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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.
Surgical treatment of sacral fracture in a horse.
Journal of the American Veterinary Medical Association    March 1, 1991   Volume 198, Issue 5 877-879 
Collatos C, Allen D, Chambers J, Henry M.An 8-year-old Arabian stallion had signs of severe tailhead pruritus and slowly progressive loss of tail tone for 3 months. Palpation per rectum and radiography of the sacrocaudal region revealed a transverse, ventrally displaced fracture of the caudal portion of the sacrum. Surgical decompression and tail amputation resulted in complete recovery of athletic and reproductive function. Evidence of cauda equina neuritis was not seen on histologic examination of nerve roots obtained at surgery.
Repair of shoulder luxation in a horse.
Journal of the American Veterinary Medical Association    February 1, 1991   Volume 198, Issue 3 455-456 
Madison JB, Young D, Richardson D.Shoulder luxation in a 3-year-old Thoroughbred filly was treated by closed reduction, using a calf jack to provide traction on the limb. Arthroscopic examination of the shoulder allowed removal of soft tissue and bony debris. After surgery, the filly was confined to a box stall for 6 months. Eight months after surgery, the filly was doing light work and was not lame. Muscular atrophy present before surgery had resolved. Use of a calf jack may allow reduction of shoulder luxation under field conditions.
Morphologic study of repair of induced osteochondral defects of the distal portion of the radial carpal bone in horses by use of glued periosteal autografts [corrected].
American journal of veterinary research    February 1, 1991   Volume 52, Issue 2 317-327 
Vachon AM, McIlwraith CW, Trotter GW, Norrdin RW, Powers BE.The use of periosteal autografts to resurface osteochondral defects was investigated in 10 horses (2 to 3 years old), and the repair tissue was characterized morphologically. Middle carpal joint arthrotomies were made, and osteochondral defects were induced bilaterally on the distal articular surface of each radial carpal bone. Each defect measured approximately 1 cm2 and extended 3 mm into the subchondral bone plate. Residual subchondral bone plate of control and principal defects was perforated by drilling. A sterile fibrin adhesive was made by mixing a fibrinogen component and a thrombin co...
Extensive resection and anastomosis of the descending (small) colon in a mare following strangulation by a mesenteric lipoma.
Australian veterinary journal    February 1, 1991   Volume 68, Issue 2 61-64 doi: 10.1111/j.1751-0813.1991.tb03135.x
Dart AJ, Snyder JR, Pascoe JR.A 17-year-old Quarter Horse, Arabian crossbred mare presented with a history of having had abdominal pain for 2 d. At surgery there was 2.6 m of descending colon strangulated within the pedicle of a mesenteric lipoma. The lipoma was resected and the descending colon appeared viable so was replaced, and the mare recovered from anaesthesia. Post-operatively, the mare failed to stabilise so was taken back to surgery. There was 2 m of infarcted descending colon which was resected and anastomosed. A drain and stainless steel stay sutures were incorporated into the ventral suture line. Post-operativ...
Use of gastrotomy to relieve esophageal obstruction in a horse.
Journal of the American Veterinary Medical Association    January 15, 1991   Volume 198, Issue 2 295-296 
Orsini JA, Dikes N, Ruggles A, Charlton C, Perry R.Esophageal obstruction of 1 week's duration in a gelding was diagnosed by contrast radiography and esophagoscopy. A food bolus was found at the junction of the caudal thoracic portion of the esophagus and the cardia. A gastrotomy was performed through a cranial abdominal incision and a phytobezoar was manually broken down and removed. The gelding was started on complete pellet food and water on the fifth day after surgery. The horse remained clinically normal more than 1 year after surgery.
The action of low dose endotoxin on equine bowel motility.
Equine veterinary journal    January 1, 1991   Volume 23, Issue 1 11-17 doi: 10.1111/j.2042-3306.1991.tb02705.x
King JN, Gerring EL.Post operative ileus (POI) is a common and serious complication of colic surgery in the horse. There is a high correlation between the incidence of POI and the presence of ischaemic bowel, suggesting a role for endotoxin. 0.1 micrograms/kg endotoxin was administered intravenously to six ponies with chronically implanted gastrointestinal electromechanical recording devices. It produced profound disruption of normal fasting bowel motility patterns, with an inhibition of gastric contraction amplitude and rate, left dorsal colon contraction product and small colon spike rate. In the small intestin...
