title: A one-stage marsupialization procedure for management of infected umbilical vein remnants in calves and foals.
abstract: Five Holstein calves and two foals with omphalophlebitis were treated by surgical marsupialization of the umbilical vein remnant because complete resection of the infected tract was not possible. The infected umbilical stalk was resected, and the umbilical vein remnant was marsupialized in a one-stage procedure by suturing it into the abdominal wall lateral to the abdominal incision. Antimicrobial drugs were administered, and the marsupialized tract was irrigated until closure by second intention healing. Cellulitis associated with the marsupialization site occurred in two calves but resolved with antimicrobial therapy. Owners reported that, 9 to 60 months after surgery, there were no complications associated with the procedure.
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.
authors.forename: R B
authors.initials: RB
authors.lastname: Edwards
authors.forename: S L
authors.initials: SL
authors.lastname: Fubini
mesh_terms: D000818:Animals; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery / Q000662:veterinary*; D002417:Cattle; D002418:Cattle Diseases / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006734:Horse Diseases / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D006736:Horses; D016896:Treatment Outcome; D014471:Umbilical Veins / Q000382:microbiology / Q000601:surgery*