Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs.
Journal
Journal of the American Veterinary Medical Association
ISSN: 1943-569X
Titre abrégé: J Am Vet Med Assoc
Pays: United States
ID NLM: 7503067
Informations de publication
Date de publication:
15 09 2019
15 09 2019
Historique:
entrez:
4
9
2019
pubmed:
4
9
2019
medline:
2
7
2020
Statut:
ppublish
Résumé
To report the intestinal incisional dehiscence rate following enterotomy for foreign body removal in dogs. 247 client-owned dogs with intestinal foreign bodies treated with enterotomy between November 2001 and September 2017. Medical records were reviewed, and data were collected regarding signalment, history, surgery, clinicopathologic findings, hospitalization, intestinal incisional dehiscence, and survival to hospital discharge. Dogs were grouped according to whether intestinal incisional dehiscence occurred (dehiscence group) or did not occur (nondehiscence group) following enterotomy, and the rate of dehiscence for the total number of enterotomies during the study period was calculated. Univariable analysis was performed to identify variables associated with intestinal incisional dehiscence. 8 of the 247 (3.2%) dogs had preoperative septic peritonitis, and all 8 dogs survived to hospital discharge. Incisional dehiscence occurred following 5 of the 247 (2.0%) enterotomies, and only 2 dogs in the dehiscence group did not survive to hospital discharge. Duration of hospitalization was longer for dogs in the dehiscence group than for dogs in the nondehiscence group. Results indicated that enterotomy for intestinal foreign body removal had a lower rate of dehiscence in dogs during the study period, compared with rates previously reported; however, the low rate should not be used as a reason to perform an enterotomy rather than an enterectomy when needed. Surgeons should thoroughly evaluate the bowel and perform an enterotomy only when indicated.
Identifiants
pubmed: 31478820
doi: 10.2460/javma.255.6.695
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM