Long-term survival and complications of colic surgery in horses: analysis of 331 cases

Three hundred and thirty-one (331) horses out of 371 cases (i.e. 351 individuals discharged from the clinic) were followed up in order to evaluate long-term survival rate and complications after colic surgery. Twenty horses were subjected to surgery twice during the period of this study. Out of the sample of 331 patients, 302 animals (91.2%) survived at least 11 months after the operation. Twenty-nine horses (8.8%) died or had to be euthanized. Colic episode was considered to be the cause of death in 23 (79.3%) out of 29 patients. Seven colic patients had to be reoperated. The remaining six patients died of a cause unrelated to the gastrointestinal disease. Seven out of 302 long-term surviving patients needed the second operation within the first 11 months after the first surgery. Colic episode was reoperated in another 15 patients after 12 months to 4 years after the first operation. Conservative treatment was necessary in another 10 long-term surviving horses. In eight long-term surviving horses and in one patient that did not survive 11 months, incision hernias were identified as the postoperative complication. Twenty-one horses out of 331 were subjected to relaparotomy during their first hospitalization. Eighteen out of these (85.7%) survived 11 months after the surgery; the remaining three were euthanized within six months due to colic.