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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.
Transendoscopic electrosurgery for epiglottal entrapment in the horse. Monopolar electrosurgical cutting was used to correct epiglottal entrapment in 5 horses. The operations were carried out in the conscious animal, using topical anesthesia. The procedure required the use of a coagulation electrode designed specifically for electrosurgery, introduced through the instrument channel of a fiberoptic endoscope. The results were satisfactory and serious complications were not encountered. In 2 horses, excessive submucosal swelling developed at the site of the surgical wound, and the tumefaction took several weeks to subside in one of these horses. In both horses, the...
[An undesirable drug interaction in horses? Complications which can occur during the administration of coumarin derivatives and phenylbutazone]. A study of the literature was done because of questions asked in a court of justice concerning possible poisoning in a jumper, resulting from administration of both phenylbutazone and a coumarin derivative within a particular period. In view of the mechanisms of action and the pharmacokinetic characteristics of the agents, these forms of combined treatment are also highly inadvisable in horses.
Vaginal evisceration of the small intestine in three mares. Three mares were treated for vaginal evisceration of a portion of the small intestine. Evisceration occurred in 2 mares shortly after breeding accidents in which the stallion's penis penetrated the vaginal fornix dorsal to the cervix. The affected bowel was replaced through the laceration, and the vaginal defects were sutured with the mares standing, utilizing epidural anesthesia. One mare recovered without complications, was subsequently bred, and delivered a foal with no difficulty. The other mare developed signs of a strangulating small intestinal obstruction 24 hours after the injury, nece...
Complications from a testicular prosthesis in a stallion. A testicular prosthesis was removed from the scrotum of a 3-year-old Quarter Horse stallion. The prosthesis had been placed in the left side of the scrotum 10 months earlier, after an unsuccessful attempt to reposition the retained left testis. Because of a persistent draining fistula on the scrotum, first noted 5 months after placement of the prosthesis, surgery was performed to remove the prosthesis. At surgery, the left testis was found in a fibrous mass surrounding the prosthesis. The left testis had descended after placement of the prosthesis, and its involvement in the fibrous tissue sur...
[Suture technics for the abdominal wall after midline laparotomy]. During the last 10 years 268 laparotomies by a midline incision were performed. A high incidence of seromas, fistulas caused by suturing material and wound ruptures were observed. After finding only a small number of publications in the veterinary medicine about wound healing disturbances an analysis of the human medical literature was done. This induced the change of our surgical procedure and suturing technique: The midline incision and surgical management during the laparotomies in 14 horses suffering from colic were performed by a minimized trauma. The abdominal wall was closed layer by la...
[Chronic purulent maxillary sinusitis in horses]. The surgical treatment of eighty-nine horses and ponies suffering from chronic empyema of the maxillary sinus is reported. Treatment consisted in trephination and drainage of the sinus involved in thirty-six animals; the affected teeth were removed at the same time in fifty-three animals in which sinusitis was caused by an alveolitis. The recovery rate was seventy-five per cent in group one and seventy per cent in group two. Postoperative treatment is also reported and attention is paid to complications which may occur during and after surgery.
Femoral fracture repair complicated by vascular injury in a foal. A comminuted, mid-diaphyseal femoral fracture was diagnosed radiographically in a 4-month-old Quarter Horse colt. Disruption of the distal blood supply was suspected, as evidenced by coolness and diminished pulses of the distal portion of the limb. The fracture was repaired by compression plating but the foal's condition continued to deteriorate. A femoral arteriogram of the affected limb was obtained. Positive contrast agent was visible only as far as the mid-shaft of the femur. The foal was euthanatized and the postmortem examination revealed a transected popliteal artery accounting for isch...
Complications associated with the use of the cuffless endotracheal tube in the horse. Complications following the use of the cuffless large animal endotracheal tube during general anesthesia in 2 horses are reported. One horse developed laryngeal edema during recovery. The edema was treated successfully with dexamethasone, but severe laryngeal trauma was confirmed 24 hours later at necropsy. The second horse had a swollen tongue and had difficulty eating for 3 days after anesthesia. The condition resolved without treatment. this report is a reminder of the potential damage which can occur from endotracheal intubation.
Transtracheal aspiration in the horse: a photo essay. Transtracheal aspiration is used to obtain samples for culture and cytologic examination of respiratory tract secretions and exudates. A 15-cm-long area of the ventral midcervical region is surgically prepared, a small site infiltrated SC with 2-3 ml lidocaine, and a stab incision made in the skin. A trocar with cannula is inserted through the incision and annular ligament into the trachea and the trocar removed. An 8-Fr polypropylene catheter is inserted about 35-40 cm down the trachea and attached to a 30-ml syringe, containing 20 ml sterile saline, with a 3-way stopcock . The saline is rapi...
