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Topic:Post-Operative Period

The post-operative period in horses refers to the timeframe following surgical procedures during which the animal undergoes recovery and rehabilitation. This period involves careful monitoring and management to ensure proper healing and to minimize complications. Key aspects of the post-operative period include pain management, wound care, and the prevention of infections. Horses may require restricted movement, dietary adjustments, and regular veterinary evaluations to assess recovery progress. This page compiles peer-reviewed research studies and scholarly articles that explore the management strategies, physiological responses, and outcomes associated with the post-operative period in equine patients.
Deep digital flexor tendon shortening as a treatment for distal interphalangeal joint hyperextension in a 2-year-old mare.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    December 5, 2006   Volume 19, Issue 4 250-254 
Kelmer G, Kramer J.Shortening of the deep digital flexor tendon was performed by tenotomy, overlapping and anastomosis. The procedure was performed on a two-year-old Quarter Horse Mare with distal interphalangeal joint hyperextension with subluxation and metatarsophalangeal joint hyperextension. These problems originated from damage to the digital flexor tendons, presumably due to previous distal limb trauma. The procedure markedly improved the mare's level of comfort, degree of ambulation and limb conformation. Two years following surgery the mare was comfortable at pasture.
[Unsuccessful laparoscopic castration in a cryptorchid Frisian stallion].
Tijdschrift voor diergeneeskunde    December 2, 2006   Volume 131, Issue 21 774-777 
Voermans M, van der Velden MA.A 2-year-old unilateral inguinal cryptorchid Frisian stallion was castrated by bilateral laparoscopic intra-abdominal spermatic cord transection. Because blood testosterone levels were still high on postoperative day 7, both testicles were removed using an open approach. Pathology revealed the presence of vital Leydig-cells in both testes. Failure of the laparoscopic castration in this horse was attributed to an alternate blood supply to the testes by vessels derived from the cremaster and/or external pudendal artery.
Laparoscopic cryptorchidectomy and ovariectomy in horses.
The Veterinary clinics of North America. Equine practice    November 30, 2006   Volume 22, Issue 3 777-798 doi: 10.1016/j.cveq.2006.08.006
Hendrickson D.Laparoscopic surgery has become commonplace in the field of equine urogenital surgery. As with most surgical procedures, the limiting factors in developing new surgical techniques are limited to the patient size and demeanor, the skills of the surgeon, and the available equipment. Some of the greatest benefits of laparoscopic surgery in the horse include better visualization of the important structures; tension-free amputation of the testes or ovaries,which generally leads to less postoperative pain; and the ability to evaluate the transected stump carefully to make sure there is no hemorrhage...
Post anaesthetic myopathy/neuropathy in horses undergoing magnetic resonance imaging compared to horses undergoing surgery.
Equine veterinary journal    November 28, 2006   Volume 38, Issue 6 497-501 doi: 10.2746/042516406x156505
Franci P, Leece EA, Brearley JC.Patient positioning and long anaesthetic duration required for magnetic resonance imaging (MRI) may result in a higher frequency of post anaesthetic myopathy/neuropathy syndrome (PAMNS) as compared to horses undergoing anaesthesia for surgery. Objective: Equine anaesthesia for MRI is associated with a higher frequency of PAMNS than anaesthesia for nonemergency, nonabdominal surgery. Methods: Anaesthetic and medical records of horses (n = 633) undergoing MRI or surgery between January 2001 and January 2005 (inclusive), were reviewed. Information obtained included patient details (breed, sex, ag...
Growth factor and receptor mRNA expression in the intestine of horses with large colon volvulus: a pilot study.
Equine veterinary journal    November 28, 2006   Volume 38, Issue 6 532-537 doi: 10.2746/042516406x156488
Southwood LL, Lindermann J, Zarucco L, Driessen B, Olander H, Habecker P, Birks EK, Frisbie DD.Growth factors (GF) are important for maintenance and repair of intestinal mucosal structure and function, but there have been no studies investigating growth factor (GF) or growth factor receptor (GF-R) mRNA expression in the intestine of horses with large colon volvulus (LCV). Objective: (1) To determine mRNA expression for epidermal growth factor (EGF), EGF receptor (EGF-R), insulin-like growth factor-I (IGF), IGF receptor (IGF-R), vascular endothelial growth factor (VEGF) and VEGF receptor (VEGF-R) in the intestine of horses with an LCV compared to normal intestine. (2) To measure the corr...
Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994-2003).
Equine veterinary journal    November 28, 2006   Volume 38, Issue 6 538-542 doi: 10.2746/042516406x154840
Knox PM, Watkins JP.A method for proximal interphalangeal joint (PIP joint) arthrodesis that provides a stable fixation and minimal duration of cast support is evaluated retrospectively. Objective: Evaluate the clinical use of a combined plate-screw method for PIP joint arthrodesis in a large number of horses. Methods: The records of 53 horses undergoing PIP joint arthrodesis were reviewed. Arthrodesis was performed with a dorsally placed 3-, 4- or 5-hole narrow dynamic compression plate (DCP) with 2 transarticular cortex screws placed in lag fashion either side of the plate. Subject details, clinical presentatio...
The disposition of lidocaine during a 12-hour intravenous infusion to postoperative horses.
Journal of veterinary pharmacology and therapeutics    November 7, 2006   Volume 29, Issue 6 495-499 doi: 10.1111/j.1365-2885.2006.00797.x
Milligan M, Kukanich B, Beard W, Waxman S.Lidocaine is administered as an intravenous infusion to horses for a variety of reasons, but no study has assessed plasma lidocaine concentrations during a 12-h infusion to horses. The purpose of this study was to evaluate the plasma concentrations and pharmacokinetics of lidocaine during a 12-h infusion to postoperative horses. A second purpose of the study was to evaluate the in vitro plasma protein binding of lidocaine in equine plasma. Lidocaine hydrochloride was administered as a loading dose, 1.3 mg/kg over 15 min, then by a constant rate IV infusion, 50 microg/kg/min to six postoperativ...
Cartilage T2 assessment: differentiation of normal hyaline cartilage and reparative tissue after arthroscopic cartilage repair in equine subjects.
Radiology    October 24, 2006   Volume 241, Issue 2 407-414 doi: 10.1148/radiol.2412051750
White LM, Sussman MS, Hurtig M, Probyn L, Tomlinson G, Kandel R.To prospectively assess T2 mapping characteristics of normal articular cartilage and of cartilage at sites of arthroscopic repair, including comparison with histologic results and collagen organization assessed at polarized light microscopy (PLM). Methods: Study protocol was compliant with the Canadian Council on Animal Care Guidelines and approved by the institutional animal care committee. Arthroscopic osteochondral autograft transplantation (OAT) and microfracture arthroplasty (MFx) were performed in knees of 10 equine subjects (seven female, three male; age range, 3-5 years). A site of art...
Postoperative effects of anesthesia and surgery on resting energy expenditure in horses as measured by indirect calorimetry.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 18, 2006   Volume 70, Issue 4 257-262 
Cruz AM, Coté N, McDonell WN, Geor RJ, Wilson BA, Monteith G, Li R.In this study, we aimed to define the effects of anesthesia and surgery on the resting energy expenditure of horses in experimental conditions. Six horses were used in a longitudinal study with 2 study periods: before and after anesthesia and surgery. Every horse underwent a standard 90-min ventral midline exploratory laparotomy. Oxygen uptake (VO2) and carbon dioxide output (VCO2) were measured, with the use of a closed-circuit spirometry system, on 5 consecutive days immediately before and after the surgery. In 3 consecutive 5-min periods each day, the expired air was collected in a Collins ...
