Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs
| Autor: | Michelle C. Coleman, Kelley M. Thieman Mankin, Regan M. Stoneburner, Alena Strelchik, Valery F. Scharf |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
040301 veterinary sciences Peritonitis Anastomosis Dehiscence Enterotomy 0403 veterinary science Dogs medicine Hospital discharge Animals Clinical significance Dog Diseases Digestive System Surgical Procedures Retrospective Studies General Veterinary business.industry Anastomosis Surgical 0402 animal and dairy science Retrospective cohort study 04 agricultural and veterinary sciences Foreign Bodies medicine.disease 040201 dairy & animal science Surgery Foreign Body Removal business |
| Zdroj: | Journal of the American Veterinary Medical Association. 255:695-699 |
| ISSN: | 0003-1488 |
| DOI: | 10.2460/javma.255.6.695 |
| Popis: | OBJECTIVE To report the intestinal incisional dehiscence rate following enterotomy for foreign body removal in dogs. ANIMALS 247 client-owned dogs with intestinal foreign bodies treated with enterotomy between November 2001 and September 2017. PROCEDURES Medical records were reviewed, and data were collected regarding signalment, history, surgery, clinicopathologic findings, hospitalization, intestinal incisional dehiscence, and survival to hospital discharge. Dogs were grouped according to whether intestinal incisional dehiscence occurred (dehiscence group) or did not occur (nondehiscence group) following enterotomy, and the rate of dehiscence for the total number of enterotomies during the study period was calculated. Univariable analysis was performed to identify variables associated with intestinal incisional dehiscence. RESULTS 8 of the 247 (3.2%) dogs had preoperative septic peritonitis, and all 8 dogs survived to hospital discharge. Incisional dehiscence occurred following 5 of the 247 (2.0%) enterotomies, and only 2 dogs in the dehiscence group did not survive to hospital discharge. Duration of hospitalization was longer for dogs in the dehiscence group than for dogs in the nondehiscence group. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that enterotomy for intestinal foreign body removal had a lower rate of dehiscence in dogs during the study period, compared with rates previously reported; however, the low rate should not be used as a reason to perform an enterotomy rather than an enterectomy when needed. Surgeons should thoroughly evaluate the bowel and perform an enterotomy only when indicated. |
| Databáze: | OpenAIRE |
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