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Topic:Surgery

Surgery for horses encompasses a range of procedures performed to diagnose, treat, or manage various medical conditions. These procedures may involve soft tissue or orthopedic interventions and require specialized techniques to accommodate the unique anatomical and physiological characteristics of equines. Common surgical procedures in horses include colic surgery, fracture repair, and arthroscopy. The success of equine surgery depends on numerous factors, including the type of procedure, the horse's overall health, and post-operative care. This page compiles peer-reviewed research studies and scholarly articles that explore surgical techniques, outcomes, and advancements in equine surgical practices.
Use of a neodymium:yttrium-aluminum-garnet laser to remove exuberant granulation tissue from the esophagus of a horse.
Journal of the American Veterinary Medical Association    August 8, 2002   Volume 221, Issue 3 403-368 doi: 10.2460/javma.2002.221.403
Erkert RS, MacAllister CG, Higbee R, Moll HD, Reiners S, Crowson C, Bahr R, Bartels KE.Use of a neodymium:yttrium-aluminum-garnet laser to remove exuberant granulation tissue from the esophagus of a horse A 4-year-old Quarter Horse mare was evaluated because of recurrent esophageal obstruction. Endoscopic examination revealed a proliferative mass in the esophagus approximately 55 cm aborad to the nares. Histologic examination of biopsy specimens revealed diffuse suppurative esophagitis and granulation tissue with no evidence of neoplasia. The mass was excisedand ablated transendoscopically with a neodymium:yttrium-aluminum-garnet laser. During a follow-up examination 2 weeks aft...
Clinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989-2000).
Journal of the American Veterinary Medical Association    July 20, 2002   Volume 220, Issue 2 215-218 doi: 10.2460/javma.2002.220.215
Semevolos SA, Ducharme NG, Hackett RP.To compare postoperative complications, short- and long-term survival, and surgical times for hand-sewn end-to-end (EE), stapled functional end-to-end (FEE), and stapled side-to-side (SS) anastomotic techniques for jejunal resection in horses. Methods: Retrospective study. Methods: 59 horses. Methods: Medical records were reviewed to obtain signalment, diagnosis, treatment, and outcome for horses that underwent jejunojejunostomy in our hospital. Only horses that recovered from anesthesia were included in the study. Results: Among the 59 horses, there were 33 EE, 15 FEE, and 11 SS anastomoses. ...
Percutaneous retrieval of a jugular catheter fragment from the pulmonary artery of a foal.
Journal of the American Veterinary Medical Association    July 20, 2002   Volume 220, Issue 2 212-184 doi: 10.2460/javma.2002.220.212
Little D, Keene BW, Bruton C, Smith LJ, Powell S, Jones SL.A 49-kg (107.8-lb) sexually intact male Arabian foal was evaluated at 3 days of age because of profuse watery diarrhea, anorexia, and signs of abdominal pain. Physical examination findings were unremarkable except for evidence of diarrhea. A catheter was placed in the right jugular vein for administration of antimicrobials and lactated Ringer's solution. The foal was discharged with instructions to the owner to continue antimicrobial administration and fluid therapy; at home, the owner inadvertently cut the catheter at the level of the hub during attempted removal, and the catheter fragment mi...
The arthroscopic approach and intra-articular anatomy of the equine temporomandibular joint.
Equine veterinary journal    July 16, 2002   Volume 34, Issue 4 421-424 doi: 10.2746/042516402776249155
Weller R, Maierl J, Bowen IM, May SA, Liebich HG.No abstract available
Retrospective study of primary intention healing and sequestrum formation in horses compared to ponies under clinical circumstances.
Equine veterinary journal    July 11, 2002   Volume 34, Issue 3 270-273 doi: 10.2746/042516402776186047
Wilmink JM, van Herten J, van Weeren PR, Barneveld A.In accidental wounds, trauma and infection can result in dehiscence of primarily closed wounds and in sequestrum formation when cortical bone is exposed. In experimental studies, it has been shown that second intention healing is faster and occurs with less complications in ponies than in horses. Also, a greater initial inflammatory response was seen in ponies. Based on these experimental data, it was hypothesised that accidental wounds in ponies would heal with a lower incidence of wound dehiscence and/or sequestrum formation compared to horses. A retrospective study of 89 ponies and 422 hors...