Post-partum ovarian activity in Finnhorse mares with special reference to seasonal effects.
Acta veterinaria Scandinavica    January 1, 1991   Volume 32, Issue 3 313-318 doi: 10.1186/BF03546960
Koskinen E.In a previous study, times from parturition to the first ovulation were followed in 55 Finnhorse mares on the basis of milk progesterone determinations. Ninety-six per cent of mares had ovulated by day 20 post-partum. If intervals of more than 19 days are excluded from the data, the time from parturition to 1st ovulation was 117 days. However, in cases of foaling before and after the beginning of June the times were 13.0 days and 8.8 days, respectively (p less than 0.001). Long intervals (over 16 days) occurred mainly before 1st May (in 6 out of 7 cases). In a 2nd study, 25 post-partum Finnhor...
The use of the walking cast to repair fractures in horses and ponies.
Equine veterinary journal    January 1, 1991   Volume 23, Issue 1 32-36 doi: 10.1111/j.2042-3306.1991.tb02709.x
Németh F, Back W.The walking cast was used to repair 46 fractures of long bones (distal radius and tibia, metacarpus and metatarsus) and 10 fractures of first phalanx of 35 horses and 21 ponies. The walking cast proved to be highly effective. Even heavily comminuted and 'hopeless' fractures, which could not be treated with osteosynthesis, were treated successfully, because the weight of the animal, a common failure factor in large animal orthopaedics, was relieved from the injured leg. Immediate full weight bearing was possible post operatively. In five cases the walking cast was used in combination with osteo...
Squamous cell carcinoma of the equine external genitalia: a review and assessment of penile amputation and urethrostomy as a surgical treatment.
Equine veterinary journal    January 1, 1991   Volume 23, Issue 1 53-58 doi: 10.1111/j.2042-3306.1991.tb02715.x
Howarth S, Lucke VM, Pearson H.A retrospective analysis was performed on 48 cases of suspected neoplasia involving the equine external genitalia. Forty nine squamous cell carcinomata (SCC) and 23 squamous papillomata (SP) were identified. Two cases of epithelial hyperplasia and one case of habronemiasis were also recognised histopathologically. The glans penis was the most common site of tumour development accounting for 53 per cent of cases of SCC and 61 per cent of SP. The urethral diverticulum, urethral process or urethra was involved in 27.6 per cent (8/29) of cases of SCC. Twelve per cent (5/41) of cases of SCC were co...
Mid-metacarpal deep digital flexor tenotomy in the management of refractory laminitis in horses.
Veterinary surgery : VS    January 1, 1991   Volume 20, Issue 1 15-20 doi: 10.1111/j.1532-950x.1991.tb00300.x
Hunt RJ, Allen D, Baxter GM, Jackman BR, Parks AH.Deep digital flexor tendon transection at the mid-metacarpus was performed in 20 horses with severe acute or chronic laminitis that was not responsive to conventional treatment. Sixteen horses improved within 72 hours, one horse worsened, and two horses were unaffected by the surgery. Eleven horses survived less than 1 month after surgery and six horses survived longer than 6 months. Three horses surviving longer than 6 months have remained lame and no horse has returned to athletic performance. Transection of the deep digital flexor tendon at the mid-metacarpus may decrease the pain associate...
Elective cesarean section in mares: eight cases (1980-1989).
Journal of the American Veterinary Medical Association    December 15, 1990   Volume 197, Issue 12 1639-1645 
Watkins JP, Taylor TS, Day WC, Varner DD, Schumacher J, Baird AN, Welch RD.From 1980 to 1989, 8 cesarean sections were performed on an elective basis in 5 mares. Four mares had partially obstructed pelvic canals; 2 of these mares had previously lost foals because of dystocia. Cervical adhesions that might obstruct passage of the fetus through the pelvic canal was suspected in the fifth mare. Cesarean section was performed prior to mares entering the first stage of labor. Readiness for birth was estimated by development of the mare's mammary gland and the presence of colostrum in the udder. A ventral midline celiotomy provided excellent exposure and healed without com...
Use of halothane and isoflurane in the horse.
