Topic:Complications
Complications in horses refer to unexpected medical or surgical issues that arise during the course of treatment or recovery. These complications can affect various systems within the horse's body and may result from underlying conditions, medical interventions, or environmental factors. Common complications in equines include laminitis, colic, infections, and respiratory issues. Each complication presents distinct clinical challenges and requires careful management to mitigate adverse outcomes. This section compiles peer-reviewed research studies and scholarly articles that explore the incidence, etiology, management strategies, and outcomes associated with complications in equine health.
Experimental and clinical investigations of the use of carbon fiber sutures in equine tendon repair. Braided carbon fiber sutures were used to repair surgically transected or lacerated digital flexor tendons of 20 mature horses (10 experimental and 10 clinical cases). In addition, 4 experimental horses had tenectomies that were not surgically repaired; these served as controls for the horses with carbon-implanted tendons. Six of the 10 clinically affected horses were returned to their intended use; 2 were euthanatized because of complications and 2 were still recuperating. The experimental horses were euthanatized at 12 days and 1, 2, 4, 8, and 12 months. Tendon scars were structurally and fu...
Gastrointestinal complications associated with the use of atropine in horses. Atropine sulfate was given at 2 dosages (0.044 mg/kg, 0.176 mg/kg) to clinically normal ponies in order to evaluate the drug's effect on the gastrointestinal tract. Intestinal motility, as assessed by ausculation of borborygmus, was stopped 30 minutes after injection, but it gradually returned to normal within 12 hours. Signs of abdominal pain developed in 3 of 10 ponies. In 3 clinical cases of gastrointestinal disorder, prior atropine treatment was confusing to the diagnostician and resulted in delayed surgical treatment in 1 case. It was concluded that atropine should not be used for allevia...
Internal fixation of a tibial fracture in an adult horse. A 3-year-old Thoroughbred mare was examined because of hindlimb lameness from incomplete fracture of the tibia, which became a complete diaphyseal fracture during the examination. The fracture was repaired by open reduction and internal fixation with lag screws and 2 neutralization plates. A cranial approach was used and the plates were placed craniolateral and medial on the tibia. At 18 months after surgery, there was no evidence of complications resulting from the fracture or its repair. It was concluded that a cranial approach with craniolateral and medial plate placement allows easier inse...
The acute abdominal patient: postoperative management and complications. The postoperative management of the surgical colic patient varies according to the complications experienced. Many of these complications can be related to the time at which surgery is performed
relative to commencement of the problem, the condition of the patient at the time of surgery, the particular condition, and, last but not
least, the surgeon's performance. Some of the points have been discussed elsewhere in the symposium. The maintenance of asepsis, attention to minimizing trauma to the bowel, and appropriate attention
to visceral and parietal closures are all important principles. ...
Complications of cleft palate repair in large animals. Seven foals, 2 horses, and 2 calves were presented to the George D. Widener Hospital for Large Animals at New Bolton Center and the Large Animal Clinic at Auburn University for surgical repair of cleft palate. All animals had preexisting pneumonia. Initial repair of cleft palate in 6 foals, 2 horses, and 2 calves was performed via mandibular symphysiotomy. Primary repair of cleft soft palate in a foal was attempted through a pharyngotomy incision after fracture of the basal hyoid bone; however, exposure was inadequate and mandibular symphysiotomy had to be done. Dehiscence of a portion of the ...
Acquired inguinal hernia in the horse: a review of 27 cases. Twenty-seven cases of acquired inguinal hernia in the horse were reviewed. The history, clinical signs, treatment, and complications were summarized. Mortality was 25.9%. Only 13 or the 27 cases were diagnosed prior to admission. With early diagnosis and treatment, mortality should approach zero. In 24 of these cases, the hernia was strangulated. In each case, the signs were colic, a firm slightly enlarged testicle in the scrotum, and small intestine displacement through the inguinal ring, as determined via rectal palpation. In was concluded that palpation of the scrotum and inguinal rings sho...
Percutaneous lung biopsy in the horse. Percutaneous lung biopsies with a cutting needle (Vim Tru Cut) were obtained from 20 horses. The procedure was performed in standing horses under a local anesthesia without sedation. All lung tissue specimens were suitable for histologic examinations and contained both pulmonary parenchyma and large airways. The only complication was hemoptysis in 2 (10%) horses which required no therapy. All horses were subsequently killed, and no gross abnormalities were present at the biopsy site.
