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Topic:Necrosis

Necrosis in horses refers to the localized death of cells or tissues within the body, often resulting from factors such as injury, infection, or compromised blood supply. This pathological process can affect various tissues, including skin, muscle, and internal organs. Necrosis may manifest as visible lesions, swelling, or tissue discoloration, and can lead to further complications if not addressed. Understanding the underlying causes and mechanisms of necrosis is important for effective management and treatment in equine veterinary practice. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, mechanisms, and implications of necrosis in horses, providing insights into diagnostic and therapeutic approaches.
Comparison of the cytotoxic effects of bupivacaine, lidocaine, and mepivacaine in equine articular chondrocytes.
Veterinary anaesthesia and analgesia    February 10, 2011   Volume 38, Issue 2 127-133 doi: 10.1111/j.1467-2995.2010.00590.x
Park J, Sutradhar BC, Hong G, Choi SH, Kim G.To compare the chondrotoxicity of bupivacaine, lidocaine, and mepivacaine in equine articular chondrocytes in vitro. Methods: Prospective, experimental study. Methods: Equine articular chondrocytes. Methods: Primary cultured equine chondrocytes were exposed to 0.5% bupivacaine, 2% lidocaine, or 2% mepivacaine for 30 or 60 minutes. After treatment, cell viability was evaluated by trypan blue exclusion and the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) colorimetric assay in a dose dependent manner. Apoptosis and necrosis of chondrocytes were analyzed with the double stain...
Glomus tumours in the skin and subcutis of three horses.
Veterinary dermatology    January 11, 2011   Volume 22, Issue 2 225-231 doi: 10.1111/j.1365-3164.2010.00949.x
Burns RE, Pesavento PA, McElliott VR, Ortega J, Affolter VK.Three horses presented with variably painful, nonulcerated masses of the head or neck that were diagnosed as glomus tumours. Grossly, they were fleshy, pink to tan masses ranging from 0.4 to 9 cm in diameter, involving either the deep dermis and subcutis or the subcutis and underlying skeletal muscle. Microscopically, neoplastic epithelioid cells were arranged in sheets, cords and packets within lobules. The neoplastic cells frequently abutted and formed nodular bulges into large endothelium-lined vascular spaces, especially around the tumour periphery. Large nerve branches were associated wit...
Osteoporosis associated with pulmonary silicosis in an equine bone fragility syndrome.
Veterinary pathology    November 19, 2010   Volume 48, Issue 3 593-615 doi: 10.1177/0300985810385151
Arens AM, Barr B, Puchalski SM, Poppenga R, Kulin RM, Anderson J, Stover SM.California horses incur a bone fragility syndrome manifested by pathologic fractures. This study investigated gross, radiographic, and histologic features of the disorder as well as relationships with silicosis and levels of heavy metals and trace minerals through a postmortem study of 9 affected and 3 unaffected horses. Bones and soft tissues were evaluated grossly and histologically. Bones, lymph nodes, and lung tissue were evaluated radiographically. Tissues were evaluated for silicon levels, intracytoplasmic crystals, heavy metals, and trace minerals. All 9 affected horses had osteoporosis...
Viability and cell death of synovial fluid neutrophils as diagnostic biomarkers in equine infectious joint disease: a pilot study.
Research in veterinary science    November 5, 2010   Volume 92, Issue 1 132-137 doi: 10.1016/j.rvsc.2010.10.007
Wauters J, Martens A, Pille F, Dumoulin M, Gasthuys F, Sys S, Meyer E.Synovial fluid samples from culture-confirmed infected joints (n=13), joints with pronounced non-infectious synovitis (n=11) and healthy joints (n=14) were collected from 24 equine patients and seven slaughterhouse horses. The samples from the joints with non-infectious synovitis and healthy joints served as negative controls. After isolation, counting and identification of neutrophils, the percentage viability, and the proportion apoptotic and necrotic neutrophils were determined by flow cytometry. Viability was significantly higher in infected samples compared to the controls. A significant ...
