Prevention and Treatment of Postoperative Complications in Equines: Postoperative Reflux, Endotoxemia, Peritonitis, Incisional Complications and Adhesions

David E. Freeman; Jair  Pérez Osorio

doi:10.19052/mv.vol1.iss39.11

##issue.no## 39 (2020) , Artículo original

##issue.no## 39 (2020) | Artículo original | ##submissions.published## 2020-02-27

Prevenção e tratamento de complicações pós-operatórias em equinos: refluxo pós-operatório, endotoxemia, peritonite, complicações incisionais e adesões

https://doi.org/10.19052/mv.vol1.iss39.11

David E. Freeman⁺⁻
Jair Pérez Osorio⁺⁻

David E. Freeman

University of Florida

Jair Pérez Osorio

Universidad de La Salle, Bogotá

##article.abstract##

A cirurgia de cólica é um dos mais custosos procedimentos clínicas equinas ao redor do mundo. No entanto, os custos de cirurgia e anestesia possam ser padronizados até certo ponto, o custo dos cuidados posteriores é menos previsível e pode se alterar consideravelmente a causa de complicações, tais como infecção do local cirúrgico, íleo pós-operatório e formação de hérnias pós-operatórias, entre outras. A cirurgia de cólica impõe uma enorme demanda de pessoal, tempo e recursos, toda vez que é um procedimento que salva vidas. As complicações aumentam o custo por meio de cuidados prolongados de enfermagem, salários dos técnicos, tratamento prolongado com antibióticos e outros medicamentos, análises laboratoriais repetidas e fluidoterapia de alto volume. Cirurgias adicionais, como repetição de celiotomia ou reparo de complicações incisionais, aumentam consideravelmente os custos. Como nada disso pode ser previsto na maioria dos casos, uma parte crítica do gerenciamento de casos é a avaliação completa dos custos esperados e prováveis inesperados para o proprietário

PDF (Espanhol)

##submission.citations##

Chuit P, Kuffer A and S. Montavon, Freeman DE. Abdominal Surgery: Complications and Costs. In: 8ème Congrès de médecine et chirurgie équine - 8. Kongress für Pferdemedezin und -chirurgie - 8th Congress on Equine Medicine and Surgery; New York 2003 Nov 16. New York: College of Veterinary Medicine, University of Illinois, Urbana, IL, USA. Available on: International Veterinary Information Service (www.ivis.org)

Freeman DE. Surgery of the small intestine. Vet Clin North Am Equine Pract. 1997; 13(2): 261-301. https://doi.org/10.1016/s0749-0739(17)30240-7

Freeman DE, Hammock P, Baker GJ, Goetz T, Foreman JH, Schaeffer DJ et al. Short- and long-term survival and prevalence of postoperative ileus after small intestinal surgery in the horse. Equine Vet J Suppl. 2000; 32 (S32): 42-51. https://doi.org/10.1111/j.2042-3306.2000.tb05333.x

Freeman DE, Schaeffer DJ. Clinical comparison between a continuous Lembert pattern wrapped in a carboxymethylcellulose and hyaluronate membrane with an interrupted Lembert pattern for one-layer jejunojejunostomy in horses. Equine Vet J. 2011; 43(3): 708-13. https://doi.org/10.1111/j.2042-3306.2010.00340.x

Freeman DE. Post-operative ileus (POI): Another perspective. Equine Vet J. 2008; 40(4): 297-298. https://doi.org/10.2746/042516408X302528

Moll HD, Schumacher J, Wright JC, Spano JS. Evaluation of sodium carboxymethylcellulose for prevention of experimentally induced abdominal adhesions in ponies. Am J Vet Res. 1991; 52(1): 88-91. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/2021260

Eggleston RB, Mueller E, Quandt JE, Neuwirth L, Harmon BG, Waguespack WR, Rainbow ME. Use of a hyaluronate membrane for jejunal anastomosis in horses. Am J Vet Res. 2001; 62(8): 1314-9. https://doi.org/10.2460/ajvr.2001.62.1314

Vachon AM, Fischer AT. Small-intestinal herniation through the epiploic foramen: 53 cases (1987-1993). Equine Vet J. 1995; 27(5): 373-80. https://doi.org/10.1111/j.2042-3306.1995.tb04073.x

Schumacher J, Hanrahan L. Ileocecocolic intussusception as a sequel to jejunocecostomy in a mare. J Am Vet Med Assoc. 1987; 190: 303-304