The Veterinary clinics of North America. Equine practice    December 1, 1990   Volume 6, Issue 3 529-541 doi: 10.1016/s0749-0739(17)30529-1
Brunson DB.When compared with halothane, isoflurane has several distinct characteristics. Vaporizer settings are higher because of its lower potency. Respiratory rates will be slower, and intraoperative changes in depth and recovery from surgical depth of anesthesia will be more rapid, although total recovery times frequently will not be different. Halothane and isoflurane appear similar in their effects on ocular reflexes and mean arterial blood pressure. Recovery from isoflurane should be managed to provide added sedation or physical support if the horse attempts to stand prematurely.
General anesthesia for horses with specific problems.
The Veterinary clinics of North America. Equine practice    December 1, 1990   Volume 6, Issue 3 625-650 doi: 10.1016/s0749-0739(17)30535-7
Hodgson DS, Dunlop CI.We have discussed anesthetic techniques, special considerations, and expected complications involved in anesthetizing horses for abdominal, orthopedic, and head and neck surgery, and myelography and have described expected physiologic dysfunction that may require changes in anesthetic technique or supportive measures. The objective is high-quality patient care and reduction in anesthesia-related morbidity and death.
Supportive therapy in the anesthetized horse.
The Veterinary clinics of North America. Equine practice    December 1, 1990   Volume 6, Issue 3 557-574 doi: 10.1016/s0749-0739(17)30531-x
Daunt DA.In conclusion, vigilant supportive care is necessary to prevent morbidity and death in the anesthetized horse. Because some of the equipment and drugs are specialized and the consequences of some postanesthetic complications are severe, availability of those items must be confirmed prior to anesthesia. Proper positioning and padding will help to reduce the incidence of postanesthetic myopathy-neuropathy syndrome in these large patients. Adequate tissue perfusion is important and can be achieved by controlling anesthetic depth, increasing intravascular volume with fluid administration, and by a...
Bilateral arytenoid cartilage paralysis after inhalation anesthesia in a horse.
Journal of the American Veterinary Medical Association    November 15, 1990   Volume 197, Issue 10 1363-1365 
Abrahamsen EJ, Bohanon TC, Bednarski RM, Hubbell JA, Muir WW.An 8-year-old Quarter Horse gelding was anesthetized for surgical exploration and debridement of a chronic draining wound in the intermandibular space. Anesthesia was without complication other than persistently low PaO2. Severe airway obstruction was evident immediately after extubation, requiring tracheostomy. Endoscopic diagnosis was bilateral arytenoid paralysis, which gradually resolved over the next 7 days. Compression, trauma, or tension of the recurrent laryngeal nerves are the postulated causes of idiopathic laryngeal hemiplegia in horses. The extremely extended position of the head a...
Cecocolic intussusception in horses: 11 cases (1979-1989).
Journal of the American Veterinary Medical Association    November 15, 1990   Volume 197, Issue 10 1373-1375 
Gaughan EM, Hackett RP.Over a 10-year period, cecocolic intussusception was diagnosed in 11 of 842 horses undergoing surgical treatment for colic at the New York State College of Veterinary Medicine. Eight horses died or were euthanatized because of poor prognosis determined at surgery or because of postoperative complications. Three horses recovered without complication after manual reduction of the intussusception and partial typhlectomy, using an intestinal stapling device.
Laryngeal hemiplegia in draft horses. A review of 27 cases.
Veterinary surgery : VS    November 1, 1990   Volume 19, Issue 6 456-459 doi: 10.1111/j.1532-950x.1990.tb01233.x
Bohanon TC, Beard WL, Robertson JT.Case records of 27 draft horses with laryngeal hemiplegia were reviewed. Twenty-one horses were treated by ventriculectomy with or without prosthetic laryngoplasty, and 17 owners were contacted to determine the results. Fifteen horses improved after surgery and were able to perform to the owners' expectations. Performance improved significantly and hospitalization was shorter after ventriculectomy alone. Results of this study indicate that the clinical signs of exercise intolerance and excessive inspiratory noise associated with left laryngeal hemiplegia in draft horses can be treated successf...
Effects of five hours of constant 1.2 MAC halothane in sternally recumbent, spontaneously breathing horses.
