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Objectives:
Guidelines for the use of abdominal drains during peritonitis are currently lacking. Options are closed active drains like Jackson-Pratt drain (JPD), open abdominal drainage and negative-pressure therapy.
The aim of this research is to describe the use, complications and rate of ascending infections of abdominal JPD in dogs and cats.
Methods:
Dogs and cats that underwent exploratory laparotomy for peritonitis (e.g., septic, biliary, urinary) and JPD application, at three institutions were retrospectively included from 2017 to 2024. Clinical data, intraoperative and postoperative complications, time to JPD removal, and outcome were analyzed and reported through descriptive statistics and compared via parametric and non-parametric tests (p-value < 0.05).
Results:
73 dogs and 12 cats were included. Peritonitis was septic in 66/85 and not septic in 19/85 (biliary, 5; uroperitoneum, 5; others, 9). Intraoperative complications occurred in 16/85 cases (hypotension, 9; cardiocirculatory arrest, 3; others, 4). JPD was removed after a median of 4 days (1-14). 43/82 postoperative complications were related to peritonitis, while only 3/82 animals experienced minor complications related to JPD, particularly stoma infection, stoma oedema and unanchored suture, all medically managed. Postoperative septic peritonitis was related to intestinal wound dehiscence in 7/7 cases. Overall, 21/82 animals died because of peritonitis.
Conclusions:
Despite the postoperative complication rate being relatively high in case of peritonitis (52%), complications related to JPD management were rare (4%) and minor. Despite ascending infections are considered a threatful complication impacting on outcome, in our survey the use of JPD resulted only in local infection, being mainly safe with adequate management.
34th Annual Scientific Meeting proceedings
Stream:
|
Session:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Abdominal Jackson-Pratt drain in small animals: a multi-institutional study
Ciammaichella L1, Di Benedetto M1, Ferrari C1, Pagani G4, Mattioli G2, Cola V1, Zanardi S1, Cino M2, Foglia A1, Pisani G*3, Pisoni L1, Montinaro V*4, Del Magno S*1
1Department of Veterinary Medical Sciences – Alma Mater Studiorum University of Bologna, Ozzano dell'Emilia, Italy, 2Department of Veterinary Medical Sciences – University of Parma, Parma, Italy, 3Centro Veterinario Luni Mare, Ortonovo, Italy, 4Clinica Veterinaria Malpensa - AniCura, Samarate, Italy.
Objectives:
Guidelines for the use of abdominal drains during peritonitis are currently lacking. Options are closed active drains like Jackson-Pratt drain (JPD), open abdominal drainage and negative-pressure therapy.
The aim of this research is to describe the use, complications and rate of ascending infections of abdominal JPD in dogs and cats.
Methods:
Dogs and cats that underwent exploratory laparotomy for peritonitis (e.g., septic, biliary, urinary) and JPD application, at three institutions were retrospectively included from 2017 to 2024. Clinical data, intraoperative and postoperative complications, time to JPD removal, and outcome were analyzed and reported through descriptive statistics and compared via parametric and non-parametric tests (p-value < 0.05).
Results:
73 dogs and 12 cats were included. Peritonitis was septic in 66/85 and not septic in 19/85 (biliary, 5; uroperitoneum, 5; others, 9). Intraoperative complications occurred in 16/85 cases (hypotension, 9; cardiocirculatory arrest, 3; others, 4). JPD was removed after a median of 4 days (1-14). 43/82 postoperative complications were related to peritonitis, while only 3/82 animals experienced minor complications related to JPD, particularly stoma infection, stoma oedema and unanchored suture, all medically managed. Postoperative septic peritonitis was related to intestinal wound dehiscence in 7/7 cases. Overall, 21/82 animals died because of peritonitis.
Conclusions:
Despite the postoperative complication rate being relatively high in case of peritonitis (52%), complications related to JPD management were rare (4%) and minor. Despite ascending infections are considered a threatful complication impacting on outcome, in our survey the use of JPD resulted only in local infection, being mainly safe with adequate management.
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