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33rd Annual Scientific Meeting proceedings

Stream:   |   Session:
Date/Time: 30-11--0001 (00:00 - 00:00)   |   Location:
Marsupialization of the umbilical vein for the treatment of umbilical vein infection with or without liver abscessation in 11 foals.
Obrochta B1, Saitua A2, Garcia Calvo LA*1, Muñoz E*3, Koenig J*4, Méndez-Angulo JL*5, Prades M*6, Argüelles D*2
1Veterinary Teaching Hospital, University of Helsinki, Helsinki, Finland, 2Veterinary Teaching Hospital, University of Córdoba, Córdoba, Spain, 3Pferdeklinik Grosswallstadt, Grosswallstadt, Germany, 4Ontario Veterinary College, University of Guelph, Guelph, Canada, 5Equinuvi Equine Veterinary Clinic, La Carlota, Spain, 6Veterinary Teaching Hospital, Universidad Autònoma Barcelona, Bellaterra, Spain.

Introduction: Umbilical remnant infections are commonly seen in foals. A short case series was conducted to report surgical treatment, postoperative complications, and short and long-term outcomes in foals with umbilical vein infection, with or without liver abscessation and treated with marsupialization of the umbilical vein.

Materials and methods: Records from 11 foals diagnosed with umbilical remnant infection, with or without liver abscessation and treated surgically by marsupialization of the umbilical vein by cranial midline or right paramedian translocation were included in this study. 

Results: Short-term complications included postanesthetic myopathy (n=1), marsupialization site herniation (n=5), stoma necrosis (n=1) and euthanasia (n=1) due to concomitant conditions. Long-term complications included 4 animals who required a second surgical procedure due to herniation at the marsupialization site (3) or midline incision (1). The omphalophlebitis resolved in all cases that survived until hospital discharge. The follow up period ranged from 4 to 88 months.

Conclusions: Marsupialization of the umbilical vein is a viable surgical option if en-bloc resection does not allow the complete removal of the infected tissues. Our main complication was herniation at the stoma site with a 45,5% rate. Right paramedian translocation, with three layers suturing of the umbilical vein to the abdominal wall, may prevent herniation. 
Compared to simple en-bloc resection, marsupialization may require further treatment and can be associated with increased costs.

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