Equine veterinary journal    November 1, 1990   Volume 22, Issue 6 433-436 doi: 10.1111/j.2042-3306.1990.tb04311.x
Steffey EP, Woliner MJ, Dunlop C.Circulatory and respiratory effects of five h of constant 1.06 per cent alveolar halothane in oxygen were identified in eight healthy horses, which breathed spontaneously, were otherwise unmedicated and positioned in sternal recumbency. Only a few important significant (P less than 0.05) changes occurred with time. Total peripheral resistance was about 15 per cent lower after two hours of constant dose halothane than after 30 mins of constant dose (P less than 0.05) and accounted for the significant 10 per cent reduction in mean carotid arterial blood pressure. By 5 h, the reduction in resista...
Displacement of the large colon associated with nonsurgical correction of large-colon entrapment in the renosplenic space in a mare.
Journal of the American Veterinary Medical Association    November 1, 1990   Volume 197, Issue 9 1190-1192 
Sivula NJ, Trent AM, Kobluk CN.Nonsurgical correction of a renosplenic entrapment of the large colon was attempted in a mare, using a rolling technique. After correction, the mare had initial improvement in clinical signs, but later developed signs of abdominal discomfort. A ventral midline celiotomy was performed, and a pelvic flexure impaction and large intestinal volvulus were found and corrected.
Treatment of equine leg wounds using skin grafts: Thirty-five cases, 1975-1988.
The Canadian veterinary journal = La revue veterinaire canadienne    November 1, 1990   Volume 31, Issue 11 761-765 
French DA, Fretz PB.A retrospective study was conducted on 35 equine patients with lower leg wounds that were managed utilizing skin graft procedures. Two pinch graft, five punch graft, seven tunnel graft, eight split-thickness mesh graft and thirteen full-thickness mesh expansion graft procedures were performed in the initial treatment. The average wound size was 188 cm(2). Twentyfour cases had pregrafting complications: 10 wounds developed sequestra; three wounds were grossly contaminated and infected; and 11 cases developed granulation tissue complications prior to grafting. Graft failure following the initial...
Prophylactic use of dantrolene associated with prolonged postanesthetic recumbency in a horse.
Journal of the American Veterinary Medical Association    October 15, 1990   Volume 197, Issue 8 1051-1053 
Valverde A, Boyd CJ, Dyson DH, Pascoe PJ.Dantrolene, a drug used in the prevention and treatment of malignant hyperthermia, was believed responsible for prolonged postanesthetic recumbency in a horse. Prophylactically, dantrolene was given orally before induction of anesthesia. Dantrolene has been recommended for use in horses at risk of developing postanesthetic myopathy. Side effects, including ataxia, may result from dantrolene administration.
Surgical stapling for repair of a rectal tear in a horse.
Journal of the American Veterinary Medical Association    September 15, 1990   Volume 197, Issue 6 746-748 
Stewart RH, Robertson JT.A grade-4 rectal tear in a mare was successfully repaired per rectum, using a surgical stapling device. The mare had only minor postoperative complications. This technique has some advantages over previously described procedures, but should be reserved for use in selected cases.
Equine post-anesthetic lameness. A retrospective study.
Veterinary surgery : VS    September 1, 1990   Volume 19, Issue 5 392-397 doi: 10.1111/j.1532-950x.1990.tb01216.x
Richey MT, Holland MS, McGrath CJ, Dodman NH, Marshall DB, Court MH, Norman WM, Seeler DC.The incidence of post-anesthetic lameness in 655 horses undergoing 733 anesthetic episodes over a 3 year period was 6.4%. Nineteen factors previously reported or proposed to play a role in the development of post-anesthetic lameness were evaluated statistically. Only hypotension and the duration of the anesthetic period were significant factors.
Alteration in intestinal morphologic features associated with extensive large-colon resection in horses.
American journal of veterinary research    September 1, 1990   Volume 51, Issue 9 1471-1475 
Bertone AL, Cockerell GL, Lee RE, Stashak TS.Light microscopy, morphometry, and scanning electron microscopy were used to examine the mucosal morphologic features of 7 intestinal specimens (3 from the small intestine; 4 from the large intestine) from each of 8 horses 1 year after sham operation (group 1; n = 3) or extensive large-colon resection (group 2; n = 5). Qualitative light microscopic examination did not reveal differences between groups, but morphometry revealed significantly (P less than 0.05) greater intercrypt area and distance in horses with colon resection and this was most pronounced in the cecum and remaining right ventra...
