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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.
Factors affecting incisional complication rates associated with colic surgery in horses: 78 cases (1983-1985).
Journal of the American Veterinary Medical Association    September 1, 1989   Volume 195, Issue 5 639-642 
Kobluk CN, Ducharme NG, Lumsden JH, Pascoe PJ, Livesey MA, Hurtig M, Horney FD, Arighi M.From May 1, 1983 to April 1, 1985, 142 operations were performed on horses with signs of acute abdominal pain (colic), using a ventral midline incision. Seventy-eight horses lived for at least 15 days after surgery or had acute dehiscence and were included in the study. Seventy horses had surgery once, and 8 horses had surgery 2 or more times. Six-month follow-up evaluation was obtained for 66 horses that had 1 surgery and for 6 horses that had multiple surgeries. Incisional complications included drainage (including infection), acute dehiscence, hernia, and suture sinus formation. The effects...
Incisional hernias in the horse. Incidence and predisposing factors.
Veterinary surgery : VS    September 1, 1989   Volume 18, Issue 5 360-366 doi: 10.1111/j.1532-950x.1989.tb01100.x
Gibson KT, Curtis CR, Turner AS, McIlwraith CW, Aanes WA, Stashak TS.Medical records of 210 horses that survived ventral midline celiotomy for at least 4 months were examined and owners were queried to determine factors contributing to incisional hernia formation. The incidence rate of incisional hernias within 4 months was 16%. Factors significantly associated with occurrence of incisional hernias were incisional drainage, closure of the linea alba with chromic gut suture material, previous midline celiotomy, excessive incisional edema, castrated male sex, postoperative leukopenia, and postoperative pain (colic). Factors not significantly associated with occur...
Pancarpal arthrodesis for treatment of carpal collapse in the adult horse. A report of two cases.
Veterinary surgery : VS    September 1, 1989   Volume 18, Issue 5 353-359 doi: 10.1111/j.1532-950x.1989.tb01098.x
Bertone AL, Schneiter HL, Turner AS, Shoemaker RS.Two mares with multiple carpal bone fractures, malarticulation and degenerative joint disease were successfully treated with unilateral arthrodeses of the antebrachiocarpal, middle carpal, and carpometacarpal joints. Arthrodesis was achieved by removal of articular cartilage, autogenous cancellous bone graft, and double dynamic compression plating. In one horse, wedge ostectomy corrected the severe, acquired angular limb deformity. External coaptation supplemented the internal fixation. Postoperative complications were limited to cast sores that healed with treatment, although protracted in on...
Postanesthetic compartmental syndrome in a horse.
Journal of the American Veterinary Medical Association    August 15, 1989   Volume 195, Issue 4 502-504 
Norman WM, Williams R, Dodman NH, Kraus AE.After surgery, high intramuscular pressures were measured in a horse with clinical signs of postanesthetic myopathy that developed following a 2.25-hour surgical procedure. In the postoperative period, tests for muscular and neurologic integrity were made, including measurement of intracompartmental muscle pressure.
Advances in equine abdominal surgery.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 247-448 
No abstract available
Perioperative medical care for equine abdominal surgery.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 429-443 doi: 10.1016/s0749-0739(17)30598-9
Spier SJ, Meagher DM.Rational perioperative management improves the success rate of abdominal surgery. Important aspects of management are discussed, including principles of fluid therapy, nutrition, intravenous catheterization, antimicrobial prophylaxis, and the use of nonsteroidal anti-inflammatory medication. Current advances in the area of immunotherapy are mentioned.
Determination of intestinal viability.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 295-307 doi: 10.1016/s0749-0739(17)30590-4
Wolfman EF.Operations for intestinal ischemia are frequently done by veterinarians. In equine surgery those conditions commonly producing ischemia are intussusception, volvulus, bowel obstructions, and incarcerated hernias. In an attempt to predict intraoperative bowel viability after the restoration of circulation, a variety of adjuvant methods have been investigated. There is little question that of the techniques currently available, sodium fluorescein injected intravenously approaches the ideal in predicting nonviability in humans and in most animal models. Furthermore, it is safe, takes little opera...