Maggot debridement therapy for laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 447-450 doi: 10.1016/j.cveq.2010.06.002
Morrison S.Maggot debridement therapy is a nontraumatic, minimally invasive method to treat infections in a foot compromised by chronic laminitis. A mechanical strategy must first be in place to address the instability of the distal phalanx and hoof capsule. Adverse reactions to maggot debridement therapy are uncommon and the only side effect observed has been irritation or hypersensitivity at the site. Chronic laminitic cases of sepsis/necrosis within the hoof benefit from this procedure due to the noninvasive, continuous debridement and healing properties provided by the larvae.
Trema micrantha toxicity in horses in Brazil.
Equine veterinary journal    July 20, 2010   Volume 42, Issue 5 456-459 doi: 10.1111/j.2042-3306.2010.00035.x
Bandarra PM, Pavarini SP, Raymundo DL, Corrêa AM, Pedroso PM, Driemeier D.After ingesting green leaves of T. micrantha, 2 horses showed apathy, locomotor deficit, blindness, recumbency, paddling, coma and death. The main gross findings were scattered haemorrhages, enhanced lobular pattern of the liver, and cerebral oedema. Histological changes included disseminated haemorrhages, massive hepatocellular necrosis, neuronal degeneration, Alzheimer type II astrocytes and cerebral perivascular oedema. Clinicopathological findings which were comparable with those observed in Trema micrantha poisoned ruminants, associated with epidemiological evidence suggested the diagnosi...
Purulent necrotic dislocation of the hip joint associated with umbilical infection in a foal.
Journal of equine science    July 16, 2010   Volume 21, Issue 2 17-20 doi: 10.1294/jes.21.17
Magata F, Ishii M, Oikawa E, Furuoka H, Yamada K, Sasaki N, Shimizu S, Inokuma H.A 42-day-old heavy draft horse fell into sudden astasia. Significant swelling and heat sensation of the left femoral region were observed. Because of a friction sound in the left hip, we supposed that the hip joint was dislocated or the hip bone was fractured. Computed Tomography (CT) examination showed that the left hip joint was dislocated and the left femoral head was disjunct. We carried out a pathological autopsy, and made a diagnosis of the foal as fracture of the hip bone and femoral head with suppurative umbilical arteritis. Pathologic changes in the umbilical artery and hind leg were ...
Toxicological effects of aflatoxins in horses.
Veterinary journal (London, England : 1997)    July 8, 2010   Volume 188, Issue 3 270-273 doi: 10.1016/j.tvjl.2010.06.002
Caloni F, Cortinovis C.Aflatoxins are a group of mycotoxins principally produced by Aspergillus flavus and A. parasiticus, which are both natural contaminants of food and feedstuff. Aflatoxin B(1) is the most prevalent member of this group that is normally detected and is the most powerful hepatocarcinogen known. Few naturally occurring episodes of aflatoxicosis in horses have been reported in the literature. Indeed, the published information about aflatoxin exposure, metabolism and the effects on horses is limited and controversial, possibly indicating a lack of awareness rather than the rarity of the occurrence. T...
Mycobacterium ulcerans infections in two horses in south-eastern Australia.
Australian veterinary journal    April 21, 2010   Volume 88, Issue 3 101-106 doi: 10.1111/j.1751-0813.2009.00544.x
van Zyl A, Daniel J, Wayne J, McCowan C, Malik R, Jelfs P, Lavender CJ, Fyfe JA.Two horses were diagnosed as having Mycobacterium ulcerans infections. The first was a 21-year-old Quarterhorse-cross mare living in Mallacoota (a coastal town near the border of New South Wales and Victoria, Australia) that presented with lichenification, hair-loss and oedema on a fetlock, which subsequently ulcerated, as well as a non-healing ulcer on the wither. The second horse was a 32 year-old Standardbred gelding from Nicholson, near Bairnsdale, Victoria, that had an ulcerated lesion on its caudal thigh. Histologically, there were characteristic changes seen with M. ulcerans infections ...
Imaging diagnosis–Medullary tibial infarction in a horse. Sánchez J, Gonzalo-Orden JM, Ginja MM, Oliveira PA, Reyes LE, Serantes AE, Orden MA.An Andalusian Stallion with left hind limb lameness had a radiolucent lesion in the medullary cavity of distal tibial metaphysis. After euthanasia for other disease, the tibia was examined with magnetic resonance (MR). The MR imaging sequences were characterized by a double line sign, although showing quite different lesion area intensities. Histologically, the lesion was compatible with medullary infarction being characterized by normal spongy bone, areas of abundant fibrous tissue and numerous necrotic adipocytes in various stages of destruction.