Levator labii superioris muscle transposition to treat oromaxillary sinus fistula in three horses.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 596-600 doi: 10.1111/j.1532-950X.2006.00196.x
Brink P.To describe surgical transposition of the levator labii superioris muscle to treat oromaxillary sinus fistula in horses. Methods: Clinical study. Methods: Three horses with chronic oromaxillary sinus fistula. Methods: After severing its tendinous insertion, the muscle belly of the levator labii superioris muscle was retracted and transposed through the oromaxillary sinus fistula. The tendon exited the oral cavity through a full-thickness buccal incision created adjacent to the oral end of the fistula and was then tunneled subcutaneously in a ventral direction before being anchored by sutures t...
Initial evaluation of a technique for complete cecal bypass in the horse.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 674-677 doi: 10.1111/j.1532-950X.2006.00207.x
Symm WA, Nieto JE, Van Hoogmoed L, Snyder JR.To describe a novel stapling technique for creation of a complete cecal bypass, without ileal transection in horses. Methods: Experimental study. Methods: Four adult horses. Methods: Through a ventral median celiotomy, jejunocolostomy was made with an intraluminal anastomosis device (ILA-100) and oversewn with a Cushing pattern to reinforce the staple line. Immediately distal to the anastomosis, 4 rows of staples were applied using a thoracoabdominal stapling device (TA-90) to occlude the lumen of the distal jejunum and proximal ileum. Necropsy exams were performed at least 60 days after surge...
Ventriculocordectomy as the sole treatment for recurrent laryngeal neuropathy: long-term results from ninety-two horses.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 653-657 doi: 10.1111/j.1532-950X.2006.00203.x
Taylor SE, Barakzai SZ, Dixon P.To evaluate the effect ventriculocordectomy (VC) for treatment of recurrent laryngeal neuropathy (RLN) on exercise performance and owner satisfaction in a mixed-breed population of horses. Methods: Retrospective study. Methods: Adult horses (n=92) with a history of abnormal respiratory noise and RLN. Methods: Retrospective analysis of horse that had unilateral VC (and contralateral ventriculectomy in 63 horses) for treatment of idiopathic RLN. Owners/trainers completed a questionnaire about complications and outcome at least 1 year after surgery. Performance index was determined using race rec...
Laparoscopic intestinal exploration and full-thickness intestinal biopsy in standing horses: a pilot study.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 689-696 doi: 10.1111/j.1532-950X.2006.00210.x
Schambourg MM, Marcoux M.To assess a laparoscopic technique for equine intestinal biopsy. Methods: Experimental study. Methods: Seven adult horses. Methods: Food but not water was withheld for 36 hours before laparoscopy. In 3 horses (group A) standing, right laparoscopic access to different small intestinal segments was compared with ventral median celiotomy access. Inaccessible segments were identified at necropsy. In 4 horses (group B), the feasibility of obtaining full-thickness duodenal and cecal biopsies and any associated morbidity were evaluated. Biopsy specimens were collected during standing right laparoscop...
Use of a synthetic bone substitute to retard molariform tooth drift after maxillary tooth loss in ponies.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 589-595 doi: 10.1111/j.1532-950X.2006.00195.x
Vlaminck LE, Huys L, Maes D, Steenhaut ML, Gasthuys F.To evaluate the effect of alveolar bone substitute on post-extraction drift of maxillary cheek teeth in ponies. Methods: In vivo longitudinal experimental study. Methods: Five ponies (5-7 years) with a healthy dentition. Methods: Both maxillary 4th premolar teeth (Triadan 08) were surgically removed. One alveolus was filled with a biocompatible non-resorbable bone substitute (Bioplant 24), whereas the other healed by second intention. A polyvinylsiloxane plug and spring wire isolated the bone substitute from the oral environment. Pathologic changes to dentition and adjacent soft tissue were re...
Presence of new mecA and mph(C) variants conferring antibiotic resistance in Staphylococcus spp. isolated from the skin of horses before and after clinic admission.
