Resección de banda tensa o adherencia por laparotomía exploratoria en paciente equino hembra CCC, (Equus Ferus Caballus) post quirúrgica.

Abstract

The following report describes a clinical case presented at the Internal MV veterinary medical center, in the municipality of Caldas Antioquia, on March 16 at the equine veterinary clinic, a female equine patient of the Colombian Creole horse breed (CCC) named Serenata, 10 years old, weighing 360 kg, her food is hay and concentrate, patient referred to the medical center, they report that the first diagnosis in the field was colic, treatment was started with doses of 15 ml of Flunixin meglumine, in addition to gastric lavage with approximately 30 liters of water, the treating physician comments that he underwent intravenous fluid replacement with 7 liters of Hartmann isotonic solution and reports that rectal palpation reveals over-distended viscera, clinical examination shows docile temperament, alert attitude, body condition score 5/9, mucous membranes pale pink and dry with capillary refill time of 3 seconds, l The physiological constants presented are 48 bpm, respiratory rate 28 rpm, temperature 38.4°C, abdominal auscultation showed hypomotility of the four quadrants, negative digital pulses, general inspection shows a scar of approximately 17 cm in the right lateral side, bordering the costal arch to the middle third of the abdomen (Figure 10) ; Diagnostic tests such as hematocrit, total proteins, abdominal ultrasonography and rectal palpation were then performed, in which distended small intestine loops were evidenced, presence of gas, is taken as a differential diagnosis; Adherence, volvulus and entrapment in the epiploic foramen or also called Winslow's hiatus, for this reason it was decided to perform an exploratory laparotomy in order to confirm the diagnosis and thus surgically correct the pathology. Post-surgical treatment and intensive care were established, constant monitoring was maintained every hour in the first 8 post-surgical hours, evaluating heart and respiratory rate, temperature, mucous membranes, capillary refill time, urination, defecation, as well as abdominal auscultation of the four quadrants, at 12 hours later, a post-surgical complication is evident caused by dehiscence of the stitches, for which it is decided to go into surgery again, after 10 days the suture is removed, and the patient is discharged after 14 days with mandatory medical recommendations.