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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.
Isoflurane anesthesia for equine colic surgery. Comparison with halothane anesthesia. Isoflurane was compared with halothane as an anesthetic agent for emergency colic surgery in a series of 38 juvenile and adult horses. After presurgical stabilization with fluids and supportive medications, anesthesia was induced by intravenous xylazine and/or diazepam followed by ketamine. Anesthesia was maintained with isoflurane or halothane in oxygen with controlled ventilation. Heart rates (HR), arterial blood gases, mean arterial pressures (MAP), rate pressure products (RPP), requirements for cardiovascular support medications, and recovery times to standing were compared using nonparame...
Treatment of radial fractures in adult horses: an analysis of 15 clinical cases. Fifteen cases of radial fractures in adult horses weighing more than 300 kg are discussed. Four of the horses were destroyed on humane grounds immediately because of a poor prognosis and expense of internal fixation; and two horses at five days and five weeks, respectively after treatment by cast application was initiated. Internal fixation was used in nine horses but of these only two horses recovered completely and resumed their former activities. In eight cases, two plates were applied, one lateral or medial and the other cranial. The internal fixation techniques of all nine horses were scr...
The use of staplers in equine intestinal surgery. Automatic suturing instruments were tested in two ponies and two horses. The TA stapler was used for bowel closure (enterotomies and gut transection) and for end-to-end 'triangulation' anastomoses. The GIA stapler was used for making side-to-side anastomoses. In one horse several enterotomies were made at different stages and the results of suturing by hand and with a stapler were compared. The utility of both types of staplers is discussed in relation to clinical evaluations and macroscopical and microscopical findings post mortem.
[Interruption of the sensory nerve tract in chronically lame horses]. Within the framework of the series 'Papers of yesterday and today', two articles on neurotomy by Moubis (1876 and 1878) are used to evaluate the present status of neurectomy. In 1800 neurotomy was replaced by neurectomy because of the reinnervation which occurred after several weeks. On the basis of a literature review and clinical experience in the Department of Large Animal Surgery the indications, conditions, anatomy, operative techniques, complications and results of neurectomy are discussed. Post-operative neuroma formation is the most important complication following palmar digital neure...
Repair of a diaphragmatic hernia in a horse. One month after falling heavily a four-year-old horse developed acute colic while being exercised. A tentative diagnosis of diaphragmatic hernia was reached on the basis of the clinical findings and confirmed at laparotomy. The defect was repaired and the horse made an uneventful recovery.
Midline scrotal ablation technique for unilateral cryptorchid castration in horses. Thirty-nine unilateral cryptorchid horses were castrated, using a midline scrotal ablation technique. This approach was satisfactory to access both inguinal rings, to eliminate the need for 2 incisions, and to allow for completion of the surgery by primary closure. These horses recovered from surgery with few complications, returned to work promptly, and had excellent cosmetic results.
Extensive large colon resection in the pony. I. Surgical procedures and clinical results. The effect of resection of 75% (length measurement) of the large colon in ponies was studied. Ten ponies in good physical condition were divided into two groups: group I consisted of the six experimental ponies and group II of four control ponies. Preoperatively and postoperatively for five months, ten clinicopathological parameters were determined: body weight, venous blood pH, plasma bicarbonate, total plasma protein concentration, serum electrolyte values (sodium, potassium, chloride), and fecal osmolarity. Subjective assessment of attitude and appetite revealed no difference between the gr...
[Antithrombin III determination in horses. Reference values and acquired antithrombin III deficiency]. Antithrombin III (AT III) determinations were done in healthy and sick horses using the chromogenic substrate Chromozym TH. Reference values for adult horses at 25 degrees C were 18-25 IU AT III per ml plasma and 84-118% AT III activity of normal horse plasma, respectively. Precision and accuracy were good (intra assay coefficient of variation less than 2%, accuracy 10%). Surgical operations on healthy horses led to a biphasic decrease in AT III activity touching the lower border of the reference values on the second postoperative day. Other reasons for acquired AT III deficiencies included di...
Diagnostic and surgical arthroscopy of the equine shoulder joint. An arthroscopic technique for examination and surgical treatment of conditions of the shoulder joint was evaluated in eight normal horses and two horses with osteochondrosis lesions. A single arthroscope entry point caudal to the infraspinatus tendon allowed inspection of the cranial, lateral, and caudal surfaces of the shoulder joint. With the humeral head and glenoid cavity distracted by a curved forceps, the entire cartilage surface of the shoulder could be examined. The caudomedial portion of the humeral head was seen better with a 70 degree angled arthroscope. Instruments for intra-articu...
