Risk factors for incisional complications after exploratory celiotomy in horses: do skin staples increase the risk?

Veterinary Surgery : VS
Sara TorfsAnn Martens

Abstract

To assess risk factors for celiotomy incisional infection in horses, especially the use of staples for skin closure. Case series. Horses (n=356) that had 1 exploratory celiotomy for colic and survived >2 weeks after surgery between March 1, 2004 and December 31, 2007. Incisions were classified as "normal" (no complication, only edema, serous drainage lasting <24 hours) or as "surgical site infection (SSI)" (persistent serosanguinous drainage or purulent drainage with or without positive bacterial culture). All possible risk factors, including method of skin closure (monofilament sutures or staples), were statistically analyzed using univariate and multivariate logistic regression. Of 356 horses, 303 (85%) had normal wound healing and 53 (15%) developed a SSI (purulent: 48 [14%]; persistent serosanguinous: 5 [1%]). Bacterial cultures were positive in 33 of 40 cases. Factors significantly associated with SSI in the multivariate analysis were: use of staples for skin closure (odds ratio [OR] 3.85, P<.001) and surgical site closure by a 1st or 2nd year resident (OR 2.20, P=.016). Lavage of the linea alba with sterile saline solution after closure was a protective factor (OR 0.38, P=.004). Use of staples for skin closure and less ex...Continue Reading

References

Sep 1, 1989·Veterinary Surgery : VS·K T GibsonT S Stashak
Jun 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·W R Jarvis
Nov 1, 1995·Veterinary Surgery : VS·D A WilsonM J Boero
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Feb 24, 2001·Acta Dermato-venereologica·U HohenleutnerM Landthaler
Mar 20, 2003·The Journal of Surgical Research·Clinton WebsterUNKNOWN National Veterans Affairs Surgical Quality Improvement Program
Jul 11, 2006·The Journal of Hospital Infection·A JohnsonJ Reilly
Oct 4, 2007·Equine Veterinary Journal·R P C CoomerC J Proudman
May 31, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Margaret A OlsenVictoria J Fraser

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Citations

Oct 18, 2015·Equine Veterinary Journal·D Verwilghen
Sep 19, 2014·Veterinary Surgery : VS·Stacy L AndersonDavid G Wilson
Apr 15, 2015·The Veterinary Clinics of North America. Small Animal Practice·Laura E Peycke
Dec 30, 2014·The Veterinary Clinics of North America. Small Animal Practice·Denis Verwilghen, Ameet Singh
Nov 11, 2016·Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere·Doreen ScharnerClaudia Gittel
Feb 27, 2020·Journal of Veterinary Emergency and Critical Care·Tara R ShearerStephanie J Valberg
Sep 6, 2021·Equine Veterinary Journal·Marco A F LopesGal Kelmer

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