Large colon resection.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 377-393 doi: 10.1016/s0749-0739(17)30595-3
Bertone AL.With large colon resection and anastomosis, up to 95 per cent of the length of the large colon has been successfully removed. A hand-sewn end-to-end anastomosis is effective for lesions in the left dorsal colon and pelvic flexure. Transection and a side-to-side anastomosis with stapling equipment is most effective for extensive resections (greater than 50 per cent). Horses with extensive colon resection (95 per cent) have permanent deficiencies of water absorption and digestion of cellulose and protein. Fermentative capacity is reduced, owing to decreased particulate matter retention time in t...
Prevention of large colon displacements and volvulus.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 395-405 doi: 10.1016/s0749-0739(17)30596-5
Markel MD.Results of these studies have demonstrated that colopexy of the left large colon to the abdominal wall is a relatively simple and quick procedure that is permanent 1 year after surgery. The technique does not appear to be associated with long-term weight loss or abdominal pain after surgery. It has been used in pregnant mares, both experimentally and clinically, without apparent complications. In addition, horses used for pleasure-riding and show hunting have returned to performance and have not had complications. Large colon resection is a useful technique, especially for animals with strangu...
Intestinal healing and methods of anastomosis.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 309-333 doi: 10.1016/s0749-0739(17)30591-6
Pascoe JR, Peterson PR.Optimal intestinal healing occurs when like layers of the intestinal wall are aligned. Hand-sewn, double-layer, end-to-end anastomosis that apposes the mucosa and produces slight inversion of the seromuscular layer is recommended to minimize adhesion formation and provide reasonable alignment of the intestinal layers. Stapled, everted, triangulated, end-to-end anastomosis is not recommended because of extensive adhesion formation and poor healing of the intestinal layers. The preferred stapled techniques create an inverting, side-to-side stoma between the bowel segments.
Large colon resection.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 377-393 doi: 10.1016/s0749-0739(17)30595-3
Bertone AL.With large colon resection and anastomosis, up to 95 per cent of the length of the large colon has been successfully removed. A hand-sewn end-to-end anastomosis is effective for lesions in the left dorsal colon and pelvic flexure. Transection and a side-to-side anastomosis with stapling equipment is most effective for extensive resections (greater than 50 per cent). Horses with extensive colon resection (95 per cent) have permanent deficiencies of water absorption and digestion of cellulose and protein. Fermentative capacity is reduced, owing to decreased particulate matter retention time in t...
The effect of exercise on the healing of articular cartilage defects in the equine carpus.
Veterinary surgery : VS    July 1, 1989   Volume 18, Issue 4 312-321 doi: 10.1111/j.1532-950x.1989.tb01091.x
French DA, Barber SM, Leach DH, Doige CE.Arthroscopic surgery was performed on 12 horses (2-4 years of age) to create a 7 x 14 mm full-thickness cartilage defect in one radial carpal bone and in the contralateral third carpal bone. Six horses remained confined to a small paddock and six horses underwent a program of increasing exercise consisting of walking, trotting, and cantering for 13 weeks. All lesions showed evidence of healing at week 6 that progressed to more complete healing at week 13. There was no difference in the amount of repair tissue covering the defect. Histologically, the lesions healed with a combination of fibrous...
Use of a linear stapling device to construct an inverted, triangulated, end-to-end anastomosis of the equine jejunum.
The Cornell veterinarian    July 1, 1989   Volume 79, Issue 3 217-230 
Bristol DG, Cullen J.An inverting, triangulated, stapled, end-to-end anastomosis technique was evaluated in the jejunum of four horses. None of the horses showed evidence of gastrointestinal disturbance after surgery; however, stricture and adhesion formation were pronounced in three animals examined 10 days, one month, and two months after surgery. The animal examined four months after surgery had no adhesions present at the anastomosis, and only mild narrowing of the intestinal lumen. Histologic examination of the anastomoses showed lack of a normal mucosal lining in some examined sections up to two months posts...
Silicone ocular prosthesis in horses: 11 cases (1983-1987).
