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Exploratory celiotomy in 200 nontraumatized dogs and cats
H W Boothe1, M R Slater, H P Hobson
1Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station.
Veterinary Surgery : VS
|November 1, 1992
Summary
Exploratory celiotomy in dogs and cats offers diagnostic and therapeutic benefits, with overall survival rates of 73%. Survival and complication rates varied by disease type, highlighting the importance of accurate diagnosis for surgical intervention.
Area of Science:
- Veterinary Surgery
- Comparative Pathology
- Canine and Feline Medicine
Background:
- Exploratory celiotomy is a common surgical procedure in veterinary medicine.
- Understanding outcomes based on disease classification and affected body systems is crucial for surgical planning and prognosis.
- Previous studies have evaluated survival rates, but comprehensive analysis linking outcomes to specific disease categories and diagnostic yields is needed.
Purpose of the Study:
- To evaluate the outcomes of exploratory celiotomy in dogs and cats.
- To correlate survival rates, diagnostic yield, and complication incidence with disease classification (infection/inflammation, neoplasia, other) and affected body systems.
- To assess the concordance between intraoperative cytologic and histologic diagnoses.
Main Methods:
- Retrospective review of 200 dogs and cats undergoing exploratory celiotomy for non-traumatic conditions.
- Animals were grouped by disease classification (infection/inflammation, neoplasia, other) and affected body system.
- Data collected included survival rates, diagnostic information provided by celiotomy, surgical treatment rendered, diagnostic consistency, and post-operative complications.
Main Results:
- Overall survival rate was 73%. Survival rates were 69% for infection/inflammation, 60% for neoplasia, and 86% for other disorders.
- Celiotomy provided diagnostic information in 72% (infection/inflammation), 79% (neoplasia), and 24% (other) of cases; surgical treatment was provided in 28%, 21%, and 58%, respectively.
- Intraoperative diagnostic consistency was 78% overall (81% infection/inflammation, 88% neoplasia, 59% other). Complications occurred in 30% of animals, with higher rates in reproductive (67%) and urinary (46%) disease groups.
Conclusions:
- Exploratory celiotomy is a valuable tool for diagnosis and treatment in dogs and cats with various non-traumatic abdominal conditions.
- Outcomes, including survival and complication rates, are significantly influenced by the underlying disease classification and affected body system.
- High concordance between cytologic and histologic diagnoses supports the utility of intraoperative diagnostics.