Equis ISSN 2398-2977

Abdomen: laparotomy

Contributor(s): David Moll, Prof Chris Proudman, Graham Munroe

Introduction

  • To assess, either palpably or visually, all of the abdominal organs.
  • Laparotomy in the horse is most frequently performed for gastrointestinal problems.
  • Successful abdominal surgery requires a thorough knowledge of the abdominal anatomy and a technique to thoroughly explore it.
  • The best abdominal approach for exposure and exploration and the most commonly used is the ventral midline Abdomen: surgical approaches.

Uses

Advantages

  • Easily performed via a ventral midline laparotomy.
  • Whole of gastrointestinal (GI) tract is palpable, and 75% can be exteriorized.
  • If followed in a logical manner, all of the abdominal organs can be assessed either palpably or visually.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends upon primary reason for surgery.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Anderson S L et al (2015) Occurrence of incisional complications after closure of equine celiotomies with USP 7 polydioxanone. Vet Surg 44 (4), 521-526 PubMed.
  • Munoz E et al (2008) Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds. Vet Rec 162 (10), 303-306 PubMed.
  • Smith L J et al (2007) Incisional complications following exploratory celiotomy: does an abdominal bandage reduce the risk? Equine Vet J 39 (3), 277-283 PubMed.
  • Wilson D A, Baker G J & Boero M J (1995) Complications of celiotomy incisions in horses. Vet Surg 24 (6), 506-514 PubMed.
  • Phillips T J & Walmsley J P (1993) Retrospective analysis of the result of 151 exploratory laparotomies in horses with gastrointestinal disease. Equine Vet J 25 (5), 427-431 PubMed.


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