Incisional complications after skin closure with n-butyl cyanoacrylate or stainless-steel skin staples in horses undergoing colic surgery
| Autor: | Javier Martinez-Lopez, Stephen R. Werre, James A Brown |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Colic 040301 veterinary sciences Colon Surgical Wound law.invention 0403 veterinary science 03 medical and health sciences 0302 clinical medicine Postoperative Complications Colon surgery law Medicine Animals Hernia Clinical significance Horses Risk factor Retrospective Studies General Veterinary Sutures business.industry Horse Retrospective cohort study 04 agricultural and veterinary sciences Enbucrilate medicine.disease Stainless Steel Surgery Cyanoacrylate 030220 oncology & carcinogenesis Female Horse Diseases Tissue Adhesives Complication business |
| Zdroj: | Veterinary surgery : VSREFERENCES. 50(1) |
| ISSN: | 1532-950X |
| Popis: | Objective To compare the prevalence of incisional complications after skin closure with n-butyl cyanoacrylate (NBC) or stainless-steel skin staples (SS) after ventral midline celiotomy for colic surgery in the horse. Study design Retrospective study (2014-2018). Animals Two hundred eighteen horses. Methods Medical records of horses that underwent exploratory celiotomy for colic were included when the skin was closed with NBC or SS and the horse survived ≥15 days after surgery. Records and a follow-up questionnaire were used to determine in-hospital and posthospital discharge incisional complications. Associations between variables were assessed by using bivariable and multivariable analysis. Results The cutaneous incision was closed with SS in 113 of 218 (51.8%) horses and with NBC in 105 of 218 (48.2%) horses. Follow-up information was available in 166 of 218 horses. Five horses with incisional complications prior to discharge but without follow-up were included in the overall analysis. Incisional complications were recorded in 17.5% (30/171) of horses, including 19.1% (17/89) of closures with SS and 15.9% (12/82) of closures with NBC (P = .54). Complications occurred before discharge in 14 of 218 (6.4%) horses and after discharge in 16 of 166 (9.6%) horses. Four horses with in-hospital incisional complications (surgical site infection) developed a second complication after discharge (hernia). Packed cell volume was a risk factor for in-hospital incisional complications (P = .04), and in-hospital incisional complications were associated with posthospital discharge incisional complications (P = .01). Conclusion Occurrence of incisional complications did not differ between NBC and SS. Clinical significance N-butyl cyanoacrylate is a suitable alternative to SS to close the cutaneous incision for ventral midline celiotomy for colic surgery in the horse. |
| Databáze: | OpenAIRE |
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