsevier, 2012: 271-84.
Weiland DE, Bay RC, Del Sordi S. Choosing the best abdominal closure by meta-analysis. Am J Surg 1998;176:666-70.
Gupta H, Srivastava A, Menon GR, et al. Comparison of interrupted versus continuous closure in abdominal wound repair: a meta-analysis of 23 trials. Asian J Surg 2008;31:104-14.
Trimbos JB, van Rooij J. Amount of suture material needed for continuous or interrupted wound closure: an experimental study. Eur J Surg 1993;159:141-3.
Freeman KD, Southwood LL, Lane J, et al. Post operative infection, pyrexia and perioperative antimicrobial drug use in surgical colic patients. Equine Vet J 2012;44:476-81.
Costa-Farre C, Prades M, Ribera T, et al. Does intraoperative low arterial partial pressure of oxygen increase the risk of surgical site infection following emergency exploratory laparotomy in horses? Vet J 2014;200:175-80.
Darnaud SJM, Southwood LL, Aceto HW, et al. Are horse age and incision length associated with surgical site infection following equine colic surgery? Vet J 2016;217:3-7.
Adler DMT, Damborg P, Verwilghen DR. The antimicrobial activity of bupivacaine, lidocaine and mepivacaine against equine pathogens: an investigation of 40 bacterial isolates. Vet J 2017;223:27-31.
Freeman DE. Fifty years of colic surgery. Equine Vet J 2018;50:423-35.
Anderson SL, Vacek JR, Macharg MA, et al. Occurrence of incisional complications and associated risk factors using a right ventral paramedian celiotomy incision in 159 horses. Vet Surg 2011;40:82-9.
Ingle-Fehr JE, Baxter GM, Howard RD, et al. Bacterial culturing of ventral median celiotomies for prediction of postoperative incisional complications in horses. Vet Surg 1997;26:7-13.
Canada NC, Beard WL, Guyan ME, et al. Comparison of sub-bandage pressures achieved by 3 abdominal bandaging techniques in horses. Equine Vet J 2015;47:599-602.