Journal of clinical microbiology    September 27, 2006   Volume 44, Issue 12 4444-4454 doi: 10.1128/JCM.00868-06
Schnellmann C, Gerber V, Rossano A, Jaquier V, Panchaud Y, Doherr MG, Thomann A, Straub R, Perreten V.Because of the frequency of multiple antibiotic resistance, Staphylococcus species often represent a challenge in incisional infections of horses undergoing colic surgery. To investigate the evolution of antibiotic resistance patterns before and after preventative peri- and postoperative penicillin treatment, staphylococci were isolated from skin and wound samples at different times during hospitalization. Most staphylococci were normal skin commensals and belonged to the common coagulase-negative group. In some cases they turned out to be opportunistic pathogens present in wound infections. M...
Standing surgical repair of propagating metacarpal and metatarsal condylar fractures in racehorses.
Equine veterinary journal    September 22, 2006   Volume 38, Issue 5 423-427 doi: 10.2746/042516406778400664
Russell TM, Maclean AA.Repair of spiral and long diaphyseal metacarpal and metatarsal fractures under anaesthesia can be problematic and associated with a high incidence of complications, including fracture propagation necessitating euthanasia. Objective: To report on a practical repair technique for which general anaesthesia is not required. Methods: Thirteen racehorses with a spiral/propagating condylar fracture had the fracture repaired using local anaesthesia and sedation, without the need for general anaesthetic. Results: Ten of the horses returned to training and 8 raced again. Two horses were retired directly...
Racing performance after arthroscopic removal of apical sesamoid fracture fragments in Thoroughbred horses age > or = 2 years: 84 cases (1989-2002).
Equine veterinary journal    September 22, 2006   Volume 38, Issue 5 446-451 doi: 10.2746/042516406778400655
Schnabel LV, Bramlage LR, Mohammed HO, Embertson RM, Ruggles AJ, Hopper SA.Studies have shown that surgical removal of apical fracture fragments in Standardbred racehorses carries the best prognosis for return to racing performance, but there are no reports involving mature Thoroughbred (TB) racehorses. Objective: To describe the incidence of apical proximal sesamoid fractures in TB racehorses and determine probability and quality of racing performance after arthroscopic removal of such fractures in TB racehorses age > or = 2 years. Methods: Medical records and pre- and post operative race records of TB racehorses age > or = 2 years that underwent arthroscopic surger...
Preoperative administration of hydroxyethyl starch or hypertonic saline to horses with colic.
Journal of veterinary internal medicine    September 8, 2006   Volume 20, Issue 4 980-986 doi: 10.1892/0891-6640(2006)20[980:paohso]2.0.co;2
Hallowell GD, Corley KT.Hypertonic saline and hydroxyethyl starches have been proposed as alternatives to isotonic crystalloids for reversal of hypovolemia in horses with colic. However, no direct comparison of these fluids has been performed in a clinical setting. Objective: Preoperative administration of hypertonic saline or pentastarch would produce similar effects on intra operative hemodynamics in horses with colic. Methods: Thirty horses requiring colic surgery were enrolled in this prospective, randomized, open-label clinical trial. Inclusion criteria were owner consent, and at least 2 of 3 clinicopathologic a...
Comparison of recoveries from anesthesia of horses placed on a rapidly inflating-deflating air pillow or the floor of a padded stall.
Journal of the American Veterinary Medical Association    September 5, 2006   Volume 229, Issue 5 711-716 doi: 10.2460/javma.229.5.711
Ray-Miller WM, Hodgson DS, McMurphy RM, Chapman PL.To compare recoveries from anesthesia of horses placed on a conventional padded stall floor or on a specially designed air pillow. Methods: Prospective study. Methods: 409 horses (> 1 year old) that were anesthetized for surgical procedures during a 37-month period. Methods: By random allocation, horses were allowed to recover from anesthesia in either a foammat-padded recovery stall or an identical recovery stall equipped with a rapidly inflating-deflating air pillow. All recoveries were videotaped for subsequent analysis by an independent evaluator. Times to first movement, first attempt ...
Clinical features and outcomes of phacoemulsification in 39 horses: a retrospective study (1993-2003).