Long-term results and complications of proximal interphalangeal arthrodesis in horses. A retrospective study was made of 21 horses in which proximal interphalangeal arthrodesis had been performed. The right hindlimb was the most often affected (52%). Acute trauma was the most common reason for performing the surgery (62%). Follow-up data were obtained from the owners regarding return to serviceability . When available, follow-up radiographs and clinical examinations were reviewed. Of the 20 horses on which follow-up information was available, 16 were serviceable . Of the horses in which a hindlimb was arthrodesed , 86% were serviceable , whereas 67% of the horses affected in the...
[Meconium constipation in foals]. Meconium constipation is observed in a number of foals during every foaling period. The literature on the clinical picture, methods of treatment and complications, is reviewed in the present paper. In addition, the cases of seventy-five foals are reviewed, in which meconium constipation was suspected and which were submitted to the Internal Disease Department of Large Animals during the period from 1972 to 1982. The clinical picture was found to be due to another disorder in nine cases. Treatment with castor oil and alcohol resulted in discharge of the meconium in fifty-eight cases. Complicati...
Complications during treatment of traumatic disruption of the suspensory apparatus in Thoroughbred horses. A total of 19 Thoroughbred horses were treated for traumatic disruption of the suspensory apparatus, using either external support of the injured limb, removal of fractured proximal sesamoid bone fragments, metacarpophalangeal arthrodesis, compression screw fixation of the fractured proximal sesamoid bones, application of a cast-brace attached to a transfixation pin inserted through the third metacarpal bone, or combinations thereof. Major complications during the treatment of traumatic disruption of the suspensory apparatus were infection (9 of 19 horses, 47%), large cast sores (10 of 14 trea...
Fibrotic myopathy in the horse. The case histories of 18 horses with hindlimb lameness attributed to fibrotic myopathy were reviewed. In 14 horses, the problem developed after trauma. In 5 others, it developed secondary to intramuscular injections. Other causes of the lameness were surgery, exertional injuries, and purpura hemorrhagica. Eleven of the horses were treated by resection of scar tissue or by semitendinosus myotenotomy. Postoperative complications included pressure necrosis under quill sutures (9 horses), acute disruption of the skin incision (2 horses), dehiscence of the wound during healing (2 horses), and prolo...
Modified Forssell’s operation for crib biting in the horse. Thirty-five horses with a history of crib biting or wind sucking were treated with a modification of the Forssell procedure. The technique involved bilateral neurectomy of the ventral branch of the accessory nerve combined with excision of a portion of the omohyoideus, sternohyoideus, and sternothyroideus muscles. Twenty horses became free of the vice, while in 11 there was a noticeable reduction in frequency of the vice. Four horses returned to crib biting/wind sucking at the same intensity as before surgery. The observation time following each operation was at least 12 months. Complications ...
[Cardiovascular complications during anesthesia in horses]. This paper summarizes causes of cardiovascular complications. Treatment of drug related hypotension as well as etiology and therapy of cardiac arrest are discussed.
Clinical observations on an outbreak of strangles. An outbreak of strangles, which occurred during the spring, summer and fall of 1980 on a Standardbred stud farm in eastern Alberta is described. The infective organism, Streptococcus equi, may have been introduced by an outside mare that was brought to the stud for breeding. All of the groups of horses on the farm were affected. For the most part, the disease was allowed to run its natural course. Only severely affected individuals were treated. During the outbreak, the foals were prophylactically treated with penicillin to prevent them from contracting the disease. Ten horses died of complica...
[Experiences with half-closed castration in stallions]. The half-closed method of castration involves ligation of the spermatic cord enclosed in the vaginal tunic, the testicle itself lying outside the opened vaginal tunic. Of 497 horses and ponies admitted to the Department of Large Animal Surgery and castrated using this technique, 68.6 per cent recovered without complications. Although the most serious postoperative complications such as intestinal eventration and haemorrhage of the spermatic cord may be reduced to a minimum by this approach, normal healing cannot be guaranteed under the circumstances in which this method was used.
Management of umbilical hernias in cattle and horses. The medical records of 60 cattle and 47 horses treated for umbilical hernia at the Western College of Veterinary Medicine over a 3-year period were studied retrospectively. Age, hernia size, physical signs at admission, reducibility, method of repair, prevalence, and types of complications were evaluated. Most patients were less than 6 months old, with hernias less than 10 cm long. Affected cattle had a higher prevalence of organic diseases associated with umbilical hernias and more postsurgical complications than did affected horses.
Complications associated with immunotherapy of equine phycomycosis. Five horses with pythiosis of the limbs were treated unsuccessfully by surgery or topical application of amphotericin B, or both. Follow-up immunotherapy resulted in 1 horse responding favorably. Three horses were cured of the fungal infection but developed osteitis or deep-seated laminitis, which necessitated their destruction. The remaining horse, which had severe anemia, died before the course of vaccination was completed.
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 ...
