Assessing intestinal viability remains one of our greatest challenges,Clear and effective intraoperative client communication is imperative,Adhesion prevention is superior to adhesion treatment,Some situations will require additional incision supportduring closure.One of the first major surgeries many equine surgical residents will log as a primary surgeon will be an emergency colic surgery. Being adequately prepared for this challenge and able to make correct intraoperative decisions is imperativefor successful case outcome. Arguably the two greatest challenges faced during colic surgery are assessing bowel viability, and overall patient survivability based on the lesion identified and the procedures required to correct the problem. Even experienced equine surgeons encounter moments of anxiety when making these two decisions. Adhesion prophylaxis and abdominal wall closure following repeat laparotomy are more straightforward issues to deal with, and will also be discussed.
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