Phosphine intoxication following oral exposure of horses to aluminum phosphide-treated feed.
Journal of the American Veterinary Medical Association    February 16, 2010   Volume 236, Issue 4 446-450 doi: 10.2460/javma.236.4.446
Easterwood L, Chaffin MK, Marsh PS, Porter B, Barr C.66 horses were potentially exposed to phosphine (a gas) 14 hours after being fed a pelleted ration treated with aluminum phosphide. Results: 28 horses had clinical signs of profuse sweating, tachycardia, tachypnea, pyrexia, ataxia, seizures, and widespread muscle tremors. Clinically relevant laboratory findings included hypoglycemia and high plasma concentrations of lactate and ammonia and activities of gamma-glutamyl transpeptidase, aspartate aminotransferase, and alkaline phosphatase. At least 4 horses had signs consistent with hepatic encephalopathy. Necropsy findings included petechial and...
Fumonisin B1 neurotoxicity in young carp (Cyprinus carpio L.).
Arhiv za higijenu rada i toksikologiju    January 12, 2010   Volume 60, Issue 4 419-426 doi: 10.2478/10004-1254-60-2009-1974
Kovacić S, Pepeljnjak S, Petrinec Z, Klarić MS.For years scientists have suspected that the environment plays a role in neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, and multiple sclerosis. Mycotoxin fumonisin B1 (FB1) is produced by several Fusarium species, mainly by Fusarium verticilioides, which is one of the most common fungi associated with corn worldwide. Fumonisins are known to cause equine leukoencephalomalacia, a disease associated with the consumption of corn-based feeds contaminated with FB1. Here we have reported chronic experimental toxicosis in one-year-old carp (Cyprinus carpio L.) receiving f...
[The case of the nematode Setaria equina found in the vaginal sac of the stallion’s scrotum].
Wiadomosci parazytologiczne    January 1, 2010   Volume 56, Issue 4 319-321 
Kornaś S, Pozor M, Okólski A, Nowosad B.The nematode Setaria equina usually reside in body cavities and do not cause clinical symptoms. From time to time, however, these parasites can be located in the scrotum and spermatic cord inflicting pain and edema in these body parts. The aim of the study was to describe the case of the nematode Setaria equina found in the vaginal sac of the stallion's scrotum. During the study, thorough examination of 50 isolated testicles of 25 stallions was conducted. The horses were obtained post-slaughter from the local slaughterhouse near Krakow. In one of examined stallions, two females of Setaria equi...
In vitro comparison of cortical bone temperature generation between traditional sequential drilling and a newly designed step drill in the equine third metacarpal bone.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    October 29, 2009   Volume 22, Issue 6 442-447 doi: 10.3415/VCOT-09-03-0029
Bubeck KA, García-López J, Maranda LS.To compare heat generation and time to finish between a new step drill and sequential drilling in order to create a 6.2 mm pilot hole for insertion of a positive profile transfixation pin into the equine third metacarpal bone. Methods: Nine pairs of equine third metacarpal bones from cadavers of adult horses were used. Maximum temperature rise of the bone was measured continuously at the cis- and trans-cortices 1, 2 and 3 mm from the final pilot hole during creation of a 6.2 mm hole using a step drill and sequential drilling with 4.5, 5.5 and 6.2 mm drill bits. Five holes were drilled into the...
Gene expression profiling in equine polysaccharide storage myopathy revealed inflammation, glycogenesis inhibition, hypoxia and mitochondrial dysfunctions.
BMC veterinary research    August 7, 2009   Volume 5 29 doi: 10.1186/1746-6148-5-29
Barrey E, Mucher E, Jeansoule N, Larcher T, Guigand L, Herszberg B, Chaffaux S, Guérin G, Mata X, Benech P, Canale M, Alibert O, Maltere P, Gidrol X.Several cases of myopathies have been observed in the horse Norman Cob breed. Muscle histology examinations revealed that some families suffer from a polysaccharide storage myopathy (PSSM). It is assumed that a gene expression signature related to PSSM should be observed at the transcriptional level because the glycogen storage disease could also be linked to other dysfunctions in gene regulation. Thus, the functional genomic approach could be conducted in order to provide new knowledge about the metabolic disorders related to PSSM. We propose exploring the PSSM muscle fiber metabolic disorder...
