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Selected Publication:

Type of publication: Journal Article
Type of document: Full Paper

Year: 2019

Authors: Habenbacher, B; Bockstahler, B; Tichy, A; Dupre, G

Title: Enterotomy versus intestinal resection anastomosis: Morbidity and mortality rates in 135 dogs and 85 cats

Source: Wien Tierarztl Monat. 2019; 106(5-6): 117-127.

Authors Vetmeduni Vienna:

Bockstahler Barbara
Dupré Gilles
Tichy Alexander

Vetmed Research Units
University Clinic for Small Animals, Clinical Unit of Small Animal Surgery
Platform Bioinformatics and Biostatistics

The objective of this retrospective clinical study was the evaluation of the most important pre-, peri- and post-operative parameters of small animals undergoing intestinal surgery and the assessment of their influence on the clinical outcome. Medical records of dogs (n = 135) and cats (n = 85) undergoing enterotomies or intestinal resection and anastomosis over a period of five years were reviewed. The data were divided into pre-, peri- and post-operative parameters, statistically analysed with regard to the evaluation of risk factors and occurrence of complications and compared between the two species. The overall mortality rate was 20 % with no significant difference between the species. A pre-operative decrease in total protein and hypoalbuminaemia were risk factors. Albumin values below the reference level of 2.6 g/dl were associated with a 3.2-fold increased risk of death. However, peritonitis diagnosed before surgery was not associated with a worse clinical outcome. Intestinal resection and anastomosis, as well as the diagnosis of neoplasia and invagination, were significant predictors of negative outcomes. Furthermore, the need for post-operative intensive care and the need for reoperation due to intestinal dehiscence and peritonitis were associated with a significantly increased risk of death. Low albumin levels, tumours, invagination, intestinal resection and anastomosis, the need for intensive care and peritonitis were associated with a worse prognosis in intestinal surgery in both dogs and cats.

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