[Establishment of a re-entrant ileo-cecal fistula in Equidae]. A re-entrant cannulation of the digestive tract was performed in Equidae (ponies and donkeys) between the distal extremity of the ileum and the base of the caecum. The operative technique was conceived to avoid risks of infection of the peritoneal cavity: the openings of the ileum and of the caecum were achieved only after the closure of the abdominal wall incision. Two donkeys were still alive ten months after the operation. This method can provide a convenient model for digestibility studies in Equidae, particularly for assessment of the pre-caecal digestibility.
A modified parainguinal approach for cryptorchidectomy in horses. An evaluation in 107 horses. A modified parainguinal approach was used to castrate 119 abdominal cryptorchid horses. The operative time ranged from 10 to 30 minutes. Follow-up information was obtained for 107 horses. Swelling, more severe than that expected in routine castrations, was reported in six horses. An incisional abscess had to be drained in one horse and one horse died of unexplained causes 3 days after the surgery.
Experimental large colon resection at the cecocolic ligament in the horse. Ten normal horses had approximately 95% of the length of the large colon resected with a side-to-side anastomosis between right ventral and right dorsal colon performed with surgical stapling equipment. Four horses died shortly after surgery of colitis (1 horse) or failure of the TA 90 transection staple line (3 horses). Another horse died 4 months after surgery from disseminated streptococcal infection but had recovered well from the colon resection. Five horses survived long term (18 months) with no clinical evidence of adverse effects of the resection. Surviving horses had weight loss and s...
Extensive large colon resection in the pony. II. Digestibility studies and postmortem findings. The nutritional implications and adaptive processes resulting from resection of 75% of the length of the large colon in ponies were investigated. Ten ponies in good physical condition were divided into two groups: six in the experimental group and four in the control group. During the sixth postoperative month, two digestibility studies were conducted, and phosphate fractional renal excretion and serum biochemical profiles were determined in both groups. The ponies (N = 10) were euthanized six months postoperatively, and gross and histopathological examinations were performed. Results of the s...
Follow-up evaluation of horses after neonatal intensive care. A follow-up study was conducted on 131 foals that were less than 7 days old when admitted to the University of Florida Veterinary Medical Teaching Hospital between 1981 and 1983. Of the 71 foals (54%) that survived to be discharged, 39 (55%) were alive at follow-up evaluation, 19 (27%) could not be located, and 13 (18%) had died. The owners of surviving foals were sent questionnaires and 72% responded. The horses were visited and examined, if geographically possible, and an age-matched stablemate or a sibling also was evaluated and used as a control. Thirteen foals (10% of total admitted) died...
Navicular suspensory desmotomy in the treatment of navicular disease: technique and preliminary results. The technique of navicular suspensory desmotomy for the treatment of navicular disease is described and the rationale behind its development is discussed. To date 16 horses involved in a clinical evaluation of the technique have been assessed six months after surgery. Thirteen of these horses are able to work without lameness.
Cardiac arrest during anaesthesia in two horses. Unexpected cardiac arrest occurred in two horses during routine surgical anaesthesia. Both were successfully resuscitated. The aetiology of these occurrences and their possible relationship to second degree heart block is discussed.
Digestion in horses after resection or ischemic insult of the large colon. The effect of 60% resection of the large colon vs ischemic insult without resection on the ability of horses to digest grass hay was investigated. Digestion trials were performed on 9 horses before surgery (base line) and 3 weeks, 6 weeks, and 6 months after surgery. The percentage of apparent digestion of crude protein, crude fiber, nitrogen-free extract, calcium, phosphorus, magnesium, manganese, copper, and zinc was calculated. Horses that had resection (n = 5) had decreased apparent digestion of crude protein, crude fiber, and phosphorus 3 weeks after surgery, compared with those in horses...
Factors for prognostic use in equine obstructive small intestinal disease. Twenty horses with small intestinal obstructions requiring surgery were evaluated prospectively. Ten horses lived (group 1) and 10 died (group 2). Eight of the horses in group 1 had simple obstruction and 7 of the horses in group 2 had strangulation obstruction. There was a significant difference (P less than 0.001) between the mean intraluminal hydrostatic pressure in horses of groups 1 and 2 (6.3 cm H2O and 15 cm H2O, respectively). The mean peritoneal fluid protein concentration in horses of groups 1 and 2 (2.8 mg/dl and 5.4 mg/dl, respectively) also differed significantly between groups (P...
