Ch. 41 Postoperative Care, Complications, and Reoperation of the Colic Patient

Question 1

Pathological adhesions causing postoperative signs of pain and intestinal obstruction have been reported in what % of horses, identified at postmortem or during repeat laparotomy after surgery for GI disease

Answer 1

9% to 27%

Question 2

Repeat laparotomy places horses at additional risk of adhesion formation, with clinically significant adhesions identified in what % of horses with two laparotomies.

Answer 2

50%

Question 3

Survival rate of horses with adhesions at 2nd laparotomy

Answer 3

24-50%

Question 4

Adhesion formation rates in foals and young adults (<2 years) range from what % following abdominal surgery.

Answer 4

8-17%

Question 5

The integrity of which cell layer is critical to the prevention of adhesion formation

Answer 5

mesothelial

Question 6

Recurrence rates of what % have been reported for large colon displacements and torsion.

Answer 6

15-30%

Question 7

Repeat laparotomies have been reported in what % of horses undergoing a celiotomy for colic

Answer 7

8-10%

Question 8

Thrombophlebitis of the jugular vein is reported to occur in what % of all horses undergoing surgical treatment for colic

Answer 8

7-10%

Question 9

Incisional hernias are reported in what
% of horses after celiotomy.

Answer 9

13-16%

Question 10

What is the single most important risk factor for incisional herniation

Answer 10

Incisional infection

Question 11

Horses with incisional infections are how many times more likely to develop an incisional hernia

Answer 11

17.8