Fatores predisponentes das complicações incisionaisde laparotomias medianas em eqüinos

Pagliosa, Geane Maciel; Alves, Geraldo Eleno Silveira

doi:10.1590/s0103-84782004000500054

Cited by 4 publications

(7 citation statements)

References 12 publications

(16 reference statements)

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“…Comparando ao resultado encontrado no presente pesquisa, a taxa encontrada (58,3%) foi maior do que a descrita pelo autor.O resultado encontrado pode ter ocorrido devido às características físicas do fio de poliéster devido este ser multifilamentar e permitir a ocorrência de complicações incisionais (FOSSUM, 2005;RIBEIRO et al, 2005;PAGLIOSA;ALVES, 2004;FREEMAN et al, 2002;CAMPBELL;BAILEY, 1992). Wilson et al (1995) relatam que a taxa de prevalên-cia na ocorrência das complicações incisionais em animais com idade superior a um anofoi de 43%.…”

Section: Resultsunclassified

“…Dos animais (Figura 3) examinados dois (16,6%) desenvolveram infecção incisional, drenagem incisional e fístulas. Fossum (2005), Ribeiro et al (2005), Pagliosa e Alves (2004), Freeman et al (2002, Campbell e Bailey(1992) relatam que fios multifilamentares podem favorecer o aparecimento de infecções e consequentemente formação de fístu-las com drenagem, devido a capilaridade existente nesses tipos de fios. Isso justificaria os achados encontrados.…”

Section: Figuraunclassified

“…De acordo com Pagliosa & Alves (2004) e Kobluk et al (1989) a prevalência de complicações incisionais nas celiotomias medianas pode variar de 35% a 87,5%. As complicações incisionais na celiotomia mediana retardam o tempo de cicatrização da ferida cirúrgica, aumentando o período de convalescença dos animais, consequentemente se tornando um fator de risco (PA-GLIOSA;ALVES,2004).…”

Section: Introductionunclassified

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Avaliação Física E Ultrassonográfica Da Cicatriz Em 12 Equinos Submetidos À Celiotomia Mediana Com Fio De Poliéster Para Tratamento De Cólica

Oliveira

Bajotto²,

Spadeto

et al. 2015

ArqVet

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SPADETO JUNIOR, O.; FIGUEIRÓ, G. M.; ARAÚJO, A. L. de; RANGEL, J. da P. P. Avaliação física e ultrassonográfica da cicatriz em 12 equinos submetidos à celiotomia mediana com fio de poliéster para tratamento de cólica. Arq. Ciênc. Vet. Zool. UNIPAR, Umuarama, v. 18, n. 2, p. 121-127, abr./jun. 2015.RESUMO: Foi realizado um levantamento das complicações incisionais em 12 equinos submetidos à celiotomia mediana seguida de celiorrafia com fio de poliéster. Os animais foram submetidos a exame clínico e complementar. O exame clínico consistiu na inspeção e palpação da linha média. O método de exame complementar foi a ultrassonografia da linha media na área referente à cicatriz abdominal. Foram encontrados complicações incisionais em sete animais (58,3%). As complicações incisionais encontradas foram fibrose (41,6%), reação ao fio de sutura (41,6%), fístulas (16,6%), edema peri-incisional (25%), infecção incisional (16,6%), drenagem incisional (16,6%). No exame indireto foi observado edema pós-operatório, pequenas áreas focais de líquido ao redor do fio de sutura. Mesmo com as complicações incisionais encontradas e o número de animais examinados, o fio de poliéster mostrou-se resistente e seguro podendo ser utilizado na laparorrafia mediana em equinos. PALAVRAS-CHAVE: Celiorrafia mediana. Complicações incisionais. Equino. Fio de sutura. PHYSICAL AND ULTRASONOGRAPHIC ASSESSMENT OF SCAR FROM CELIORRHAPHY WITH POLYESTER THREAD IN HORSES UNDERGOING TREATMENT OF ACUTE ABDOMINAL COLICABSTRACT: A survey on the incisional complications in twelve horses submitted to median celiotomy followed with celiorrhaphy with polyester suture was performed. The animals were submitted to clinical and complementary examination. Inspection and palpation of the midline for clinical evaluation was performed. Ultrasonography of the abdominal scar of the midline area was used as an indirect test. Seven animals presented incisional complications (58.3%), such as fibrosis (41.6%), suture material reaction (41.6%), fistulas (16.6%), peri-incisional edema (25%), wound infection (16.6%), and incisional drainage (16.6%). In indirect evaluation, post-operative edema was observed, as well as small focal areas with fluid around the suture. Despite the incisional complications found and the small number of animals examined, it was concluded that polyester suture proved to be resilient and safe, and can be used in median celiorrhaphy in horses. KEYWORDS: Celiorrhaphy median. Equine. Incisional complications. Suture filament. EVALUACIÓN FÍSICA Y ECOGRAFIA DE CICATRIZ EN 12 EQUINOS SOMETIDOS A CELIOTOMIAMEDIANA CON HILO DE POLIÉSTER PARA TRATAMIENTO DEL CÓLICO RESUMEN: Una encuesta sobre las complicaciones incisionales en 12 equinos sujetados a una celiotomía mediana seguida de una celiorrafia con hilo de poliéster. Los animales fueron sometidos a exámenes clínicos y complementarios. El examen clínico incluyó la inspección y palpación de la línea mediana. Otro método evaluativo fue la ecografía de la línea media en la zona referente a la cicatriz abdominal. C...