Esophageal healing in the pony: comparison of sutured vs nonsutured esophagotomy. Esophageal healing was evaluated in 10 ponies after sutured and nonsutured cervical esophagotomy techniques. Mucosal healing occurred significantly (P less than 0.005) faster after sutured esophagotomies (x = 7.5 days after surgery) than after nonsutured esophagotomies (x = 25.6 days after surgery), based on endoscopic and clinical evaluations. Although endoscopy was an accurate assessment of the return of normal passage of a food bolus through the esophagus, 4 of 10 ponies had radiographic evidence of a sinus tract after the mucosa was considered healed, based on endoscopic and clinical exami...
Uterine prolapse in a mare. A prolapsed uterus in a mare and the techniques to successfully replace the organ and prevent complications such as shock, laminitis and metritis are described.
Equine cervical esophagostomy: complications associated with duration and location of feeding tubes. Cervical esophagostomy for tube feeding was evaluated in 11 ponies. Minor complications responded to supportive therapy in 8 ponies. Two died of complications, and 1 pony had a permanent fistula because of persistent infection. There was a positive correlation between the duration of tube feeding and the event of closure of the esophageal stoma after the tube was removed. There was no difference in the frequency of complications related to duration of tube feeding. When the distal end of the feeding tube was located in the thoracic portion of the esophagus, instead of in the stomach, tubes wer...
Tracheal reconstruction by resection and end-to-end anastomosis in the horse. A surgical technique for resection of a portion of the trachea followed by end-to-end anastomosis was developed on 4 clinically normal horses. The trachea healed without complications in 3 of the horses in which 3 tracheal cartilages were removed. Five tracheal cartilages were removed from the 4th horse. It had to be euthanatized because of excessive suture line tension and wound disruption, which occurred during recovery from anesthesia. Suture line tension was measured on 3 other clinically normal horses positioned in dorsal recumbency immediately after euthanasia after 3 and 5 tracheal cart...
A complication of cryptorchid castration in three horses. During an 8-month period, 3 horses were examined because of incomplete cryptorchid castration. Each horse had had surgery to remove 1 retained testis. In each case, the attending veterinarian believed castration had been adequately completed. History, rectal examination findings, and in 2 cases, high serum testosterone concentration were factors that led to the decision to do exploratory surgery on each horse. In each case, initial surgery had resulted in surgical removal of the tail of the epididymis, which was mistaken for testicular tissue.
Vascular anatomy and surgical technique for bilateral adrenalectomy in the equid. The vascular anatomy of the adrenal glands and a surgical technique for bilateral adrenalectomy in the equid are described. Bilateral adrenalectomy was performed in six ponies and one horse via bilateral transcostal retroperitoneal approaches through the 18th rib during a single anesthetic period. Complications included hemorrhage from the right side only and pneumothorax which usually occurred on the right side. One pony died as a result of the surgical technique. Maintenance of adrenal function was accomplished with desoxycorticosterone pivilate and prednisolone.
The mechanics of wound healing. This paper discusses the factors which affect the healing of wounds at the tissue and organ levels. It covers some of the problems which complicate the sequence of healing and considers the mechanisms involved in regeneration and repair of tissues. The factors associated with the stimulus and sequence of healing and their interactions are also reviewed.
Splenectomy in the horse. Splenectomy was successfully performed on 2 aged horses to facilitate experimental studies of Babesia equi infection. Resection of part of the 17th rib provided the most acceptable approach and avoided many complications encountered on removing part of the 16th rib.
The surgical treatment of equine fractures. The current trends in equine fracture treatment are reviewed. Surgical approach, method of fixation, the advantages of Association for the Study of Internal Fixation (ASIF) implants and the complications of treatment are discussed with reference to 21 fracture cases. Normal limb function was restored in four horses with fractures of the olecranon and one with a mid shaft fracture of the tibia following stabilisation of the fracture with plates. A horse with a chip fracture of the distal radius and three other animals with fractures of the lateral condyle of the third metacarpal bone were also ...
Some problems associated with intestinal surgery in the horse. The paper considers the general principles of intestinal surgery in the horse and illustrates a theatre layout suitable for this purpose. The problems of locating and reducing obstructions of the small and large intestine are discussed, with particular emphasis on incarcerations of the small bowel and the techniques of jejunal and ileal re-implantation after bowel resection.
Bilateral luxation of the coffin joints in a horse, as a sequel to palmar neurectomy. Complications from neurectomy have been well known for many years. A 16-year-old mare suffered bilateral luxation of the coffin joints following palmar neurectomy and was destroyed. Autopsy showed complete rupture of the deep flexor tendons, and the supporting ligaments of the coffin joints. Arthritis of the coffin joints, with erosion of articular cartilage was evident.