Transendoscopic electrosurgery of an equine pulmonary granular cell tumor.
Veterinary surgery : VS    July 3, 2002   Volume 31, Issue 4 375-378 doi: 10.1053/jvet.2002.33592
Ohnesorge B, Gehlen H, Wohlsein P.Description of transendoscopic electrosurgical treatment of a pulmonary granular cell tumor in a horse. Methods: Case report. Methods: A 12-year-old Standardbred mare. Methods: After endoscopic examination and transendoscopic biopsy, a granular cell tumor nodule was removed transendoscopically from the right principal bronchus of the sedated horse (0.02 mg/kg detomide intravenous) with a monopolar electrosurgical wire snare. Two days later, the surgical area was irradiated transendoscopically using a Nd-YAG laser. Results: After surgery, the horse had no further signs of respiratory disease. C...
Repair of urinary bladder rupture through a urethrotomy and urethral sphincterotomy in four postpartum mares.
Veterinary surgery : VS    July 3, 2002   Volume 31, Issue 4 344-348 doi: 10.1053/jvet.2002.33593
Higuchi T, Nanao Y, Senba H.To report the clinical findings, surgical technique, and outcome after repair of urinary bladder rupture through a urethral incision in postpartum mares. Methods: Retrospective study. Methods: Four Thoroughbred broodmares. Methods: Medical records were reviewed for clinical signs, surgical technique, medical therapy, and outcome. The bladder was everted into the vagina through a urethral incision that included a sphincterotomy. The bladder defect was repaired with absorbable suture material in a single-layer, full thickness, simple, continuous pattern. The urethral incision was closed similarl...
Synovial regeneration in the equine carpus after arthroscopic mechanical or carbon dioxide laser synovectomy.
Veterinary surgery : VS    July 3, 2002   Volume 31, Issue 4 331-343 doi: 10.1053/jvet.2002.33605
Doyle-Jones PS, Sullins KE, Saunders GK.To compare synovial regeneration in the equine carpus after mechanical or CO(2) laser synovectomy. Methods: Arthroscopic partial synovectomy was performed in the radiocarpal and intercarpal joints. Methods: Twelve horses, 3 to 6 years of age, were randomly divided into 3 groups. Methods: The antebrachiocarpal and intercarpal joints in each horse were randomly assigned a treatment such that each horse had one joint treated as a control (arthroscopic lavage), one in which a mechanical or CO(2) laser partial dorsal carpal synovectomy was performed, and one in which a combination of the mechanical...
Tenoscopic-assisted treatment of open digital flexor tendon sheath injuries in horses: 20 cases (1992-2001).
Journal of the American Veterinary Medical Association    July 3, 2002   Volume 220, Issue 12 1823-1827 doi: 10.2460/javma.2002.220.1823
Frees KE, Lillich JD, Gaughan EM, DeBowes RM.To determine history, physical and diagnostic examination findings, medical treatment, and outcome of horses with open injuries to the digital flexor tendon sheath treated with the assistance of tenoscopy. Methods: Betrospective study. Methods: 20 horses. Methods: Medical records of 20 horses with open injuries to the digital flexor tendon sheath were reviewed. Signalment, history, physical and diagnostic examination results, bacteriologic culture and susceptibility testing results, surgical and medical treatments, and follow-up examination results were determined. Outcome was determined by us...
Plasma trypsin level in horses suffering from acute intestinal obstruction.
Veterinary journal (London, England : 1997)    July 2, 2002   Volume 163, Issue 3 283-291 doi: 10.1053/tvjl.2001.0670
Grulke S, Gangl M, Deby-Dupont G, Caudron I, Deby C, Serteyn D.Gastrointestinal disorders in horses leading to endotoxic shock could have further consequences on other splanchnic organs such as the pancreas, as can be seen in humans suffering from septic shock. In this study, the range of enzymatically active trypsin (EAT) in healthy horses was established and is similar to the range observed in healthy humans. EAT values were determined in horses with acute abdominal crises on admission as well as during anaesthesia and in the postoperative phase. A significant increase in plasma EAT was found in 59% of the horses with surgical colic when compared to our...
