Читать книгу Complications in Equine Surgery - Группа авторов - Страница 155

When ligation failure occurs intraoperatively, the cause of the failure should be determined as to whether it is ineffective occlusion (knot slippage), loop slippage, or suture breakage and measures used to correct the failure. The use of ligating clips, staples, electrocautery and other electrosurgical instrumentation can be used in appropriate situations to provide hemostasis after ligature failure [28, 29]. If there is hematoma formation then treatment options differ depending on the degree and location. With mild hemorrhage and hematoma formation no treatment may be needed. For more significant hemorrhaging and hematoma formation there are multiple treatment options. If there is active hemorrhaging then the incision may need to be opened and hemostasis achieved via intraoperative methods discussed. Alternatively, compression or a compression bandage can be an effective means of hemostasis and prevention of hematoma formation.