Veterinary ophthalmology    August 31, 2006   Volume 9, Issue 5 361-368 doi: 10.1111/j.1463-5224.2006.00494.x
Fife TM, Gemensky-Metzler AJ, Wilkie DA, Colitz CM, Bras ID, Klages DC.To identify visual outcome and postoperative complications following phacoemulsification of equine cataracts. Methods: Records of 39 horses (55 eyes) with cataracts were reviewed. Methods: Eyes with cataracts removed by phacoemulsification were included in the study. Data collected included age, breed, sex, stage and etiology of cataract, unilateral vs. bilateral involvement, and ultrasound findings. Horses were grouped by etiology of the cataract. Visual outcome and complications were evaluated for each group and the overall population. Results: Immediately postoperatively 46 out of 47 eyes (...
Placement of a long term tracheal cannula in a Thoroughbred racehorse with bilateral laryngeal dysfunction.
Australian veterinary journal    August 17, 2006   Volume 84, Issue 8 293-296 doi: 10.1111/j.1751-0813.2006.00016.x
Schaaf KL, Kannegieter NJ, Lovell DK.A Thoroughbred horse with bilateral laryngeal dysfunction was treated by placement of a long term tracheal cannula in order to restore full athletic function. The horse initially presented with right-sided arytenoid dysfunction that was considered to be due to a congenital malformation of the laryngeal cartilage. This was corrected by a right-sided laryngoplasty and ventriculectomy. The horse re-presented 1 year later with idiopathic left laryngeal hemiplegia. The decision was made to place a long-term tracheal cannula due to the low success rate and high complication rate associated with othe...
Surgical treatment of extensive chondroid formation in the guttural pouch of a Warmblood horse.
Australian veterinary journal    August 17, 2006   Volume 84, Issue 8 297-300 doi: 10.1111/j.1751-0813.2006.00017.x
Schaaf KL, Kannegieter NJ, Lovell DK.A Warmblood horse presented with a purulent nasal discharge that had failed to respond to antibiotic therapy. Radiography and endoscopy confirmed a large number of chondroid masses (over 200) in the left guttural pouch. Despite the large number of chondroids present, there was no external swelling evident. The masses were surgically removed via a hyovertebrotomy approach that provided excellent exposure, and no postoperative complications were encountered. Long term follow-up (3 years) confirmed a successful outcome.
Prevention of postoperative infections in horses.
The Veterinary clinics of North America. Equine practice    August 3, 2006   Volume 22, Issue 2 323-viii doi: 10.1016/j.cveq.2006.03.002
Santschi EM.The best defense against postoperative infection is to use multiple strategies to minimize wound contamination, maintain wound tissue health, and provide rational antimicrobial strategies that do not promote the development of resistant bacteria and superinfections.
Outcome of desmoplasty and fasciotomy for desmitis involving the origin of the suspensory ligament in horses: 27 cases (1995-2004).
Journal of the American Veterinary Medical Association    August 3, 2006   Volume 229, Issue 3 407-412 doi: 10.2460/javma.229.3.407
Hewes CA, White NA.To determine outcome of percutaneous ultrasound-guided desmoplasty with simultaneous fasciotomy for proximal suspensory desmitis (ie, desmitis of the origin of the suspensory ligament) in horses that have not responded to stall rest. Methods: Retrospective case series. Methods: 27 horses. Methods: Medical records of horses with proximal suspensory desmitis treated by means of desmoplasty with fasciotomy were reviewed. Follow-up information was obtained through telephone conversations with owners and trainers of the horses or by examination of horses at the hospital. Results: 23 of the 27 (85%)...
Oral hyaluronan gel reduces post operative tarsocrural effusion in the yearling Thoroughbred.
Equine veterinary journal    July 27, 2006   Volume 38, Issue 4 375-378 doi: 10.2746/042516406777749218
Bergin BJ, Pierce SW, Bramlage LR, Stromberg A.Hyaluronan (HA) has been used to treat joint disease via intra-articular, i.v. and oral administration. The efficacy of intra-articular and i.v. use has been evaluated but the oral route has yet to be examined. Objective: To determine the effect of oral hyaluronan gel on joint effusion following arthroscopic surgery for osteochondritis dissecans (OCD) of the tarsocrural joint of yearling Thoroughbreds. Methods: Forty-eight yearlings diagnosed with unilateral or bilateral osteochondritis dessicans (OCD) of the tarsus were arbitrarily chosen prior to arthroscopic surgery. The yearlings were incl...