Epidural anesthesia and analgesia in horses.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 61-vi doi: 10.1016/s0749-0739(02)00010-x
Robinson EP, Natalini CC.Intercoccygeal, or caudal, epidural injection of local anesthetics is a convenient method of producing analgesia and local anesthesia of the tail and perineal structures in conscious standing horses. This technique has been further developed to provide long duration analgesia and anesthesia by placement of catheters into the epidural space of horses. More recently, opioid, alpha-2 adrenergic agonists, ketamine and other analgesic agents have been administered by caudal epidural injection, providing pain relief in both conscious, standing and anesthetized, recumbent horses. This chapter describ...
Neuromuscular blocking agents.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 181-188 doi: 10.1016/s0749-0739(02)00012-3
Martinez EA.In summary, with proper vigilance, neuromuscular blocking agents can be used safely in anesthetized equine patients to optimize conditions for certain surgical procedures. By appropriate use of neuromuscular monitoring techniques and reversal agents, residual blockade and muscle weakness should be avoided, allowing the horse to recover to standing without difficulty. Research is ongoing to develop the ideal muscle relaxant, one that has a rapid onset, predictable duration and recovery times, and negligible hemodynamic effects. As newer agents become available, they should be evaluated for thei...
Management of equine orthopedic pain.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 117-vii doi: 10.1016/s0749-0739(01)00003-7
Baller LS, Hendrickson DA.Pain management is an extremely vital part of equine orthopedic surgery. Providing optimum analgesia for the patient will decrease recovery time, decrease physiologic stress on the animal, and provide maximum comfort during the post-operative period. The major analgesic drug categories and routes covered are nonsteroidal anti-inflammatory drugs, local anesthetics, intra-articular drugs, and epidurals.
Recent advances in inhalation anesthesia.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 159-168 doi: 10.1016/s0749-0739(01)00007-4
Steffey EP.Both desflurane and sevoflurane offer theoretical and practical advantages over other inhalation anesthetics for horses. The lower solubility of both agents provides improved control of delivery and helps to counteract the confounding influence of the voluminous patient breathing circuit commonly used for anesthetizing horses. The lower solubility should account for faster rates of recovery compared with the older agents; whether or not the quality of recovery differs remains to be objectively evaluated in a broad range of circumstances. The pharmacodynamic effects are, in large part, similar ...
Biceps brachii tenotomy or tenectomy for the treatment of bicipital bursitis, tendonitis, and humeral osteitis in 3 horses.
Journal of the American Veterinary Medical Association    May 23, 2002   Volume 220, Issue 10 1508-1475 doi: 10.2460/javma.2002.220.1508
Fugaro MN, Adams SB.No abstract available
What is your diagnosis? Herniation of the intestines into the caudal region of the thorax.
Journal of the American Veterinary Medical Association    May 23, 2002   Volume 220, Issue 10 1461-1462 doi: 10.2460/javma.2002.220.1461
Bryant JE, Sanchez LC, Rameriz S, Bleyaert H.No abstract available
Hand-assisted laparoscopic technique for removal of ovarian tumors in standing mares.
Journal of the American Veterinary Medical Association    May 23, 2002   Volume 220, Issue 10 1503-1475 doi: 10.2460/javma.2002.220.1503
Rodgerson DH, Brown MP, Watt BC, Keoughan CG, Hanrath M.No abstract available
Predictive values, sensitivity and specificity of abdominal fluid variables in determining the need for surgery in horses with an acute abdominal crisis.
Australian veterinary journal    May 22, 2002   Volume 80, Issue 3 132-136 doi: 10.1111/j.1751-0813.2002.tb11372.x
Matthews S, Dart AJ, Reid SW, Dowling BA, Hodgson DR.To determine the predictive values, sensitivity and specificity of abdominal fluid variables associated with the need for surgery in horses with an acute abdominal crisis. Methods: Retrospective study. Methods: Two-hundred and thirty-six horses examined for signs of abdominal pain between January 1993 and June 1999. Methods: Breed, age and gender of the horse and colour, total protein concentration and total nucleated cell count of an abdominal fluid sample were recorded. Colour of the abdominal fluid was classified as normal if it was yellow and transparent. Turbid fluid or fluid that was ser...
Osteoma of paranasal sinuses in a horse with inspiratory dyspnoea.