Small interfering RNA targeting bovine papillomavirus type 1 E2 induces apoptosis in equine sarcoid transformed fibroblasts.
Virus research    July 15, 2009   Volume 145, Issue 1 162-165 doi: 10.1016/j.virusres.2009.06.019
Gobeil PA, Yuan Z, Gault EA, Morgan IM, Campo MS, Nasir L.Equine sarcoids are skin tumours of horses caused by infection with BPV-1 or 2. Maintenance and replication of the viral genome depend upon the viral proteins E1 and E2. We examined the effects of an E2 specific siRNA on E2 and E1 viral gene expression, viral load and cell growth in BPV-1 transformed sarcoid-derived cells. Transfection with E2-siRNA caused a reduction in E2 and E1 mRNA expression as well as viral load, growth inhibition and decreased anchorage-independent growth. siRNA treated cells showed significantly higher apoptosis rates than control cells. Thus sequence specific targetin...
Hepatic lobe torsion in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    May 14, 2009   Volume 50, Issue 3 283-286 
Bentz KJ, Burgess BA, Lohmann KL, Shahriar F.A 4-year-old Belgian mare was presented with a 1-week history of fever, suspected of being caused by peritonitis. The mare died before the diagnostic procedures had been completed; postmortem examination revealed torsion of the left medial lobe of the liver, resulting in diffuse necrosis of liver tissue and severe peritoneal effusion. Une jument belge de 4 ans est présentée avec une anamnèse de fièvre qui persiste depuis 1 semaine, que l’on soupçonne causée par une péritonite. La jument est morte avant l’achèvement des procédures diagnostiques; l’autopsie a révélé une torsio...
Postanesthetic brachial triceps myonecrosis in a Spanish-bred horse.
The Canadian veterinary journal = La revue veterinaire canadienne    May 5, 2009   Volume 50, Issue 2 189-193 
Ayala I, Rodríguez MJ, Aguirre C, Buendía AJ, Belda E, Laredo FG.This report describes a case of postanesthetic brachial triceps myonecrosis affecting only the left forelimb of a horse. A fatal unilateral postanesthetic myonecrosis has not been previously reported in the horse. This article describes the factors in the horse's history, the anesthetic protocol, and the treatment that may have led to this condition. Ce rapport décrit un cas de myonécrose postanesthésique du triceps brachial affectant seulement la patte avant gauche. Une myonécrose postanesthésique unilatérale mortelle n’avait pas encore été signalée chez le cheval. Le présent art...
Viability and cell cycle analysis of equine fibroblasts cultured in vitro.
Cell and tissue banking    April 29, 2009   Volume 11, Issue 3 261-268 doi: 10.1007/s10561-009-9131-6
Lima-Neto JF, Fernandes CB, Alvarenga MA, Golim MA, Landim-Alvarenga FC.This experiment aimed to study equine fibroblasts in culture analyzing and the cell cycle and viability of cells pre- and post-freezing. Skin fragments were obtained from 6 horses and cultured in DMEM high glucose + 10% FCS in 5% CO(2) until the beginning of confluence. Two passages were performed before freezing. Cells subjected to serum starvation (0.5% FCS) were analyzed for viability and cell cycle at 24, 48, 72, 96, 120, 144 and 168 h of culture. For the confluent groups, cells were analyzed at the moment they achieved confluence. Cellular viability was assisted with Hoescht 33342 and pro...
Lesions of the deep digital flexor tendon in the digit: a correlative MRI and post mortem study in control and lame horses.
Equine veterinary journal    March 24, 2009   Volume 41, Issue 1 25-33 doi: 10.2746/042516408x343028
Blunden A, Murray R, Dyson S.Lameness associated with lesions of the deep digital flexor tendon (DDFT) in the digit is now recognised as an important cause of lameness, but there is currently limited information about the pathological nature of the lesions. Objective: To compare: signal intensity changes on magnetic resonance images with histopathology; and histopathological changes in the DDFT from horses with no history of foot-related lameness (Group C) and horses with lesions of the DDFT confirmed using magnetic resonance imaging (MRI) (Group D). Methods: Transverse sections of the DDFT were harvested from 3 sites in ...
