Treatment for pancreatic abscesses via omentalization with abdominal closure versus open peritoneal drainage in dogs: 15 cases (1994–2004)

Johnson, Matthew; Mann, F. A.

doi:10.2460/javma.228.3.397

Cited by 42 publications

(34 citation statements)

References 25 publications

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“…In particular, its ability to contain, resolve and wall off sites of abscessation has proved useful in the management of abscesses in the mediastinum (Franklin and others 2011), pancreas (Johnson and Mann 2006) and prostate gland (White 2000). A similar combination of surgical exploration, debridement, omentalisation and postoperative antibiotic therapy was used in this case series for the management of abscessation of the sublumbar muscles and resulted in long-term resolution of the condition in all patients.…”

Section: Discussionmentioning

confidence: 99%

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Woodbridge

Martinoli²,

Cherubini

et al. 2014

Veterinary Record

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The objectives of this study were to report the technique of omentalisation for the management of sublumbar abscessation associated with suspected migrating plant material, the intraoperative and postoperative complications that occurred and the long-term outcome of the cases. A retrospective case series of dogs (n=10) with sublumbar abscessation managed by exploration and drainage combined with omentalisation of the abscess cavity is reported in this study. The sublumbar area was approached through a ventral midline coeliotomy, the abscess was explored, drained, debrided and subsequently packed with omentum. One dog sustained an aortic rupture during exploration of the abscess, the aorta was repaired; there were no postoperative complications. There was long-term (>12 months) resolution of clinical signs in all dogs. Drainage and omentalisation of sublumbar abscesses resulted in complete resolution of signs in all dogs and was associated with a low incidence of complications. Omentalisation is an effective treatment for dogs presenting with sublumbar abscesses associated with suspected migrating plant material.

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Section: Discussionmentioning

confidence: 99%

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Woodbridge

Martinoli²,

Cherubini

et al. 2014

Veterinary Record

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“…Closed suction drainage, open peritoneal drainage or vacuum-assisted drainage can be utilized for small animal barium peritonitis cases [9, 12, 32, 35, 41, 48, 60]. If significant postoperative abdominal fluid production is anticipated, the surgeon must consider which abdominal drainage technique is appropriate.…”

Section: Postoperative Complications and Mangementmentioning

confidence: 99%

Barium Peritonitis in Small Animals

Mann

2014

The Journal of Veterinary Medical Science

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Barium peritonitis is extremely rare, but is difficult to treat and may be life-threatening. Barium suspension leakage from the gastrointestinal tract into the abdominal cavity has a time-dependent and synergistically deleterious effect in patients who have generalized bacterial peritonitis. The severity of barium peritonitis is dependent on the quantity of barium in the abdominal cavity. Barium sulfate leakage results in hypovolemia and hypoproteinemia by worsening the exudation of extracellular fluid and albumin. Abdominal fluid analysis is a useful and efficient method to diagnose barium peritonitis. Serial radiographs may not be a reliable or timely diagnostic technique. Initial aggressive fluid resuscitation and empirical broad-spectrum antibiotic treatment should be instituted promptly, followed quickly by celiotomy. During exploratory surgical intervention, copious irrigation and direct wiping with gauze are employed to remove as much barium as possible. Omentectomy should be considered when needed to expedite barium removal. Despite aggressive medical and surgical treatments, postoperative prognosis is guarded to poor due to complications, such as acute vascular shock, sepsis, diffuse peritonitis, hypoproteninemia, electrolyte imbalance, cardiac arrest, small bowel obstruction related to progression of granulomas and adhesions in the abdominal cavity. Therefore, intensive postoperative monitoring and prompt intervention are necessary to maximize chances for a positive outcome. For those that do survive, small bowel obstruction is a potential consequence due to progression of abdominal adhesions.

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“…The technique has been associated with some success in (six of 12; 50% survival) dogs with pancreatic abscesses. 73 Results of a large clinical study of omentalization for abdominal abscesses in cats are lacking.…”

Section: Sectionmentioning

confidence: 99%

Peritoneum

Holt¹,

Agnello²

2014

Feline Soft Tissue and General Surgery

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Treatment for pancreatic abscesses via omentalization with abdominal closure versus open peritoneal drainage in dogs: 15 cases (1994–2004)

Abstract: Omentalization is a viable treatment option for pancreatic abscess in dogs. Furthermore, shorter hospitalization and better survival outcomes may make omentalization preferred over open peritoneal drainage.

Cited by 42 publications

References 25 publications

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Barium Peritonitis in Small Animals

Peritoneum

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