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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.
Management of hemodynamic changes associated with removal of a large abdominal myofibroblastic tumor in a pony.
Journal of the American Veterinary Medical Association    November 2, 2004   Volume 225, Issue 7 1079-1049 doi: 10.2460/javma.2004.225.1079
Boyle AG, Higgins JC, Durando MM, Galuppo LD, Werner JA, Decock HE.A 22-year-old female Welsh-cross pony was evaluated because of intermittent colic, signs of depression, pyrexia, anorexia, muscle wasting with abdominal distention, and weight gain over the preceding 12 months. A large abdominal mass was detected and surgically removed; the hemodynamic alterations and complications caused by the dramatic fluid losses and shifts that can occur in association with removal of a large abdominal mass required extensive postoperative management. Monitoring of clinical and hematologic variables such as attitude, heart rate, mucous membrane color, mean arterial blood ...
Retrospective study of the risk factors and prevalence of colic in horses after orthopaedic surgery.
The Veterinary record    October 9, 2004   Volume 155, Issue 11 321-325 doi: 10.1136/vr.155.11.321
Senior JM, Pinchbeck GL, Dugdale AH, Clegg PD.The records of 496 orthopaedic operations on 428 horses were reviewed to estimate the prevalence of, and identify the risk factors for, the development of colic in horses after surgery. Colic was defined as any recognised sign of abdominal pain that could not be attributed to a concurrent disease. Fourteen of the horses developed colic; eight of them were undiagnosed, three were classified as impactions, one as tympanic colic of the colon, one as incarceration of the small intestine in the epiploic foramen, and one as left dorsal displacement of the colon in the nephrosplenic space. Morphine w...
Vibrio metschnikovii, a rare cause of wound infection.
Journal of clinical microbiology    October 9, 2004   Volume 42, Issue 10 4909-4911 doi: 10.1128/JCM.42.10.4909-4911.2004
Linde HJ, Kobuch R, Jayasinghe S, Reischl U, Lehn N, Kaulfuss S, Beutin L.We report the first case of a postoperative wound infection caused by Vibrio metschnikovii on the lower right leg of a patient after saphenectomy. Compared to the healing of an uninfected site, that of the right leg was delayed, and a cure was achieved by intensified wound care. Several swabs taken from the infected site grew a gram-negative rod in pure culture that was identified as V. metschnikovii by the VITEK 2 system. The source of the infection was not detected; however, the absence of putative risk factors (exposure to water or shellfish or an episode of diarrhea), the profession of the...
Tenoscopic surgery for treatment of lacerations of the digital flexor tendon sheath.
Equine veterinary journal    October 6, 2004   Volume 36, Issue 6 528-531 doi: 10.2746/0425164044877396
Fraser BS, Bladon BM.Lacerations to the digital flexor tendon sheath (DFTS) are a common injury in the horse, but little information is available in the literature regarding prognostic indicators. Objective: To ascertain whether laceration of the DFTS carried a better prognosis if treated by tenoscopic lavage, debridement and repair within 36 h of the original injury. Methods: A retrospective analysis of 39 horses treated surgically for lacerations to the DFTS was performed over a 3 year period. The injury-to-surgery interval was recorded as <36 or >36 h. The structures damaged by the injury were also recorded, as...
Hand-assisted laparoscopic ovariohysterectomy in the mare.
Veterinary surgery : VS    September 15, 2004   Volume 33, Issue 5 487-494 doi: 10.1111/j.1532-950x.2004.04063.x
Delling U, Howard RD, Pleasant RS, Lanz OI.To develop a minimally invasive, hand-assisted laparoscopic ovariohysterectomy (HALS-OHE) technique in the mare and to evaluate safety and any associated complications. Methods: Experimental study. Methods: Eight, 11-24-year-old mares with anatomically normal urogenital tracts. Methods: The surgical technique was developed in 2 non-survival mares and subsequently evaluated in 6 survival procedures. Food was withheld for 48 hours, then mares were anesthetized and positioned in dorsal recumbency for laparoscopic surgery. A hand access device (Omniport) was placed followed by 4 laparoscopic porta...
Effects of continuous rate intravenous infusion of butorphanol on physiologic and outcome variables in horses after celiotomy.
