A multicenter retrospective case-cohort study on the prevalence of incisional morbidities in late pregnant mares following exploratory celiotomy (2014-2019): 579 cases.

Abstract

To report the prevalence and risk factors for incisional morbidities in late pregnant and nonpregnant/early pregnant control mares following colic surgery. Multicenter, retrospective, cohort study from January 2014 to December 2019. Two university teaching hospitals and 1 private referral center. Five hundred and seventy-nine fillies and mares ≥2 years old that underwent celiotomy. Pregnant mares (n=54) were >240days in gestation from the last known breeding date and were compared to control females (n=525) undergoing colic surgery. None. Morbidity rates were not different between mare groups with 56% of pregnant mares and 51% of control mares reporting at least 1 morbidity. Incisional swelling was the most common reported complication in both groups. Incisional swelling was associated with shorter hospital stays (odds ratio [OR], 0.18; P<0.01), and drainage was associated with a longer hospital stay (OR, 1.27; P≤0.01) and with use of an abdominal bandage (OR, 4.4; P<0.01). Herniation was associated with hypercapnia under anesthesia (OR, 1.1; P=0.048), previous abdominal surgery (OR, 8.3; P=0.003), and with use of an abdominal bandage (OR, 56; P=0.006). Body wall dehiscence was associated with longer hospital stay (OR, 1.2; P<0.01). Nonsurvival was higher in pregnant mares (13%) compared to control mares (5%; P=0.02). The prevalence of incisional morbidities did not differ between pregnant and control mares undergoing colic surgery. Several factors were associated with incisional morbidities, including the duration of surgery and anesthesia, anesthetic variables, abdominal bandage use, previous ventral abdominal incision, and longer duration of hospitalization.