title: Evaluation of data from 35 dogs pertaining to dehiscence following intestinal resection and anastomosis.
abstract: The objectives of this study were to evaluate blood and abdominal fluid lactate and glucose, fluid cytology, culture, and volume 24 and 48 hr following intestinal resection and anastomosis in dogs with and without closed-suction drains and to correlate findings with survival. Thirty-five client-owned dogs that underwent intestinal resection and anastomosis were prospectively enrolled in the study. Abdominal fluid was submitted for culture at surgery and again 24 hr postoperatively. Twenty-four and 48 hr postoperatively, blood and abdominal fluid glucose and lactate were measured and fluid was submitted for cytology. Abdominal fluid was collected either from a closed-suction drain or by abdominocentesis. Patients were followed either for 14 days or until death. Comparisons were made based on development of dehiscence and presence or absence of a drain. Patients with dehiscence were more likely to have positive cultures at 24 hr and to have had more bowel resected. Surviving patients without drains had significantly smaller differences in blood and fluid glucose and lactate both 24 and 48 hr postoperatively than surviving patients with drains. The significant differences identified between patients with and without drains suggests a need for further research into the effect of drains on abdominal fluid values.
authors.affiliation: Surgery Department, Red Bank Veterinary Hospital, Tinton Falls, NJ (E.M., G.D.); and Section of Critical Care, Department of Clinical Studies (K.D.) and Laboratory of Pathology and Toxicology (K.W.), Matthew J. Ryan Teaching Hospital, University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Mouat
authors.forename: Garrett J
authors.initials: GJ
authors.lastname: Davis
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Drobatz
authors.forename: Koranda A
authors.initials: KA
authors.lastname: Wallace
mesh_terms: D000714:Anastomosis, Surgical / Q000662:veterinary; D000818:Animals; D001202:Ascitic Fluid / Q000737:chemistry; D001786:Blood Glucose / Q000032:analysis; D004283:Dog Diseases / Q000097:blood / Q000601:surgery*; D004285:Dogs; D004322:Drainage / Q000662:veterinary; D005260:Female; D007410:Intestinal Diseases / Q000601:surgery / Q000662:veterinary*; D007422:Intestines / Q000601:surgery*; D019344:Lactic Acid / Q000032:analysis / Q000097:blood; D008297:Male; D011446:Prospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000662:veterinary*; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D019344:Lactic Acid