Hardy J, Minton M, Robertson JT, Beard WL, Beard LA. Nephrosplenic entrapment in the horse: a retrospective study of 174 cases. Equine Vet J Suppl. 2000; 32(S32): 95-7. https://doi.org/10.1111/j.2042-3306.2000.tb05342.x

Hughes FE, Slone DE. Large colon resection. Vet Clin N Am Equine Pract. 1997; 13:341-350

Hance SR. Colopexy. Vet Clin N Am Equine Pract. 1997; 13(2): 351-8. https://doi.org/10.1016/s0749-0739(17)30244-4

Barton MH. Endotoxemia. In: Robinson NE (ed.). Current Therapy in Equine Medicine, vol. 5; 2003: 104-108

Honnas CM, Cohen ND. Risk factors for wound infection following celiotomy in horses. J Am Vet Med Assoc. 1997; 210(1): 78-81. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/8977653

Wilson DA, Baker GJ, Boero MJ. Complications of celiotomy incisions in horses. Vet Surg. 1995; 24(6): 506-14. https://doi.org/10.1111/j.1532-950x.1995.tb01362.x

Freeman DE, Rötting AK, Inoue O. Abdominal closure and complications. Clin Tech Equine Pract. 2002; 1(3): 174-187. Retrieved from https://www.academia.edu/23205721/Abdominal_closure_and_complications

Galuppo LD, Pascoe JR, Jang SS, Willits NH, Greenman SL: Evaluation of iodophor skin preparation techniques and factors influencing drainage from ventral midline incisions in horses. J Am Vet Med Assoc. 1999; 215: 963969

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(5): 639-42. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/2777714

Smith LJ, Mellor DJ, Marr CM, Reid SW, Mair TS. Incisional complications following exploratory celiotomy: does an abdominal bandage reduce the risk? Equine Vet J. 2007; 39(3): 277-283. https://doi.org/10.2746/042516407x193963

Anderson SL, Vacek JR, Macharg MA, Holtkamp DJ. Occurrence of incisional complications and associated risk factors using a right ventral paramedian celiotomy in 159 horses. Vet Surg. 2011; 40(1): 82-9. https://doi.org/10.1111/j.1532-950X.2010.00750.x

Torfs S, Levet T, Delesalle C, Dewulf J, Vlaminck L, Pille F. Risk factors for incisional complications after exploratory celiotomy in horses: do skin staples increase the risk? Vet Surg. 2010; 39(5): 616-20. https://doi.org/10.1111/j.1532-950X.2009.00636.x

Dukti SA, Perkins S, Murphy J, Barr B, Boston R, Southwood L. Prevalence of gastric squamous ulceration in horses with abdominal pain. Equine Vet J. 2006; 38(4): 347-349. https://doi.org/10.2746/042516406777749164

Dukti S, White N. Surgical Complications of Colic Surgery. Vet Clin North Am Equine Pract 2008; 24(3): 515534 https://doi.org/10.1016/j.cveq.2008.09.002

Gardner A, Dockery A, Quam V. Exploratory Celiotomy in the Horse Secondary to Acute Colic: A Review of Indications and Success Rates. Top in Companion Anim Med. 2019; 34: 1- 9 https://doi.org/10.1053/j.tcam.2018.11.00

Lopp C, Mochal-King C. Peritonitis, as a Result of a Retrograde Postoperative Incisional Infection. Journal of Equine Veterinary Science. 2015; 35(11-12): 96672 https://doi.org/10.1016/j.jevs.2015.07.017

Burke M, Blikslager A. Advances in Diagnostics and Treatments in Horses with Acute Colic and Postoperative Ileus. Vet Clin North Am Equine Pract. 2018; 34(1): 8196. https://doi.org/10.1016/j.cveq.2017.11.006

##plugins.themes.healthSciences.displayStats.downloads##

##plugins.themes.healthSciences.displayStats.noStats##

##article.subject##

Complicações Pós-operatórias
refluxo pós-operatório
endotoxemia
peritonite
complicações incisionais
adesões

##submission.howToCite##

Freeman, D. E., & Pérez Osorio, J. . (2020). Prevenção e tratamento de complicações pós-operatórias em equinos: refluxo pós-operatório, endotoxemia, peritonite, complicações incisionais e adesões. Revista De Medicina Veterinaria, 39, 109-117. https://doi.org/10.19052/mv.vol1.iss39.11