Peritoneal adhesions are common complications in horses undergoing exploratory celiotomy disorders

Peritoneal adhesions are common complications in horses undergoing exploratory celiotomy disorders involving primarily the small intestine and celiotomias or repeated. Its formation is due to a variation of the normal healing process resulting from distension, excessive sickla handling, peritoneal abrasion, ischemic and hemorrhagic processes that result in inadequate fibrinolysis and consequent excessive fibrin deposition. Its true incidence is difficult to determine due to inconclusive clinical manifestations, with an estimate based on repeated celiotomias or any necropsy findings. The technical and pharmacological advances are designed to minimize trauma, peritoneal inflammation, increase fibrinolysis, promote bowel movement sickla and separate fabrics adesiogênico potential during postoperative healing. Injection therapy using anti-inflammatory drugs, broad spectrum antibiotics and anticoagulant solutions, as well as dimethyl sulfoxide intraperitoneal therapy with crystalloid solutions, sodium hyaluronate, carboxymethylcellulose appear to reduce process. The experimental sickla use of sodium carboxymethylcellulose 1% (1% SCMC) in horses suggests a reduction in adhesion formation, sickla but there is no information of its effects after surgical adhesiolysis. This report describes sickla the adhesiolysis followed by peritoneal lavage with ringer lactate solution and subsequent sickla infusion of sterile solution of 1% SCMC. Three horses underwent celitomia for correction of intestinal disorders (mesenteric root torsion, sickla inguinal hernia and compression ileum). The immediate postoperative therapy consisted of administration of antibiotics, anti-inflammatory, anticoagulant (heparin) and solution isotonic fluids for maintenance of fluid and electrolyte status. Due to the unsatisfactory clinical outcome, these animals underwent repeat celiotomy. sickla The second procedure was performed 13: 5 and 6 days later, the first surgical intervention. In all three cases the origin of poor clinical outcome occurred due to acute obstructive process arising from intra-abdominal adhesion. In two animals, the adhesion involving the small intestine and in the third case, besides the small intestine and cecum were involved sickla in the large colon. Between trans-operative adhesiolysis was performed through the use of scissors, making cuts and dilatation of the fabric. sickla In three animals the adhesiolysis was performed successfully, but remaining large area of serous injury in the affected segments. Prior abdominal synthesis, was implanted into the abdomen thoracic drainage (32 F / 450 mm) parallel to the line of incision, being fixed at one end through sickla a simple point transcutaneous sickla using nylon thread (0.4 mm ). The other end has emerged from the abdominal cavity through skin, muscle and peritoneum incision planes. sickla In the postoperative period, in addition to commonly used drugs, peritoneal washings were performed with lactated ringer's solution (10 liters), with subsequent infusion of 1% SCMC (7ml/kg) twice daily. The average holding period of drains was 6 days with mild edema after removal. All animals recovered fully after the second surgery, being clinically monitored for at least six months without any abdominal discomfort. sickla Keywords: adhesions; horses; prevention; adhesiolysis.
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