Journal of veterinary internal medicine    August 24, 2004   Volume 18, Issue 4 555-563 doi: 10.1892/0891-6640(2004)182.0.co;2
Sellon DC, Roberts MC, Blikslager AT, Ulibarri C, Papich MG.A randomized, controlled, blinded clinical trial was performed to determine whether butorphanol administered by continuous rate infusion (CRI) for 24 hours after abdominal surgery would decrease pain and surgical stress responses and improve recovery in horses. Thirty-one horses undergoing exploratory celiotomy for abdominal pain were randomly assigned to receive butorphanol CRI (13 microg/kg/h for 24 hours after surgery; treatment) or isotonic saline (control). All horses received flunixin meglumine (1.1 mg/kg IV q12h). There were no significant differences between treatment and control horse...
The use of porcine small intestinal submucosa for the repair of full-thickness corneal defects in dogs, cats and horses.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 352-359 doi: 10.1111/j.1463-5224.2004.04055.x
Bussieres M, Krohne SG, Stiles J, Townsend WM.To evaluate the efficacy of using a porcine small intestinal submucosa (SIS) graft covered by a conjunctival flap for the surgical repair of full-thickness corneal wounds in dogs, cats and horses. Methods: All records dating from August 1999 to February 2003 from Purdue University Veterinary Teaching Hospital of patients that had undergone ophthalmic surgical procedures and received a SIS corneal graft for a full-thickness lesion were reviewed. Fifteen cases were identified including six dogs, two cats and seven horses. Requirements for inclusion in this study were that SIS was used as a corne...
Use of topical mitomycin C in myoplasty of the medial rectus muscle of rabbits.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 335-342 doi: 10.1111/j.1463-5224.2004.04026.x
Mamede FV, Laus JL, Cabral VP, Vicenti FA, Barbieri-Neto J.To possibly reduce postoperative adhesions that occur after ocular myoplasties, we investigated the topical effects of 0.04% mitomycin C on the repaired areas of the medial rectus muscle using an equine renal capsule preserved in 98% glycerin for reinforcement of the sutures. Twenty-four rabbits, divided into two groups of 12 animals each [untreated (control) and treated group (MMC)], were submitted to surgical rupture of the medial rectus muscle of one eye and repair of the defect 24 h later with sutures and an equine renal capsule. Post-operative prophylactic treatment of the two groups cons...
The use of semiconductor diode laser for deflation and coagulation of anterior uveal cysts in dogs, cats and horses: a report of 20 cases.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 360-368 doi: 10.1111/j.1463-5224.2004.04004.x
Gemensky-Metzler AJ, Wilkie DA, Cook CS.To describe semiconductor diode laser use for anterior uveal cyst deflation and coagulation in dogs, horses and cats. Methods: The presenting clinical signs, surgical technique and postoperative results for four dogs, nine horses and seven cats with anterior uveal cysts treated with diode laser are described. Treated cysts were of sufficient size and/or number to potentially impair vision, damage the corneal endothelium, or increase intraocular pressure (IOP). One dog with free-floating cysts exhibited 'fly biting' behavior. Cysts were suspected of causing shying on the affected side and/or he...
Arthroscopic reattachment of osteochondritis dissecans lesions using resorbable polydioxanone pins.
Equine veterinary journal    July 16, 2004   Volume 36, Issue 5 376-383 doi: 10.2746/0425164044868477
Nixon AJ, Fortier LA, Goodrich LR, Ducharme NG.Debridement of osteochondritis dissecans (OCD) cartilage lesions results in fibrocartilage and imperfect hyaline repair tissue, and forms a permanent irregularity to the subchondral bone plate. Objective: To evaluate the clinical, radiographic and outcome effects of OCD cartilage flap reattachment for select lesions as an alternative to OCD debridement. Objective: Separated cartilage flaps resulting from OCD lesions may be re-incorporated into the hyaline cartilage surface by reattachment rather than debridement and removal. Methods: Resorbable polydioxanone pins were used to reattach OCD flap...
Nutritional and clinicopathological effects of post operative parenteral nutrition following small intestinal resection and anastomosis in the mature horse.
Equine veterinary journal    July 16, 2004   Volume 36, Issue 5 390-396 doi: 10.2746/0425164044868369
Durham AE, Phillips TJ, Walmsley JP, Newton JR.There is an absence of data describing the nutritional requirements and nutritional status of horses following surgery for colic; furthermore, the potential effect of parenteral nutrition (PN) on improving nutritional status in such cases is unknown. Objective: Post operative colic cases suffer from a potentially detrimental negative energy balance and the PN formulation developed in this study would lead to clinicopathologically detectable improvements in the subjects' nutritional status. Methods: Several clinicopathological variables, some known to be associated with nutritional status, were...
