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Objectives:
Guidelines for the use of abdominal drains during peritonitis are currently lacking. The existing options include closed active drains like the Jackson–Pratt drain (JPD), open abdominal drainage, and negative-pressure therapy. This study aimed to describe the use of abdominal JPD in dogs and cats and the complications and rate of ascending infections associated with it.
Methods:
Dogs and cats that underwent exploratory laparotomy for peritonitis (e.g., septic, biliary, or urinary peritonitis) and JPD application at three institutions from 2017 to 2024 were retrospectively included in this study. Clinical data, information regarding intraoperative and postoperative complications, time to JPD removal, and outcome data were analysed and reported through descriptive statistics and compared using parametric and non-parametric tests (P < 0.05).
Results:
A total of 73 dogs and 12 cats were included. Peritonitis was septic in 66/85 cases and not septic in 19/85 cases (biliary, 5; uroperitoneum, 5; others, 9). Intraoperative complications occurred in 16/85 cases (hypotension, 9; cardiocirculatory arrest, 3; others, 4). The JPD was removed after a median period of 4 days (1-14). Among the 82 cases of postoperative complications, 43 were related to peritonitis. Only 3/82 animals experienced minor JPD-related complications, particularly stoma infection, stoma oedema, and unanchored sutures, all of which were 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 relatively high postoperative complication rate in cases of peritonitis (52%), complications related to JPD management were rare (4%) and minor. Although ascending infections are considered a major complication influencing the outcome, the use of the JPD in our study resulted only in local infections, which were mainly safe with adequate management.
34th Annual Scientific Meeting proceedings
Stream:
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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. The existing options include closed active drains like the Jackson–Pratt drain (JPD), open abdominal drainage, and negative-pressure therapy. This study aimed to describe the use of abdominal JPD in dogs and cats and the complications and rate of ascending infections associated with it.
Methods:
Dogs and cats that underwent exploratory laparotomy for peritonitis (e.g., septic, biliary, or urinary peritonitis) and JPD application at three institutions from 2017 to 2024 were retrospectively included in this study. Clinical data, information regarding intraoperative and postoperative complications, time to JPD removal, and outcome data were analysed and reported through descriptive statistics and compared using parametric and non-parametric tests (P < 0.05).
Results:
A total of 73 dogs and 12 cats were included. Peritonitis was septic in 66/85 cases and not septic in 19/85 cases (biliary, 5; uroperitoneum, 5; others, 9). Intraoperative complications occurred in 16/85 cases (hypotension, 9; cardiocirculatory arrest, 3; others, 4). The JPD was removed after a median period of 4 days (1-14). Among the 82 cases of postoperative complications, 43 were related to peritonitis. Only 3/82 animals experienced minor JPD-related complications, particularly stoma infection, stoma oedema, and unanchored sutures, all of which were 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 relatively high postoperative complication rate in cases of peritonitis (52%), complications related to JPD management were rare (4%) and minor. Although ascending infections are considered a major complication influencing the outcome, the use of the JPD in our study resulted only in local infections, which were mainly safe with adequate management.
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