Comparison of Tensile Strength and Early Healing of Acute Repeat Celiotomy Through a Ventral Median or a Right Ventral Paramedian Approach

Abstract

Acute repeat celiotomy through a RVM incision results in similar incisional healing and tensile strength compared with repeat celiotomy through a RVP incision.

Bursting strength of surgeon's and self‐locking knots for closure of ventral midline celiotomy in horses

“…Several models have been used to test the strength of closures of the equine linea alba . The intact cadaver model used in this study was originally described by Magee et al Although it is impossible to simulate in vivo conditions in an ex vivo model, we chose this model because it allows application of 3‐dimensional forces to the incision, whereas in vitro models test only an isolated section of linea alba.…”

“…[17][18][19] Several models have been used to test the strength of closures of the equine linea alba. [12][13][14][15][16]28 The intact cadaver model used in this study was originally described by Magee et al 13 Although it is impossible to simulate in vivo conditions in an ex vivo model, we chose this model because it allows application of 3-dimensional forces to the incision, whereas in vitro models test only an isolated section of linea alba. The highest intra-abdominal pressures experienced after ventral midline celiotomy are believed to occur during recovery from general anesthesia, although this pressure has not been directly measured.…”

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

“…The 3 hospitals contributed 27, 28, and 40 cases (approx 6.8% [27/ 29 Thoroughbreds, 13 ponies, 1 draft horse, and 9 other breeds). Thirty-five horses were mares, 54 were geldings, and 6 were stallions.…”

“…Experimentally, a second celiotomy after 72 hours with a ventral midline incision results in similar incisional healing and tensile strength as a second celiotomy with a right ventral paramedian incision. 29 Although the present study provided some insight into short-and long-term prognosis and factors influencing outcome, several questions in regard to horses undergoing early repeated celiotomy remain unanswered. Queries that need to be addressed in the future include determining the optimal timing for a second celiotomy, comparison of medical versus surgical management of horses with postoperative gastric reflux (keeping in mind that it is often impossible to determine the reason for persisting gastric reflux), and benefits of a paramedian approach in the clinical setting.…”

Factors associated with survival of horses following relaparotomy

“…Indications for relaparotomy include recurrent or persistent post-operative pain/colic, persistent post-operative reflux (POR) that is suspected to be related to a mechanical obstruction or due to post-operative ileus (POI) that is nonresponsive to medical therapy and dehiscence of the body wall [1,2]. Indications for relaparotomy include recurrent or persistent post-operative pain/colic, persistent post-operative reflux (POR) that is suspected to be related to a mechanical obstruction or due to post-operative ileus (POI) that is nonresponsive to medical therapy and dehiscence of the body wall [1,2].…”