Performance after partial arytenoidectomy without mucosal closure in 27 Thoroughbred racehorses.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 398-403 doi: 10.1111/j.1532-950X.2004.04058.x
Barnes AJ, Slone DE, Lynch TM.To examine the effect of partial arytenoidectomy without mucosal closure on postoperative racing performance and long-term complications in Thoroughbred racehorses treated for laryngeal hemiplegia, arytenoid chondropathy, or failed laryngoplasty. Methods: Retrospective study. Methods: Twenty-seven Thoroughbred racehorses. Methods: Medical records of Thoroughbred racehorses that had partial arytenoidectomy without mucosal closure between 1992 and 2002 were reviewed. Horses were divided into groups: horses that had not raced (Group 1) and those that had raced (Group 2) before surgery. Lifetime r...
Parainguinal laparocystotomy for urolith removal in geldings.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 386-390 doi: 10.1111/j.1532-950x.2004.04056.x
Beard W.To describe parainguinal laparocystotomy for urolith removal and to report outcome. Methods: Prospective clinical study. Methods: Ten geldings with uroliths. Methods: Signalment, number, size, type of uroliths, surgical technique, and complications were recorded. Long-term follow-up was obtained by telephone interviews with the client and/or examination by the referring veterinarian. Results: Cystic calculi, 3-9 cm in diameter, were removed by parainguinal laparocystotomy. Mean surgical time was 59 minutes (range, 40-100 minutes). With this approach, ligation of the pudendal or superficial epi...
Factors associated with mortality and morbidity in small intestinal volvulus in horses.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 340-348 doi: 10.1111/j.1532-950X.2004.04049.x
Stephen JO, Corley KT, Johnston JK, Pfeiffer D.To determine historical, physical, and clinical factors that may affect morbidity and mortality in horses with small intestinal volvulus unrelated to other causes (e.g., incarceration, lipoma, etc.). Methods: Retrospective study. Methods: Client-owned horses (115), aged 1 month to 21 years. Methods: Data were obtained from medical records, identified by computer search and manual review. Continuous variables were compared between affected and non-affected horses with Mann-Whitney U-tests and non-continuous variables with Fisher's exact test (2 x 2 tables) or chi(2)-tests (larger tables). Stepw...
Small intestinal volvulus in 115 horses: 1988-2000.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 333-339 doi: 10.1111/j.1532-950X.2004.04048.x
Stephen JO, Corley KT, Johnston JK, Pfeiffer D.To evaluate the historical data, signalment, clinical signs, results of laboratory analyses, treatment, and outcome of horses with small intestinal (SI) volvulus. Methods: Retrospective study. Methods: One hundred and fifteen client-owned horses, aged 1 month to 21 years. Methods: Clinical signs, laboratory data, surgical or necropsy findings, and outcome for horses with SI volvulus were obtained from medical records, identified by computer search and manual review. Results: There was no statistical difference in signalment between cases and the hospital population. Seventy-four percent of hor...
Arthroscopic removal of axial osteochondral fragments of the proximoplantar aspect of the proximal phalanx using electrocautery probes in 23 standardbred racehorses.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 422-427 doi: 10.1111/j.1532-950X.2004.04061.x
Simon O, Laverty S, Bouré L, Marcoux M, O Szöke M.To describe the outcome after arthroscopic electrosurgical excision of axial osteochondral (OC) fragments of the proximal plantar aspect of the 1st phalanx (P1) in horses. Methods: Retrospective study. Methods: Twenty-three Standardbred racehorses. Methods: Medical records of Standardbred racehorses that had arthroscopic dissection of axial OC fragments of the proximal plantar aspect of P1 with electrocautery probes were reviewed. Horses were positioned in dorsal recumbency; a 1.5% glycine solution was used to maintain joint distension. The arthroscope portal was in the proximal plantar joint ...
Arthroscopic debridement of subchondral bone cysts in the distal phalanx of 11 horses (1994-2000).
Equine veterinary journal    May 28, 2004   Volume 36, Issue 4 356-360 doi: 10.2746/0425164044890643
Story MR, Bramlage LR.Historically, there has been a consensus that conservative management of subchondral cystic lesions of the distal phalanx carries a poor prognosis. Surgical management has been advocated; however, there are no reports documenting its routine use and successful surgical treatment. Objective: To describe arthroscopically-guided curettage of distal phalangeal subchondral cystic lesions (SCLs) and report the qualitative and quantitative results in 11 affected horses age 16-33 months. Methods: Medical records of horses with previously treated lameness resulting from SCLs of the third phalanx were r...
Routine castration in 568 draught colts: incidence of evisceration and omental herniation.