Metabolic and hormonal changes associated with arthroscopic surgery in the horse.
Equine veterinary journal    September 1, 1990   Volume 22, Issue 5 313-316 doi: 10.1111/j.2042-3306.1990.tb04279.x
Robertson SA, Steele CJ, Chen CL.The effect of general anaesthesia and arthroscopic surgery on blood glucose and lactate, plasma non-esterified fatty acids, insulin, beta-endorphin and cortisol was investigated in seven horses. Animals were premedicated with xylazine and anaesthesia was induced with guaifenesin and sodium thiamylal and maintained with halothane vaporised in oxygen. Blood samples were collected in the pre-, intra- and post operative period. Induction of anaesthesia was associated with a transient hyperglycaemia and a significant rise in plasma insulin levels. Plasma insulin values fell during surgery but showe...
Arytenoidectomy for advanced unilateral chondropathy with accompanying lesions.
Veterinary surgery : VS    September 1, 1990   Volume 19, Issue 5 364-370 doi: 10.1111/j.1532-950x.1990.tb01209.x
Dean PW, Cohen ND.A noncurrent prospective study of nonworking horses with arytenoid chondropathy was conducted to confirm a clinical impression that horses with unilateral chondropathy and accompanying lesions had a poorer prognosis after arytenoidectomy than horses with bilateral or uncomplicated unilateral chondropathy. Surgical failure was defined as death, euthanasia, permanent tracheostomy, or reoperation. Survival to surgical failure and clinical improvement data were compared between horses with and without accompanying lesions treated by arytenoidectomy. The probability of surgical failure was signific...
Preliminary study of laryngeal sacculectomy in horses, using a neodymium:yttrium aluminum garnet laser technique.
American journal of veterinary research    August 1, 1990   Volume 51, Issue 8 1247-1249 
Shires GM, Adair HS, Patton CS.In an attempt to ablate the laryngeal saccule as an alternative method of sacculectomy (conventially done through a laryngotomy incision for laryngeal hemiplegia) a neodymium:yttrium aluminum garnet laser was used transendoscopically in noncontact fashion in 6 horses. The procedure was easy, quick, and labor-saving, with few complications. Endoscopically, the lased sacculectomy site appeared healed at postsurgical day 42. On postsurgical day 42, microscopic examination revealed mucosal remnants under the granulation bed. Laser energy caused thermal damage to tissues adjacent to the lased saccu...
Surgical correction of a traumatic esophageal diverticulum in a horse.
The Cornell veterinarian    July 1, 1990   Volume 80, Issue 3 279-284 
Harrison IW, Cartee RE.A nine-year-old gelding was presented to the Auburn University Large Animal Clinic with discharge of saliva and food material from both nostrils. A diagnosis of esophageal diverticulum was made; treatment is described.
Blood viscosity in horses with colic.
Journal of veterinary internal medicine    July 1, 1990   Volume 4, Issue 4 183-186 doi: 10.1111/j.1939-1676.1990.tb00895.x
Andrews FM, Hamlin RL, Stalnaker PS.Whole blood viscosity (WBV) was measured on six healthy horses and ten horses presented for colic surgery. A Wells-Brookfield cone-and-plate microviscometer at 6 rpm was used to determine WBV and WBV was adjusted for packed cell volume (PCV). The ten colic horses were divided into two groups: five horses that died or were euthanatized (group 1) and five horses that were discharged after surgery and medical therapy (group 2). The mean WBV for each group was compared using analysis of variance followed by Duncan multiple-range tests. Mean WBV of group 2 (5.81 +/- 1.48 centipoise [cp]) and normal...
Surgical repair of ruptured trachea in a horse.
Journal of the American Veterinary Medical Association    May 15, 1990   Volume 196, Issue 10 1635-1638 
Kirker-Head CA, Jakob TP.An Arabian mare was referred with traumatically induced complete transection of the trachea. A temporary airway was established through the open wound at the site of the rupture. Resection of devitalized tissue including 3 tracheal ring segments, and anastomosis of the tracheal ends was subsequently performed under general anesthesia. Wound healing was complicated by a peritracheal abscess, which responded successfully to drainage and antibiotic administration.
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