Surgical management of intussusception in the horse. During a 14 year period, 27 of 310 horses undergoing laparotomy because of abdominal pain were found to have an intussusception involving the small intestine (16 cases) or caecum (11 cases). The clinical signs, operative findings and techniques adopted to overcome the obstruction are described. An evaluation of possible predisposing factors provided further evidence of the important role of the tapeworm Anoplocephala perfoliata in initiating intussusception involving the ileum and caecum.
Surgical repair of a partial gastric rupture in a horse. RUPTURE of the stomach is a common complication of
gastric impaction and intestinal reflux or of gastric distention.
After rupture, the general condition of the horse deteriorates
and death follows within a few hours (Tennant, Wheat and
Meagher 1972; McIlwraith 1982).
Dietz and Wiesner (1982) state that partial rupture of the
stomach may result in severe blood loss with circulatory
collapse. In this report a partial rupture of the stomach was
surgically repaired during exploratory laparotomy.
Resection and anastomosis of small intestine: current methods applicable to the horse. Intraoperative techniques for assessing the viability of ischaemic bowel are discussed. Intravenous administration of sodium fluorescein appears useful but further investigation of the method is required. Methods of resection and anastomosis of small intestine are described and illustrated, including the use of automatic stapling instruments.
Prevention of retrosternal adhesions after pericardiotomy. Because repeat sternotomies are becoming much more prevalent with repeat coronary bypass operations, prevention of direct adhesions of the heart and grafts to the back of the sternum by use of synthetic or xenograft material to close the pericardiotomy has become a matter for investigation. In this study bovine and equine glutaraldehyde-processed xenografts were implanted bilaterally in dogs for implant intervals of 6 weeks and 3, 6, 9, and 12 months. The bovine and equine xenografts both performed well in resisting the adhesion of the heart to their inner surfaces and less well in resisting a...
Pathophysiology of equine postoperative ileus: effect of adrenergic blockade, parasympathetic stimulation and metoclopramide in an experimental model. An experimental model of postoperative ileus was developed in ponies using trauma to, and exposure of, a length of small intestine which gave rise to a reproducible and reversible set of changes in gut activity. This was assessed by recordings of electrical and mechanical activity and by propulsion of spheres from stomach to anus. Activity was depressed, especially in the stomach and colon, and transit was slowed. All drugs given increased electromechanical activity but propranolol was the least effective and did not alter the delayed transit of spheres. Yohimbine was more effective and the ad...
Incidence, diagnosis and treatment of postoperative complications in colic cases. A survey of 259 surgical colic cases revealed that over 50 per cent of fatalities occurred in the postoperative period. Postoperative ileus and circulatory/endotoxaemic shock accounted for 70 per cent of these deaths. Other less important complications were salmonellosis, long bone fracture, adhesions, haemorrhage, laminitis, wound infection and ischaemic muscle damage. Close monitoring of postoperative progress is necessary to enable early diagnosis and treatment. Recent developments in understanding of the pathophysiology of endotoxic shock and ileus may lead to more successful treatment reg...
Blunt bovine and equine trauma. During the past 6 years 134 patients were admitted as the result of bovine (cow) and equine (horse) trauma. The mechanism of injury was fall from horse in 45 patients, animal assault in 42, animal kick in 39, and animal-drawn vehicle accident in eight. Injury Severity Score (ISS) ranged from 1 to 41 and was greater than or equal to 25 in 11 patients. One hundred seventeen operative procedures were performed by ten groups of surgical subspecialists. Mortality was nil. Ideal management of these injuries includes treatment in a regional trauma center and an educational program of preventive measu...
Type II renal tubular acidosis in a mare. Persistent, severe metabolic acidosis complicated the operative and postoperative period in a 4-year-old mare with colic. On the basis of clinical and laboratory findings, a renal tubular disorder was diagnosed. Renal tubular acidosis is rare in horses. In the only report found on the subject, type I renal tubular acidosis was described in 2 horses. Bicarbonate titration studies in our case helped document type II renal tubular acidosis in this mare.
Gastroenterostomy for treatment of gastroduodenal ulcer disease in 14 foals. Gastroenterostomy was performed in 14 foals to treat gastric outflow obstruction caused by advanced gastroduodenal ulcer disease. The onset of excessive salivation and teeth grinding, without response to medical treatment, combined with endoscopic and radiographic evidence of gastric outflow obstruction, were indications for surgical intervention. Successful outcome in 5 foals was attributed to early diagnosis, patient stabilization, early surgical correction, and postoperative management including antibiotics and antiulcer medication.