Risk factors for colic in horses after general anaesthesia for MRI or nonabdominal surgery: absence of evidence of effect from perianaesthetic morphine.
Equine veterinary journal    July 27, 2006   Volume 38, Issue 4 368-374 doi: 10.2746/042516406777749263
Andersen MS, Clark L, Dyson SJ, Newton JR.Post anaesthetic colic is a recognised risk of general anaesthesia (GA), but causes are poorly understood. Objective: To identify risk factors for development of colic following GA for magnetic resonance imaging (MRI) or nonabdominal surgery and to test whether the use of perianaesthetic morphine was associated with an increased risk of post anaesthetic colic. Methods: A total of 553 anaesthetic and clinical records of 500 horses anaesthetised at the Animal Health Trust were analysed, 342 (62%) involved MRI and 211 (38%) nonabdominal, predominantly orthopaedic surgery. Multivariable logistic r...
Coxofemoral luxation in a horse during recovery from general anaesthesia.
The Veterinary record    July 18, 2006   Volume 159, Issue 3 84-85 doi: 10.1136/vr.159.3.84
Portier K, Walsh CM.No abstract available
A clinical evaluation of a headless, titanium, variable-pitched, tapered, compression screw for repair of nondisplaced lateral condylar fractures in thoroughbred racehorses.
Veterinary surgery : VS    July 18, 2006   Volume 35, Issue 5 423-430 doi: 10.1111/j.1532-950X.2006.00170.x
Galuppo LD, Simpson EL, Greenman SL, Dowd JP, Ferraro GL, Meagher DM.To report clinical evaluation of headless compression screws for repair of metacarpal/metatarsal (MC/MT3) condylar fractures in horses. Methods: Retrospective case study. Methods: Racing Thoroughbreds (n=16) with nondisplaced lateral condylar fractures of MC/MT 3. Methods: Medical records (1999-2004) of horses with nondisplaced longitudinal fractures of the lateral condyle of MC/MT3 were reviewed. Pre-operative variables retrieved were: patient age, gender, limb involvement, injury occurrence, fracture length, and width, evidence of palmar comminution and degenerative joint disease, number of ...
Laparoscopic obliteration of the nephrosplenic space using polypropylene mesh in five horses.
Veterinary surgery : VS    July 18, 2006   Volume 35, Issue 5 431-437 doi: 10.1111/j.1532-950X.2006.00171.x
Epstein KL, Parente EJ.To report a laparoscopic technique for insertion of polypropylene mesh in the nephrosplenic space in horses and evaluate outcome. Methods: Descriptive experimental study. Methods: Five healthy mature horses. Methods: One laparoscope and 2 instrument portals were made on the left side of the horse. The nephrosplenic space was measured and appropriately sized polypropylene mesh was inserted and attached to the dorsolateral splenic capsule and perirenal fascia using helical titanium coils. All horses had repeat laparoscopy 4 weeks later and were necropsied at intervals 4-14 weeks after mesh place...
Effects of indwelling nasogastric intubation on gastric emptying of a liquid marker in horses.
American journal of veterinary research    July 5, 2006   Volume 67, Issue 7 1100-1104 doi: 10.2460/ajvr.67.7.1100
Cruz AM, Li R, Kenney DG, Monteith G.To determine the effects of indwelling nasogastric intubation on the gastric emptying rate of liquid in horses. Methods: 6 healthy horses. Methods: Horses were assigned to treatment and control groups in a prospective randomized crossover study with a washout period of at least 4 weeks between trials. Acetaminophen (20 mg/kg) diluted in 1 L of distilled water was administered via nasogastric tube at time points of 0, 12, 30, 48, and 72 hours to evaluate the liquid-phase gastric emptying rate. In control horses, nasogastric tubes were removed after administration of acetaminophen. In horses rec...
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