Neuropathology of naturally occurring Trypanosoma evansi infection of horses.
Veterinary pathology    March 6, 2009   Volume 46, Issue 2 251-258 doi: 10.1354/vp.46-2-251
Rodrigues A, Fighera RA, Souza TM, Schild AL, Barros CS.The clinical signs and pathology of the central nervous system in 9 horses with naturally occurring neurologic disease due to Trypanosoma evansi are described. The clinical course was 2 to 20 days; clinical signs included marked ataxia, blindness, head tilt and circling, hyperexcitability, obtundity, proprioceptive deficits, head pressing, and paddling movements. Grossly, asymmetric leukoencephalomalacia with yellowish discoloration of white matter and flattening of the gyri were observed in the brain of 7 of 9 horses. Histologically, all 9 horses had necrotizing encephalitis that was most sev...
Hypoxic/ischemic encephalopathy associated with placental insufficiency in a cloned foal.
Veterinary pathology    December 30, 2008   Volume 46, Issue 1 75-79 doi: 10.1354/vp.46-1-75
Wilcox AL, Calise DV, Chapman SE, Edwards JF, Storts RW.Hypoxic/ischemic encephalopathy in a cloned American Quarter horse foal was initially associated with placental insufficiency and exacerbated by protracted hypotension during anesthesia for a surgical procedure. The foal, born at the Texas A&M Veterinary Medical Center, was diagnosed at birth with neonatal maladjustment syndrome that was accompanied by dysmaturity, muscle contracture of the front limbs, and a blood clot within the lumen of the urinary bladder. Seizures that developed after anesthesia were attributed to hypoxia/ischemia during anesthesia and culminated in death. Macroscopically...
Histological and biomechanical effects of palatal sclerotherapy in the horse using sodium tetradecyl sulfate.
Veterinary journal (London, England : 1997)    December 23, 2008   Volume 183, Issue 3 316-321 doi: 10.1016/j.tvjl.2008.11.006
Muñoz JA, Marcoux M, Picandet V, Theoret CL, Perron MF, Lepage OM.Palatal sclerotherapy using sodium tetradecyl sulfate has been suggested as a treatment for dorsal displacement of the soft palate in young Standardbred horses. The present study evaluated histological and biomechanical changes in the equine soft palate following trans-endoscopic treatment with a low dose of this compound. Two horses were euthanased and examined at 2 weeks and at 1, 2, 4 and 6 months post-sclerotherapy, while two further horses served as untreated controls. The technique was easily performed in all cases without major complications. On histological examination there was no evi...
Bone marrow necrosis and myelophthisis: manifestations of T-cell lymphoma in a horse.
Veterinary clinical pathology    December 6, 2008   Volume 37, Issue 4 403-408 doi: 10.1111/j.1939-165X.2008.00069.x
Kelton DR, Holbrook TC, Gilliam LL, Rizzi TE, Brosnahan MM, Confer AW.A 14-year-old spayed American Paint mare was evaluated for mild colic, anorexia, pyrexia, and pancytopenia. Physical examination revealed mild tachycardia, tachypnea, and pale mucous membranes. Serial laboratory analyses revealed progressive pancytopenia, hyperfibrinogenemia, and hyperglobulinemia. A few large atypical cells were observed in peripheral blood smears. Results of tests for equine infectious anemia and antipenicillin antibody were negative. Serum protein electrophoresis indicated a polyclonal gammopathy. Smears of bone marrow aspirates contained hypercellular particles, but cell l...
Pathological studies of cheek teeth apical infections in the horse: 5. Aetiopathological findings in 57 apically infected maxillary cheek teeth and histological and ultrastructural findings.
Veterinary journal (London, England : 1997)    November 20, 2008   Volume 178, Issue 3 352-363 doi: 10.1016/j.tvjl.2008.09.024
Dacre I, Kempson S, Dixon PM.Examination of 57 apically infected maxillary cheek teeth (CT) showed one or more viable pulps and minimal apical calcified tissue changes present in recently infected CT. With chronic infections, pulps were necrotic or absent, pulp horns were filled with food if occlusal pulpar exposure was present, and gross caries of dentine was occasionally present. With chronic infections, the apical changes varied from gross destructive changes in some teeth, to extensive proliferative calcified apical changes in others. Infundibular caries was believed to cause apical infection in just 16% of infected (...