Australian veterinary journal    May 22, 2002   Volume 80, Issue 3 140-142 doi: 10.1111/j.1751-0813.2002.tb11374.x
Steinman A, Sutton GA, Lichawski D, Johnston DE.We describe a case of osteoma in the frontal and maxillary sinuses of a 3-year-old Arabian mare, presented due to an inspiratory dyspnoea. The mare underwent two surgical procedures in order to excise the tumour. Twelve months after admission the mare was healthy with no signs of respiratory abnormalities. Sinus radiographs and endoscopy repeated at that time revealed some regrowth of the tumour in the maxillary sinus, however, twenty-two months following surgery the mare did not show clinical signs of upper airway disease.
Surgical cleft soft palate repair in a foal.
Australian veterinary journal    May 22, 2002   Volume 80, Issue 3 143-146 doi: 10.1111/j.1751-0813.2002.tb11375.x
Kirkham LE, Vasey JR.An Anglo-Arab foal with bilateral postprandial nasal discharge was diagnosed as having a full-length defect of the soft palate. Surgical repair was attempted using a combination of two surgical approaches. Initially a mandibular symphysiotomy approach was used. The posterior portion of the defect did not heal adequately, so a ventral laryngotomy, bisecting the body of the thyroid cartilage and extending to a pharyngotomy approach, was performed 5 months later. The foal has since matured fully despite a slight unilateral nasal discharge. This case report demonstrates that these two surgical app...
Treatment of laryngeal hemiplegia in horses by prosthetic laryngoplasty, ventriculectomy and vocal cordectomy.
The Veterinary record    May 9, 2002   Volume 150, Issue 15 481-484 doi: 10.1136/vr.150.15.481
Kidd JA, Slone DE.The medical records of 80 horses treated for left laryngeal hemiplegia by prosthetic laryngoplasty, ventriculectomy and vocal cordectomy were examined, first to compare the subjective and objective success rates for groups of horses of different ages and used for different purposes, and secondly, to compare the efficacy of including vocal cordectomy in the surgical protocol with published success rates for laryngoplasty and ventriculectomy alone. Subjectively, 70 per cent of the horses were said to have had a successful surgical outcome. The success rate for thoroughbred racehorses (66 per cen...
Epidural morphine and detomidine decreases postoperative hindlimb lameness in horses after bilateral stifle arthroscopy.
Veterinary surgery : VS    May 8, 2002   Volume 31, Issue 3 232-239 doi: 10.1053/jvet.2002.32436
Goodrich LR, Nixon AJ, Fubini SL, Ducharme NG, Fortier LA, Warnick LD, Ludders JW.To determine whether preoperative epidural administration of morphine and detomidine would decrease postoperative lameness after bilateral stifle arthroscopy in horses. Methods: Prospective clinical controlled study. Methods: Eight adult horses that had bilateral arthroscopic procedures, including drilling of cartilage and subchondral bone within the femoropatellar joints. Methods: Horses were randomly separated into 2 groups. Preoperatively, 4 horses were administered a combination of epidural morphine (0.2 mg/kg) and detomidine (30 microg/kg), and 4 horses were administered an equivalent vol...
Endoscopic-assisted disruption of urinary calculi using a holmium:YAG laser in standing horses.
Veterinary surgery : VS    May 8, 2002   Volume 31, Issue 3 245-250 doi: 10.1053/jvet.2002.33480
Judy CE, Galuppo LD.To describe a technique for endoscope-assisted disruption and removal of urinary calculi using a holmium:YAG laser in sedated, standing horses. Methods: Retrospective study. Methods: Six horses with urinary calculi. Methods: A holmium:YAG laser was used to disrupt naturally occurring urinary calculi in horses (4 geldings, 1 stallion, 1 mare). Ischial urethrotomy was performed in male horses to provide a portal for the endoscope and laser fiber. Calculus fragments were removed by a combination of lavage, transendoscopic basket snare removal, forceps, and digital manipulation. Ischial urethrotom...
Comparison of insertion time and pullout strength between self-tapping and non-self-tapping AO 4.5-mm cortical bone screws in adult equine third metacarpal bone.
Veterinary surgery : VS    May 8, 2002   Volume 31, Issue 3 189-194 doi: 10.1053/jvet.2002.32398
Andrea CR, Stover SM, Galuppo LD, Taylor KT, Rakestraw PC.To compare screw insertion characteristics and pullout mechanical properties between self-tapping (ST) and non-self-tapping (NST) AO 4.5-mm cortical bone screws in adult equine third metacarpal bone (MC3). Methods: In vitro biomechanical experiment. Methods: Seven pairs of adult equine MC3. Methods: Bicortical holes were drilled transversely in proximal metaphyseal, diaphyseal, and distal metaphyseal locations of paired MC3. NST screws were inserted in pre-tapped holes in 3 sites of one bone pair, and ST screws were inserted in non-tapped holes of contralateral MC3. Tapping and screw insertion...
