Lactated Ringer’s solution and replaced in the abdomen. Simple continuous seromuscular layer followed by a Lembert or a Cushing pattern.4 The colon is rinsed with sterile saline or Closure of pelvic flexure enterotomies is performed using 2-0 absorbable suture material in two layers: a Although a modified colon tray hasīeen described for evacuating the colon, it is not deemed necessary by most surgeons.3 If colonic evacuation is performedĪs part of the correction of a large-colon volvulus, an intestinal biopsy can be collected to evaluate the severity of damage at A sterile assistant helps to feed the hose into the colon and massage its contents. During the evacuation procedure, it is useful to lift the colon and ensure that the underside is lavaged as Gently advanced into the colon, while the other is used to continuously lavage the serosal surface to reduce fecal contamination (Figure 29-1). Used for intraluminal lavage and evacuation of the contents, and the other for extraluminal lavage, using warm water (37☌,ĩ8.6☏) or a warm balanced electrolyte solution.1 If these are not available, stomach tubes, buckets, and pumps can be used.Ī full-thickness 8-to 12-cm incision is made on the antimesenteric border of the pelvic flexure.2 One hose is inserted and

This can be done by using two garden hoses, or one hose with a Y connection. In anticipation of colonic evacuation, a lavage Positioned over a disposal system built into the surgery room (Figure 29-3). Hose can be used to collect and evacuate the contents of the colon (Figure 29-2).1 Alternatively, the end of the tray can be A modified trash can with an ingesta strainer and a liquid outflow The colon tray is angled at about 20° (Figure 29-1). The enterotomy drape is then placed on top of the laparotomy drape and secured with towelĬlamps. Thus eLectrode 1 in the sequence was located 20 cm orad to the pelvic flexure. the pelvic flexure electrode onto the left dorsal colon (LDC) at &cm intervals. Since 1983, at least 200 horses have had a pelvic flexure enterotomy that was closed using the TA-90 stapling device at Peterson and Smith Equine Hospital. TA-90 stapling device applied to pelvic flexure after Allis tissue forceps are positioned. Some surgeons place the end of the laparotomy drape onto the tray to create a shelf to help colonic serosa of five adult horses, starting 30 cm oral to the pelvic flexure on the left ventral colon and ending 15 cm aboral to the pelvic flexure on the left dorsal colon (LDC). Allis tissue forceps applied to pelvic flexure enterotomy incision.

If a colon tray is not available, the colon is best exteriorizedīetween the horse’s hind legs. Left side of the horse or caudally between the horse’s hind legs. Right dorsal colon), and right ventral colon enterotomy is used to access the cecum in horses with a cecocolic intussusception.įor this procedure, the large colon is exteriorized and placed on a colon tray (Kimzey Metal Products, Woodland, CA) on the Enterotomy procedures are also performed for removal of foreign bodies (usually in the Pelvic flexure enterotomy that allows evacuation of the colonic contents is a commonly performed procedure in horses withĪbnormalities affecting the large colon.

Pelvic flexture horse