Pathological studies of cheek teeth apical infections in the horse: 4. Aetiopathological findings in 41 apically infected mandibular cheek teeth.
Veterinary journal (London, England : 1997)    November 18, 2008   Volume 178, Issue 3 341-351 doi: 10.1016/j.tvjl.2008.09.028
Dacre IT, Kempson S, Dixon PM.Examination of 41 extracted, apically infected mandibular cheek teeth (CT) without obvious causes of infection included radiography, computerised axial tomography and decalcified and undecalcified histology. In CT with recent infections, some pulps remained viable, with proliferative soft and calcified tissue changes confined to the apex. With more advanced CT infections, occlusal pulpar exposure was sometimes present (in 34% of the 41 CT), some infected pulp chambers were filled with necrotic pulp or food, and extensive destructive or proliferative changes were present in the calcified apical...
Isolation of Arcanobacterium hippocoleae from a case of placentitis and stillbirth in a mare. Bemis DA, Bryant MJ, Kania SA, Newman SJ.Based on the scarcity of reports in veterinary medicine literature, it appears that Arcanobacterium spp. are rarely isolated from horses. Recently, a single isolate from vaginal discharge in a mare was characterized as a new species, Arcanobacterium hippocoleae. The present report describes a case of necrosuppurative placentitis and stillbirth in an American Quarterhorse mare. Numerous colonies of irregular, Gram-positive, rod-shaped bacteria were observed by histological examination within fibrin lattice associated with placental lesions. Arcanobacterium hippocoleae was isolated in large numb...
Necrosis of the nasal conchae in 12 horses.
The Veterinary record    September 9, 2008   Volume 163, Issue 10 300-302 doi: 10.1136/vr.163.10.300
Cehak A, von Borstel M, Gehlen H, Feige K, Ohnesorge B.Twelve horses with a history of a unilateral malodorous nasal discharge were examined clinically, endoscopically and radiographically. The head of one of the horses was examined by computed tomography. Tissue samples were taken for microbiology from four of the horses and for histology from three. The conchal necrosis was unilateral in 11 of the horses and bilateral in the other, and no particular concha was affected more than the others. The affected tissue was removed transendoscopically with a polypectomy snare while the horses were sedated and standing. Mild disinfectants were used locally...
Fat embolism secondary to yellow fat disease in an Appaloosa horse. Suárez-Bonnet A, Espinosa de los Monteros A, Herráez P, Rodríguez F, Andrada M, Caballero MJ.A 4-year-old female Appaloosa horse was referred to the Department of Comparative Pathology, Veterinary Faculty, with a history of colic and acute respiratory distress. At necropsy, gross lesions consisted of extensive firm, multinodular, hemorrhagic foci in fat tissues with yellow-brown discoloration. The most affected areas were peritoneal fat and perirenal, epicardial, and subcutaneous adipose tissues. Other findings were hepatic lipidosis and multiple 1-1.5 cm hemorrhagic foci scattered in both lungs. Histopathological examination revealed severe degeneration and necrosis of adipose tissue...
Evaluation of ‘Section-Ligation-Release (SLR)’ technique devised for castration in the stallion.
Reproduction in domestic animals = Zuchthygiene    May 27, 2008   Volume 43, Issue 6 678-684 doi: 10.1111/j.1439-0531.2007.00969.x
Saifzadeh S, Hobbenaghi R, Asri-Rezaei S, Shokouhi S J F, Dalir-Naghadeh B, Rohi S M.A novel technique [Section-Ligation-Release (SLR)] was evaluated for castration in the horse. Clinical traits, serum testosterone concentrations after challenge with human chorionic gonadotrophin (hCG), and histopathological changes of the testicular tissue were assessed. Five stallions, aged 24-48 months, were castrated using SLR technique under general anaesthesia. Both spermatic cords in each stallion were exposed at the scrotal neck by two 5-cm long incisions, followed by sharp dissection through the parietal vaginal tunic. Both vascular and non-vascular structures in the cords were triple...
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