Equine veterinary journal    May 28, 2004   Volume 36, Issue 4 336-340 doi: 10.2746/0425164044890625
Shoemaker R, Bailey J, Janzen E, Wilson DG.Castration is one of the most common routine surgical procedures performed in the horse, from which a number of potential complications can arise. We undertook a prospective evaluation of short-term complications associated with castration of draught colts over a 3-year period (1998-2000). Objective: To compare castration complications in a large number of draught foals with previously published literature. Methods: Five hundred and sixty-eight draught colts, age 4 or 5 months, were castrated in field conditions. Foals were observed for complications for 24 h post operatively. Results: There w...
Use of free conjunctival grafts in horses: ten cases.
Australian veterinary journal    May 20, 2004   Volume 82, Issue 4 206-210 doi: 10.1111/j.1751-0813.2004.tb12675.x
Alexander GR, Chester Z.To assess the effectiveness of free conjunctival grafts in the treatment of horses with a range of keratopathies. Methods: A retrospective clinical study of ten client-owned horses treated at Murdoch University Veterinary Hospital from May 1996 to September 2001. Methods: The suitability of patients for the surgical procedure was assessed using a slit lamp biomicroscope and by direct and indirect ophthalmoscopy. Surgery was performed with the aid of an operating microscope, under general anaesthesia. A subpalpebral ocular lavage catheter was used for administration of topical atropine and anti...
Hoof wall wound repair.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 210-215 doi: 10.2746/0425164044877189
Pollitt CC, Daradka M.Surgical stripping of the hoof wall results in a wound that heals remarkabley well. In contrast, lamellae recovering from laminitis are often deformed. Investigating lamellar wound healing may aid understanding of laminitis. Objective: To document temporal changes in the lamellar basement membrane (BM), dermis and epidermis after surgery. Methods: Wall strips were made in the dorsal hoof wall midline of 6 mature horses. Immunohistochemistry was used to document changes in the basement membrane (BM) and detect proliferation of epidermal cells in lamellar tissues harvested at intervals. A confor...
Effect of carboxymethylcellulose and hyaluronate solutions on jejunal healing in horses.
American journal of veterinary research    May 15, 2004   Volume 65, Issue 5 637-643 doi: 10.2460/ajvr.2004.65.637
Eggleston RB, Mueller PO, Parviainen AK, Groover ES.To compare a double-layer inverting anastomosis with a single-layer appositional anastomosis, coated with either 1% sodium carboxymethylcellulose (SCMC) or 0.4% sodium hyaluronate (HA) solutions, in the small intestine of horses with respect to anastomotic healing and adhesion formation. Methods: 18 adult horses. Methods: Midline celiotomy and end-to-end jejunal anastomoses were performed. In control group horses (n = 6), a double-layer inverting anastomosis coated with sterile lactated Ringer's solution was performed. In treatment group horses, a single-layer appositional anastomosis was perf...
Evaluation of a technique for collection of cancellous bone graft from the proximal humerus in horses.
Veterinary surgery : VS    April 24, 2004   Volume 33, Issue 3 293-300 doi: 10.1111/j.1532-950x.2004.04043.x
Harriss FK, Galuppo LD, Decock HE, McD○ LA, Macdonald MH.To describe a technique for collecting cancellous bone graft from the proximal humerus in horses. Methods: Prospective evaluation of an experimental bone graft collection technique. Methods: Eight horses, 3-15 years, weighing 495-605 kg. Methods: Horses were anesthetized and positioned in lateral recumbency. The lateral aspect of the proximal humerus was exposed by a 7-10-cm incision extending distally from the greater humeral tubercle, followed by sharp dissection through the omotransversarius muscle and between the infraspinatus and deltoideus muscles. A 12-mm cortical defect was incremental...
Survey of prokinetic use in horses with gastrointestinal injury.
Veterinary surgery : VS    April 24, 2004   Volume 33, Issue 3 279-285 doi: 10.1111/j.1532-950X.2004.04041.x
Van Hoogmoed LM, Nieto JE, Snyder JR, Harmon FA.To report prokinetic strategies used to manage horses after gastrointestinal surgery. Methods: Electronic questionnaire. Methods: Diplomates of the American College of Veterinary Surgeons (ACVS) who perform equine intestinal surgery. Methods: A survey (21 questions) designed to determine use of prokinetic agents was sent electronically to 112 ACVS Diplomates known to perform equine intestinal surgery. Several clinical scenarios were also described to determine which, if any, prokinetic agent respondents would select. Results: Responses were obtained from 58 (52%) surgeons from 44 clinics. Sele...
An approach to ileoileal anastomosis in a Thoroughbred filly.
