Equis ISSN 2398-2977

Abdomen: surgical approaches

Contributor(s): Steve Adair, Debbie Archer, Graham Munroe

Introduction

Exposure of the entire abdominal viscera is impossible through one incision.

  • Successful abdominal surgery requires:
    • The correct choice of abdominal incision.
    • Careful execution of the selected approach.
    • Protection of the incised tissues during abdominal exploration.
    • Meticulous closure.
  • Judgements as to the most appropriate abdominal approach are based on:
    • Adequate access and exposure of abdominal contents.
    • Ease of extension of incision.
    • Minimal damage to, and interference with function of, the body wall.
    • Simple technique to minimize surgery time.
    • Good, secure closure.
    • Healing without impairment of function.

Ventral midline

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Paramedian

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Inguinal

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Flank

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Post-operative management

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Complications

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Risk factors for incisional complications

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Bathe A P (1998) Surgical approaches to the abdomen of the horse. Equine Vet Educ 10 (1), 12-15 VetMedResource.
  • Van Hoogmoed L & Snyder J R (1997) Adjunctive methods in equine gastrointestinal surgery. Vet Clin North Am Equine Pract 13 (2), 221-242 PubMed.
  • Muller P O & Allen D (1996) Instrumentation and techniques in equine gastrointestinal surgery. Vet Clin North Am Equine Pract 12 (2), 207-233 PubMed.
  • Wilson D A, Baker G J & Boero M J (1995) Complications of celiotomy incisions in horses. Vet Surg 24, 506-514 PubMed.

Other sources of information

  • Klohnen A & Panizzi L (2008) Incisional complications after right paramedian celiotomy in horses with colic: 57 cases (2002-2005). In: 9th International Equine Colic Reserarch Symposium. Liverpool, UK.


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