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Complications associated with closure of the linea alba using a combination of interrupted vertical mattress and simple interrupted sutures in equine laparotomies
  1. Alexandra Salciccia1,
  2. Geoffroy de la Rebière de Pouyade1,
  3. Alexandra Gougnard1,
  4. Johann Detilleux2,
  5. Isabelle Caudron1,
  6. Denis Verwilghen1,
  7. Didier Serteyn1 and
  8. Sigrid Grulke1
  1. 1Department of Companion Animals and Equids, University of Liege, Faculty of Veterinary Medicine, Liege, Belgium
  2. 2Quantitative Genetics Group, University of Liege, Faculty of Veterinary Medicine, Liege, Belgium
  1. Correspondence to Dr Alexandra Salciccia, Department of Companion Animals and Equids, University of Liege Faculty of Veterinary Medicine, Liege 4000, Belgium; alexandra.salciccia{at}uliege.be
  • Present affiliation The present affiliation of Denis Verwilghen is: Camden Equine Centre, Sydney School of Veterinary Science, University of Sydney, Sydney, Australia

Abstract

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.

  • abdominal
  • colic
  • horses
  • infection
  • soft tissue surgery
  • wound management
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Footnotes

  • Presented at The results of this study were presented as part of an academic thesis (PhD thesis of Alexandra Salciccia, University of Liège, 2017).

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available on reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information.

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