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Related Concept Videos

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Standing flank laparotomy for colic: 37 cases.

Marco A F Lopes1, Joanne Hardy2, Kelly Farnsworth3

  • 1Equine Health and Performance Centre, School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia.

Equine Veterinary Journal
|September 5, 2021
PubMed
Summary
This summary is machine-generated.

Standing flank laparotomy offers a cost-effective alternative for equine colic, avoiding general anesthesia. However, insufficient peritoneal analgesia can limit its use and impact outcomes in horses.

Keywords:
celiotomycolicflankhorselaparotomystanding

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Area of Science:

  • Veterinary Surgery
  • Equine Medicine
  • Gastroenterology

Background:

  • Standing flank laparotomy is an alternative to ventral midline laparotomy in horses with colic.
  • This procedure avoids general anesthesia, offers good access to certain abdominal regions, and is less expensive.

Purpose of the Study:

  • To report outcomes of standing flank laparotomy for various peritoneal and intestinal diseases in horses.
  • To evaluate the efficacy and limitations of this surgical approach.

Main Methods:

  • Retrospective case series analysis of records from horses undergoing standing flank laparotomy between 2003 and 2020.
  • Data collected from five veterinary hospitals.

Main Results:

  • Thirty-seven equids (30 horses, 6 ponies, 1 donkey) underwent the procedure.
  • Survival rate was 54%, with higher success in caecal/large colon diseases compared to peritoneal diseases.
  • Intraoperative complications and severe lesions led to euthanasia in some cases.

Conclusions:

  • Standing flank laparotomy is a viable option for specific equine colic cases, though ventral midline laparotomy remains standard.
  • Inadequate peritoneal analgesia can cause intolerance to exploration and negatively affect outcomes.