Journal of the American Veterinary Medical Association    June 15, 1989   Volume 194, Issue 12 1764-1766 
Provost PJ, Ortenburger AI, Caron JP.Horses experience a number of ophthalmic diseases and injuries that may result in loss of function of the eye. In the treatment of end-stage ophthalmic disease or injury that precludes salvage of the eye, the use of an inert, silicone prosthetic implant is a cosmetic alternative to simple enucleation. Eleven horses treated either by enucleation and insertion of an intraorbital prosthesis (n = 9) or by evisceration and insertion of an intraocular prosthesis (n = 2) were evaluated for postoperative complications and for long-term cosmetic results. Of the 11 horses treated, complication rate was ...
Rectal packing as initial management of grade 3 rectal tears.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 121-123 doi: 10.1111/j.2042-3306.1989.tb05670.x
Baird AN, Taylor TS, Watkins JP.Grade 3 rectal tears were created in 14 horses. Epidural anaesthesia was maintained in all horses for 8 h post injury. In seven horses with cotton filled stockinette packing the rectum, neither gross faecal contamination nor progression of the rectal tear occurred. Seven horses without rectal packing developed faecal contamination of the rectal tear with formation of a faeces filled serosal or mesorectal diverticulum.
Ultrasonographic evaluation of the healing of ventral midline abdominal incisions in the horse.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 107-110 doi: 10.1111/j.2042-3306.1989.tb05667.x
Wilson DA, Badertscher RR, Boero MJ, Baker GJ, Foreman JH.Ultrasonography was used to evaluate the ventral midline incisions of 21 ponies following exploratory laparotomy. The incisions were evaluated before surgery and at weekly intervals from one to seven weeks after surgery. Both 5.0 and 7.5 MHz linear array and 7.5 MHz sector transducers were used for the evaluations. The incisional complications observed were drainage, oedema, suture sinus formation, suture abscess, superficial dehiscence and incisional hernia. Ultrasonographic imaging of the ventral midline incision was an easy, reliable and objective method for detecting and monitoring the pro...
Cisapride in the prophylaxis of equine post operative ileus.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 52-55 doi: 10.1111/j.2042-3306.1989.tb05656.x
Gerring EL, King JN.Cisapride and domperidone were both effective in restoring electrical and mechanical activity, coordination between gastric and small intestinal activity cycles and the stomach to anus transit time in three ponies in which post operative ileus was induced experimentally. Cisapride (0.1 mg/kg bodyweight intramuscularly) for three to eight doses prevented idiopathic post operative ileus in 22 clinical cases requiring colic surgery. The only side effects after cisapride were increased bowel sounds and slight, transient sounds of discomfort. No adverse side effects were seen in 16 cases following ...
Correlative morphometry and morphology of normal equine intestinal mucosa and comparison after adaptation to extensive large colon resection.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 46-51 doi: 10.1111/j.2042-3306.1989.tb05655.x
Bertone AL, Cockerell GL, Lee RE, Stashak TS.Light microscopy, morphometry and scanning electron microscopy (SEM) were used to examine the mucosal morphology of seven intestinal specimens (three from the small intestine and four from the large intestine) from two horses not subjected to surgery and three horses one year after sham-operation for colon resection. Qualitative and quantitative evaluation revealed similar morphology for all horses except that the unoperated horses had significantly (P < 0.05) fewer goblet cells in the crypts of the large intestine. In the small intestine, SEM demonstrated that villus shape varied and range...
The in vivo biodynamic properties of the intact equine linea alba.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 98-106 doi: 10.1111/j.2042-3306.1989.tb05666.x
Kirker-Head CA, Kerwin PJ, Steckel RR, Rubin CT.Liquid metal strain gauges (LMSG) were implanted surgically at three locations on the intact linea alba (LA) in eight horses. LA strain, strain rate, change in strain and stress were recorded during general anaesthesia, recovery from anaesthesia, standing, vocalisation, rectal palpation and at the walk, trot and canter. LA stress was quantitated using an in vitro tensiometric technique. Stress-strain responses differed significantly (P < 0.05) with location, but each described a characteristic relationship for viscoelastic tissues. Maximum peak stress, peak strain and change in strain occurred...
