Comparison of incisional complications between skin closures using a simple continuous or intradermal pattern: a pilot study in horses undergoing ventral median celiotomy

Author:

Scharner Doreen1,Gittel Claudia1,Winter Karsten2,Blaue Dominique3,Schedlbauer Carola3,Vervuert Ingrid3,Brehm Walter1

Affiliation:

1. Department for Horses, University of Leipzig, Leipzig, Germany

2. Institute of Anatomy, Faculty of Medicine, University of Leipzig, Leipzig, Germany

3. Institute of Animal Nutrition, Nutrition Diseases and Dietetics, University of Leipzig, Leipzig, Germany

Abstract

Background Development of incisional complications following ventral median celiotomy might depend on suture pattern for skin closure. Methods In this prospective study, 21 healthy male horses underwent celiotomy. Skin closure was either performed via a continuous percutaneous pattern (CO group; 5 warmbloods/5 ponies) or an intradermal pattern (ID group; 5 warmbloods/6 ponies). Follow-up examination of the incisional site included daily monitoring for edema, dehiscence, and drainage. Transcutaneous ultrasound was performed at Days 3, 6, and 10 as well as on Week 8 and 12 to evaluate size of edema and presence or absence of sinus formation, and hernia formation. Prevalence of incisional infection on base of positive microbiological analysis at any time up to Day 10 was evaluated and compared between ID and CO group. Furthermore, edema size was analysed by a linear mixed-effect model for group and time dependency. Results Observed incisional complications included edema (9/10 in CO, 10/11 in ID), suture sinus formation (2/10 in CO, 1/11 in ID), surgical site infection (2/10 in CO, 0/11 in ID), and incisional hernia (1/10 in CO, 0/11 in ID). The overall prevalence of incisional infection was 9.5% without significant differences between both groups (20% in CO, 0% in ID; p = 0.214). Edema size was not dependent on time or group (p = 0.545 and p = 0.627, respectively). Discussion CO and ID suture pattern are appropriate for skin closure following ventral median celiotomy in horses. None of the animals in the continuous ID group developed surgical site infections, even without the use of antibiotics.

Funder

German Research Foundation (Deutsche Forschungsgemeinschaft [DFG], project number: VE 225/9-1)

University of Leipzig

German Research Foundation (DFG) and Leipzig University within the program of Open Access Publishing

Publisher

PeerJ

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

Reference42 articles.

1. Ex vivo evaluation of 7 polydioxanone for closure of equine ventral midline celiotomies;Anderson;Canadian Journal of Veterinary Research,2014

2. Occurrence of incisional complications after closure of equine celiotomies with USP 7 polydioxanone;Anderson;Veterinary Surgery,2015

3. Surgical site infections;Barie;Surgical clinics of North America,2005

4. Difference in incisional complications following exploratory celiotomies using antibacterial-coated suture material for subcutaneous closure: prospective randomised study in 100 horses;Bischofberger;Equine Veterinary Journal,2010

5. Tissue strength and wound morphology of the equine linea alba after ventral median celiotomy;Chism;Veterinary Surgery,2000

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