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Updated: Oct 6, 2025

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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
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Abdominocentesis techniques in horses.
Rolfe M Radcliffe1, Jacqueline A Hill1, Sharon Y Liu1
1Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Summary
Abdominocentesis is a valuable diagnostic tool for horses with abdominal issues, aiding in medical or surgical management decisions. This procedure helps diagnose various intra-abdominal pathologies, improving patient care.
Area of Science:
- Veterinary Medicine
- Equine Internal Medicine
Background:
- Abdominocentesis is a common diagnostic technique for evaluating the equine abdominal cavity.
- It provides crucial information for managing medical and surgical abdominal diseases in horses.
- Complications are rare but can include gastrointestinal trauma or infection.
Purpose of the Study:
- To review the indications, utility, and techniques for performing abdominocentesis in horses.
- To detail patient preparation and potential complications associated with the procedure.
- To provide step-by-step instructions for common abdominocentesis methods.
Main Methods:
- Review of literature on equine abdominocentesis.
- Description of two primary techniques: needle (18 Ga, 3.8 cm) and teat cannula (9.5 cm).
- Instructions cover patient preparation and procedural steps.
Main Results:
- Peritoneal fluid analysis confirms intra-abdominal pathologies like inflammation, infection, neoplasia, obstruction, or strangulation.
- Abdominocentesis is essential for diagnosing colic, diarrhea, and weight loss in horses.
- Needle technique recommended for adult horses; teat cannula for all sizes to minimize enterocentesis risk.
Conclusions:
- Abdominocentesis is integral to diagnosing equine abdominal conditions, guiding further diagnostic and therapeutic plans.
- It is a key component of colic diagnostic testing in both referral and field settings.
- While ultrasonography is helpful, it's not essential for successful abdominocentesis.

