title: Pelvic flexure enterotomy closure in the horse with a TA-90 stapling device: a retrospective clinical study of 84 cases (2001-2008).
abstract: Our objective was to compare survival and complication rates of horses undergoing pelvic flexure enterotomy closure with a TA-90 stapler to those with hand-sewn closure. Medical records of horses undergoing pelvic flexure enterotomy between 2001 and 2008 were reviewed. History, clinical signs, surgical findings, surgical techniques, and post-operative complications were recorded. Long-term outcome was established by telephone questionnaire. Of 84 pelvic flexure enterotomies performed, 70 were stapled and 14 were hand-sewn. Seventy-seven horses survived to discharge (91.7%). There were no significant associations between survival and closure technique (P = 0.69). Follow-up was available for 54 horses; 50 survived long-term (93.0%). No statistical significance was identified between long-term survival and closure method (P = 0.39). Forty horses went on to athletic performance (80.0%). TA-90 stapled closure of pelvic flexure enterotomies is a safe technique resulting in survival and complication rates equivalent to those of hand-sewn closure.
authors.affiliation: Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Wisconsin, USA. jmrosser58@gmail.com
authors.forename: Julie
authors.initials: J
authors.lastname: Rosser
authors.forename: Sabrina
authors.initials: S
authors.lastname: Brounts
authors.forename: Don
authors.initials: D
authors.lastname: Slone
authors.forename: Tim
authors.initials: T
authors.lastname: Lynch
authors.forename: Michael
authors.initials: M
authors.lastname: Livesey
authors.forename: Faith
authors.initials: F
authors.lastname: Hughes
authors.forename: Carol
authors.initials: C
authors.lastname: Clark
mesh_terms: D000818:Animals; D003108:Colonic Diseases / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D004766:Enterostomy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000401:mortality / Q000601:surgery*; D006736:Horses; D007415:Intestinal Obstruction / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000662:veterinary; D012189:Retrospective Studies; D017792:Surgical Stapling / Q000662:veterinary*; D016896:Treatment Outcome