Peer-reviewed veterinary case report
J-incision surgery for better upper belly access in adult horses
By Bauck AG et al.·2021·Department of Large Animal Clinical Sciences, United States·View original on Europe PMC →
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Original publication title: J-incision to approach the cranial abdomen in the adult horse.
- Species:
- horse
Plain-English summary
In this study, researchers looked at a new surgical technique called a J-incision to help veterinarians better access the stomach and diaphragm in horses. They treated four horses: three had blockages in their stomachs, and one had a hernia, which is when an organ pushes through an opening in the body. While all horses had some infections at the surgical site, three of them recovered well in the long term. Unfortunately, the fourth horse had to be put to sleep for reasons that were likely not related to the surgery. Overall, the J-incision technique showed promise for improving surgery outcomes in these cases.
Abstract
<h4>Objective</h4>To describe a modified celiotomy to improve access to cranial abdominal structures in horses.<h4>Animals</h4>Four horses.<h4>Study design</h4>Short case series.<h4>Methods</h4>Three horses with gastric impactions were treated with gastrotomies. One horse was treated for a diaphragmatic hernia with herniorrhaphy and mesh augmentation. In all horses, the ventral midline celiotomy was modified cranially with a J-incision through the body wall, along the paracostal arch.<h4>Results</h4>The only surgical complications were midline incisional infections in all horses. Three of the four horses had good long-term outcomes; the remaining horse underwent euthanasia for reasons likely unrelated to incisional complications.<h4>Conclusion</h4>The J-incision improved access to the stomach and diaphragm in these horses. The paracostal component healed in all cases without evidence of infection or dehiscence.<h4>Clinical significance</h4>This modified celiotomy may be considered to improve access during gastrotomy and repair of dorsally located diaphragmatic hernias.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/33624855