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Section: Resultsunclassified

Section: Figuraunclassified

Section: Introductionunclassified

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Avaliação Física E Ultrassonográfica Da Cicatriz Em 12 Equinos Submetidos À Celiotomia Mediana Com Fio De Poliéster Para Tratamento De Cólica

Oliveira

Bajotto²,

Spadeto

et al. 2015

ArqVet

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“…Na medicina veterinária, a celiotomia ventral na linha média é a via de acesso mais utilizada para abordagem cirúrgica em eqüinos com cólica (PAGLIOSA & ALVES, 2004). Nesta espécie, as complicações incisionais podem chegar a 35% (KOBLUCK et al, 1989).…”

Section: Introductionunclassified

“…Essas intercorrências retardam a cicatrização da ferida cirúrgica, aumentam o período de convalescença, e podem ser fatais (KOBLUCK et al, 1989;PAGLIOSA & ALVES, 2004), além de aumentar os custos com o tratamento.…”

Section: Introductionunclassified

Estimulação ultra-sônica pulsada e contínua no processo cicatricial de ratos submetidos à celiotomia

Olsson¹,

Martins

et al. 2006

Cienc. Rural

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RESUMO Para avaliar a cicatrização de feridas cirúrgicas da parede abdominal de ratos submetidos à celiotomia, utilizou-se a terapia com ultra-som (US) nos modos contínuo e pulsado. Foram utilizadas 45 ratas, separadas em três grupos INTRODUÇÃOOs procedimentos cirúrgicos realizados no interior da cavidade celômica e nas áreas retroperitoniais têm como via de acesso a parede abdominal, considerando-se a celiotomia uma das práticas cirúrgicas mais freqüentes (FRY & OSLER, 1991).Em humanos, a deiscência, caracterizada pela separação dos planos profundos, ocorre entre zero e 6% das celiotomias, com taxas de mortalidade que

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Anatomopathological Evaluation of Fecal Peritonitis Complications in Horses Treated with Peritoneal Lavage

Silva

Dória

Silva

et al. 2018

Acta Scientiae. Vet.

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Background: Reproductive management in horses when performed with malpractice or by an unqualified person can cause many lesions of various degrees. When the rectum is affected it can compromise the mucous layer of the rectal ampulla and may even cause total perforation of this intestinal segment. Once the rectum ruptured, its contents gets into the abdominal cavity and generates severe abdominal infection, which may cause intense adhesions between organs and even to the abdominal wall and requires a particular intensive intervention. This work reports the use of peritoneal lavage protocol in three horses with septic peritonitis caused by rectal laceration, correlating with post-mortem findings.Cases: Three horses were referred to the Veterinary Hospital Rancho Belo Vista, in the city of Serra - ES, with an accident report during reproductive management in different properties. In all cases, blood loss and loss of continuity of the rectal mucosa were reported by the technicians. Patients were referred at different post-accident times. When they arrived at the hospital, they were examined and a sample of blood and peritoneal fluid were collected and sent to the laboratory. They presented intense apathy, mucosa coloration ranging from hyperemic to pale with halo toxemia, high cardiac and respiratory rate, reduction of globular volume and prolonged time of capillary refill. Patients were given fluid therapy support with lactated Ringer’s solution and systemic therapy protocols such as antibiotic therapy, peritoneal lavage with antibiotic containing solution and anticoagulant, and other supportive treatments were instituted. Peritoneal lavages were instituted every eight hours, in the first 48 hours and every twelve hours, until five days were completed. All patients had to be sacrificed. Euthanasia occurred at different times according to response to treatment and onset of clinical signs of shock. Significant variations were observed among patients at necropsy. The patient submitted to fewer wash cycles had severe adhesions. The other two patients who underwent more wash cycles presented less severe adhesion and less fibrin deposition in the abdominal viscera.Discussion: The use of peritoneal lavage associated with systemic treatment has been shown to be beneficial for the treatment of peritonitis since the initial condition and alteration in the results of laboratory tests. However, the time elapsed between rectal laceration and referral to a specialized technical unit was a decisive factor, together with the severity of the lesion, that were determinant for the increased response and consequent chance of treatment success and chances of survival. Although they received a combination of systemic therapy with broad-spectrum antibiotics and peritoneal lavage associated with daily washing cycles, the patients were euthanized, reiterating the lethality of the disease. At necropsy it was possible to evaluate the extent of contamination and adhesions, as well as to find the lacerated segment, the main source of contamination of the peritoneum. The difference between the degrees of adhesion is evident when compared to the patients who went through more cycles of peritoneal lavage with the ones that went through fewer cycles. Thus, it is possible to estimate that the patients who received a greater number of peritoneal lavage cycles with the drugs used in the same route presented a reduced number of adhesions between similar structures (same organs) and between the organs and the abdominal wall. There is a need for more controlled studies to evaluate the effectiveness of serial peritoneal lavage treatments in horses, as well as the application of drugs that seek to reduce abdominal inflammation, fibrin production and adhesions.

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Fatores predisponentes das complicações incisionaisde laparotomias medianas em eqüinos

Cited by 4 publications

References 12 publications

Avaliação Física E Ultrassonográfica Da Cicatriz Em 12 Equinos Submetidos À Celiotomia Mediana Com Fio De Poliéster Para Tratamento De Cólica

Avaliação Física E Ultrassonográfica Da Cicatriz Em 12 Equinos Submetidos À Celiotomia Mediana Com Fio De Poliéster Para Tratamento De Cólica

Estimulação ultra-sônica pulsada e contínua no processo cicatricial de ratos submetidos à celiotomia

Anatomopathological Evaluation of Fecal Peritonitis Complications in Horses Treated with Peritoneal Lavage

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