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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

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Multi-Institutional Retrospective Case-Control Study Evaluating Clinical Outcomes of Foals with Small Intestinal

Sara J Erwin¹, Marley E Clark¹, Julie E Dechant²

¹Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.

Animals : an Open Access Journal From MDPI

|June 10, 2022

Summary

This summary is machine-generated.

Foals with small intestinal strangulating obstruction (SISO) showed higher short-term survival rates than adults. Unexpectedly, surgical outcomes for foals with SISO suggest greater optimism for treatment.

Keywords:

colic foal horse ischemia small intestinal strangulating obstruction surgery

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Area of Science:

Veterinary Medicine
Comparative Pathology

Background:

Small intestinal strangulating obstruction (SISO) is a critical condition in horses.
Previous reports suggest lower survival rates in foals compared to adult horses with SISO.
Age-dependent outcomes in SISO have not been directly investigated.

Purpose of the Study:

To compare survival rates between foals and adult horses with SISO.
To investigate age-specific outcomes and lesion types in horses with SISO.
To evaluate the potential for increased optimism in surgical treatment of foals with SISO.

Main Methods:

Retrospective analysis of hospital records from five US academic referral hospitals.
Inclusion criteria: Foals ≤6 months old, adults 2–20 years old.
Data collected on survival to discharge, intraoperative euthanasia, and lesion types.

Main Results:

Short-term survival to hospital discharge was higher in foals (96.0%) than adults (88.0%).
Intraoperative euthanasia rates were higher in foals (39.0%) than adults (28.6%).
Common foal lesions included volvulus and intussusception; adult lesions included volvulus and strangulating lipoma.

Conclusions:

Contrary to hypothesis, short-term survival for SISO was higher in foals than adults.
Case selection or intraoperative decision-making may influence observed foal survival rates.
Surgical treatment for foals with SISO may warrant increased optimism.