Australian veterinary journal    April 16, 2004   Volume 81, Issue 5 273-274 doi: 10.1111/j.1751-0813.2003.tb12571.x
Rayner SG.No abstract available
Results of surgical treatment of colic in miniature breed horses: 11 cases.
Australian veterinary journal    April 16, 2004   Volume 81, Issue 5 260-264 doi: 10.1111/j.1751-0813.2003.tb12566.x
Hughes KJ, Dowling BA, Matthews SA, Dart AJ.To report on the outcome of surgical treatment of acute abdominal crises in miniature breed horses. Methods: Retrospective case series of miniature horses presented to the University Veterinary Centre, Camden with an acute abdominal crisis. Methods: Hospital records of all miniature horses that underwent ventral midline laparotomy for acute abdominal crisis between 1997 and 2001 were reviewed. The signalment, history, clinical signs, results of ancillary diagnostic procedures, location and type of intestinal lesion, treatment and outcome were retrieved from each case record. Long-term survival...
Palmar digital neurectomy in 24 horses using the guillotine technique.
Australian veterinary journal    April 16, 2004   Volume 81, Issue 7 402-405 doi: 10.1111/j.1751-0813.2003.tb11545.x
Matthews S, Dart AJ, Dowling BA.To determine the effectiveness and incidence of complications of palmar digital neurectomy using the guillotine technique in horses presented for lameness originating from sites innervated by these nerves. Methods: Retrospective study of 24 clinical cases. Methods: Twenty-four horses undergoing a palmar digital nerve neurectomy between June 1997 and June 2001. Methods: The records of all horses undergoing a uniaxial or biaxial, unilateral or bilateral neurectomy during the defined time period were retrieved. Information retrieved from the record included breed, age, gender, discipline for whic...
Postoperative management of the large colon volvulus patient.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 167-197 doi: 10.1016/j.cveq.2003.12.004
Southwood LL.Horses with large colon volvulus (LCV) often require intensive postoperative medical management. Although early referral and surgical intervention are critical for minimal postoperative complications and a successful outcome, this is often not possible for many reasons. Endotoxemia, extensive mucosal damage with subsequent severe hypoproteinemia, and focal ischemic necrosis are the major causes of postoperative morbidity and mortality. Although fluid therapy, flunixin meglumine, and antimicrobials are still the mainstay of perioperative management, synthetic colloids are being used to maintain...
Anesthesia of the critically ill equine patient.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 127-149 doi: 10.1016/j.cveq.2003.12.008
Cornick-Seahorn J.There is a plethora of information regarding anesthetic management of horses; however, controlled studies of the critically ill equine patient are few. These patients should be managed like any equine anesthetic candidate but much more stringently:I. Preoperative evaluation and appropriate therapy may represent the difference between life and death during the intraoperative and recovery periods. 2. The anesthetic induction and maintenance protocol should be based on the individual situation of the veterinary facility and personnel("comfort zone"). 3. Appropriate monitoring and intraoperative s...
Assessment of the efficacy of composite surgery for the treatment of dorsal displacement of the soft palate in a group of 53 racing Thoroughbreds (1990-1996).
Equine veterinary journal    March 25, 2004   Volume 36, Issue 2 175-179 doi: 10.2746/0425164044868701
Barakzai SZ, Johnson VS, Baird DH, Bladon B, Lane JG.There has been no objectively assessed case-control study of the efficacy of surgery to correct dorsal displacement of the soft palate (DDSP) previously reported. Objective: Composite surgery has a beneficial result on racing performance in horses affected with DDSP as compared to a matched control population. Methods: Race records were obtained for 53 racing Thoroughbreds which underwent composite staphylectomy, sternothyrohyoideus myectomy and ventriculectomy for correction of idiopathic DDSP at the University of Bristol between 1990 and 1996. Each surgical case was matched for age, sex and ...
Retrospective analysis of 50 cases of guttural pouch tympany in foals.
The Veterinary record    March 20, 2004   Volume 154, Issue 9 261-264 doi: 10.1136/vr.154.9.261
Blazyczek I, Hamann H, Deegen E, Distl O, Ohnesorge B.Between 1994 and 2001, guttural pouch tympany was diagnosed in 51 foals; there were approximately three times as many fillies as colts, of Arabian, different German warmblood breeds and Western horse breeds. There were significantly more Arabian and paint horse foals than expected in comparison with the breed distribution of the foals hospitalised at the Clinic for Horses. The foals' breed and sex did not influence the age of onset, the type and severity of the clinical signs or the recurrence rate. A surgical laser technique was used on 50 of the foals; in 35 cases only one surgical treatment...
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