A retrospective survey of anaesthesia in horses with colic.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 84-90 doi: 10.1111/j.2042-3306.1989.tb05663.x
Trim CM, Adams JG, Cowgill LM, Ward SL.The purpose of this survey was to identify complications occurring in horses with colic during anaesthesia and recovery from anaesthesia; and to determine any relationships between these complications and drugs used for induction or maintenance of anaesthesia. Two hundred and thirty nine horses were anaesthetised on a total of 250 occasions for colic surgery between January 1985 and May 1987. Of these, 189 recovered from 200 anaesthetic episodes. Most horses received xylazine and guaifenesin with either thiobarbiturate (68 per cent) or ketamine (24 per cent) and anaesthesia was maintained with...
Antagonism of endotoxin-induced disruption of equine bowel motility by flunixin and phenylbutazone.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 38-42 doi: 10.1111/j.2042-3306.1989.tb05653.x
King JN, Gerring EL.Post operative ileus is a serious complication of abdominal surgery in horses and there is evidence that endotoxin plays a significant role in its pathogenesis. Pre-treatment with intravenous (i.v.) flunixin (1.1 mg/kg bodyweight [bwt]) or phenylbutazone (4.4 mg/kg bwt) significantly antagonised the acute disruption of gastric, small intestinal and large intestinal motility induced by 0.1 microgram/kg bwt i.v. endotoxin in ponies implanted with gastrointestinal strain gauges. Phenylbutazone was more effective than flunixin and this was significant (P < 0.01) for the stomach and left dorsal col...
The effect of low dose heparin therapy on complication and survival rates in horses following exploratory celiotomy.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 91-93 doi: 10.1111/j.2042-3306.1989.tb05664.x
Young DR, Richardson DW, Markel MD.A randomised, blind prospective study was performed to evaluate effects of low dose heparin therapy on complication and survival rates in 33 horses following exploratory celiotomy. Four horses had non-strangulating lesions and seven had strangulating lesions of the small intestine, 19 had non-strangulating lesions of the large intestine, and three had duodenitis-proximal jejunitis. Eighteen required an enterotomy or intestinal resection and anastomosis. Sixteen received heparin subcutaneously (66 iu/kg every 12 h) post operatively and 17 received a saline placebo for a mean of 3.7 days. There ...
[A comparison of suturing and non-suturing of scrotal wounds following castration in stallions].
Tijdschrift voor diergeneeskunde    May 1, 1989   Volume 114, Issue 9 489-492 
Homburg-van den Broek FT, Rutgers LJ.It was found that wound infections may be considerably reduced when castration is carried out under strictly aseptic conditions. In this clinical review, healing of the wound following castration with and without closure of the scrotal wounds is compared. All castrations were performed under similar aseptic conditions, general anaesthesia having been produced in the recumbent stallion. The results do not show that there is a significant difference in the appearance of wound infections in scrotal wounds which are closed and those which are left completely open. On the basis of both papers and t...
Rectal tears in the horse: an analysis of 35 cases.
Equine veterinary journal    May 1, 1989   Volume 21, Issue 3 186-188 doi: 10.1111/j.2042-3306.1989.tb02138.x
Watkins JP, Taylor TS, Schumacher J, Taylor JR, Gillis JP.The records of 35 horses with Grade 3 or 4 rectal tears, presented to the Veterinary Medical Center at Texas A & M University over a five year period, were reviewed. Grade 3 tears were sub-classified according to whether the remaining tissue was serosa (Grade 3a) or mesorectum (Grade 3b). Five horses were destroyed on presentation and 30 were treated by primary suture closure (8 horses), faecal diversion alone (9 horses) or in combination with suture closure (11 horses) and packing of the tear with medicated gauze sponges (two horses). Faecal diversion was achieved with a temporary indwell...
Synovial hernia as a possible complication of arthroscopic surgery in a horse.
Journal of the American Veterinary Medical Association    April 15, 1989   Volume 194, Issue 8 1071-1072 
Wilson DG.A 3-year-old Standardbred gelding was referred for evaluation of a fluctuant swelling that developed over the dorsum of the carpus subsequent to arthroscopic surgery on that carpus. A synovial hernia was diagnosed and surgically repaired. Although complications secondary to arthroscopy are rare, synovial herniation can develop after arthroscopic surgery. The condition must be differentiated from the more common true bursitis or false bursitis that is commonly referred to as a hygroma.
Attempts to restore abduction of the paralyzed equine arytenoid cartilage. III. Nerve anastomosis. Ducharme NG, Viel L, Partlow GD, Hulland TJ, Horney FD.The purpose of this project was to attempt restoration of abduction of a recently denervated left dorsal cricoarytenoid muscle in the horse by anastomosing the first cervical nerve to the abductor branch of the left recurrent laryngeal nerve. Ten horses were used in the study. In six horses the left recurrent laryngeal nerve was transected and ligated while the ventral branch of the left first cervical nerve was anastomosed to the abductor branch of the left recurrent laryngeal nerve. The remaining four horses also had the left recurrent laryngeal nerve transected and ligated but had no nerve ...
Attempts to restore abduction of the paralyzed equine arytenoid cartilage. II. Nerve implantation (pilot study). Ducharme NG, Horney FD, Hulland TJ, Partlow GD, Schnurr D, Zutrauen K.The purpose of this project was to attempt restoration of abduction of a recently experimentally denervated left dorsal cricoarytenoid muscle by implanting a transected nerve-end into the paralyzed muscle. In six ponies the cut end of the second cervical nerve was implanted into a slit made in the left dorsal cricoarytenoid muscle. The nerve end was secured in place with one 5-0 polypropylene suture connecting the epineurium to the epimysium. The left recurrent laryngeal nerve was transected during this procedure. All six ponies showed signs of complete left laryngeal hemiplegia immediately af...
Attempts to restore abduction of the paralyzed equine arytenoid cartilage. I. Nerve-muscle pedicle transplants. Ducharme NG, Horney FD, Partlow GD, Hulland TJ.The purpose of this project was to adapt a surgical technique from humans and dogs to horses in which a portion of an accessory muscle of respiration and its nerve supply is transplanted to a denervated dorsal cricoarytenoid muscle. Anatomical dissections in seven horses revealed two possible donor nerve-pedicle grafts: the omohyoid and the sternothyrohyoid, both innervated by a branch of the first and second cervical nerves. Histochemical evaluations in two ponies of the dorsal cricoarytenoid, omohyoid and sternothyrohyoid muscles revealed similar proportions of fiber types 1 and 2 in all thr...
Surgical removal of one conceptus from fifteen mares with twin concepti.
Veterinary surgery : VS    March 1, 1989   Volume 18, Issue 2 141-145 doi: 10.1111/j.1532-950x.1989.tb01058.x
Pascoe DR, Stover SM.A surgical technique for removal of one conceptus from mares with twin concepti more than 35 days of gestational age was evaluated. One conceptus was removed surgically from each of 15 mares carrying twin concepti that were 41 to 65 days of gestational age. As determined by ultrasonography, eight mares had bicornuate and seven mares had unicornuate twin concepti. For maintenance of pregnancy if surgical trauma should cause prostaglandin release and luteolysis, progesterone was administered prophylactically. Flunixin meglumine was administered perioperatively to minimize prostaglandin release. ...
Induction of equine postanesthetic myositis after halothane-induced hypotension.
American journal of veterinary research    March 1, 1989   Volume 50, Issue 3 404-410 
Lindsay WA, Robinson GM, Brunson DB, Majors LJ.Wick catheters were used to measure intracompartmental pressures of the extensor carpi radialis muscles and long heads of the triceps brachii muscles of 7 horses maintained under halothane anesthesia during controlled ventilation. Horses were positioned in left lateral recumbency on a water bed for 4 hours. Using a crossover design, 6 of the 7 horses were subjected to normotensive and hypotensive anesthesia on separate occasions. Hypotension was achieved by increasing the inspired halothane concentration. Hematologic and biochemical measurements were determined at designated intervals before, ...
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