Arthroscopic removal of dorsoproximal chip fractures of the proximal phalanx in standing horses.
Veterinary surgery : VS    May 8, 2002   Volume 31, Issue 3 195-200 doi: 10.1053/jvet.2002.32393
Elce YA, Richardson DW.To report a technique for, and outcome after, arthroscopic removal of dorsoproximal chip fractures of a proximal phalanx in standing horses. Methods: Retrospective study. Methods: A total of 104 horses, 1 to 13 years of age, with a dorsoproximal chip fracture of a proximal phalanx. Methods: Horses were restrained in standing stocks and sedated with intravenous xylazine, detomidine, or a combination of both drugs. Local analgesia was achieved with 2% mepivacaine administered intra-articularly and by subcutaneous infiltration in a crescent-shaped block dorsal to the fetlock. Sterile drapes were ...
Use of a carbon dioxide laser for surgical management of cutaneous masses in horses: 32 cases (1993-2000).
Journal of the American Veterinary Medical Association    May 7, 2002   Volume 220, Issue 8 1192-1197 doi: 10.2460/javma.2002.220.1192
McCauley CT, Hawkins JF, Adams SB, Fessler JF.To determine outcome of horses in which cutaneous masses were removed with a carbon dioxide laser. Methods: Retrospective study. Methods: 32 horses. Methods: Medical records of horses with 1 or more cutaneous masses treated with a carbon dioxide laser were examined. Follow-up information was obtained through telephone interviews with owners and referring veterinarians. Results: Cutaneous masses were classified as sarcoids (15 horses), neoplastic masses other than sarcoids (squamous cell carcinoma [91; fibroma [1]; and melanoma [1]), and nonneoplastic masses (6). Minimum follow-up time was 6 mo...
Survey of complications and antimicrobial use in equine patients at veterinary teaching hospitals that underwent surgery because of colic.
Journal of the American Veterinary Medical Association    May 7, 2002   Volume 220, Issue 9 1359-1365 doi: 10.2460/javma.2002.220.1359
Traub-Dargatz JL, George JL, Dargatz DA, Morley PS, Southwood LL, Tillotson K.To determine current practices regarding use of antimicrobials in equine patients undergoing surgery because of colic at veterinary teaching hospitals. Methods: Survey. Methods: Diplomates of the American College of Veterinary Surgeons performing equine surgery at veterinary teaching hospitals in the United States. Methods: A Web-based questionnaire was developed, and 85 surgeons were asked to participate. The first part of the survey requested demographic information and information about total number of colic surgeries performed at the hospital, number of colic surgeries performed by the res...
Partial orbital rim resection, mesh skin expansion, and second intention healing combined with enucleation or exenteration for extensive periocular tumors in horses.
Veterinary ophthalmology    April 10, 2002   Volume 5, Issue 1 23-28 doi: 10.1046/j.1463-5224.2002.00205.x
Beard WL, Wilkie DA.Ocular and periorbital sarcoids and squamous cell carcinoma are common in equine practice. Extensive involvement of periorbital tissues often necessitates removal of the globe if the function of the eyelids can not be maintained with tumor removal alone. This report describes a modification of the standard enucleation or exenteration technique for cases in which there is insufficient skin to achieve primary closure following complete surgical excision. The caudal portion of the dorsal orbital rim is protuberant; partial excision with an osteotome facilitates skin closure by decreasing the size...
Evaluation of the bispectral index as an indicator of degree of central nervous system depression in isoflurane-anesthetized horses.
American journal of veterinary research    March 26, 2002   Volume 63, Issue 3 438-442 doi: 10.2460/ajvr.2002.63.438
Haga HA, Dolvik NI.To determine whether the bispectral index (BIS) can be used as an indicator of degree of CNS depression in isoflurane-anesthetized horses. Methods: 10 Standardbred and 6 Norwegian cold-blooded trotter stallions admitted for routine castration. Methods: A 2-channel referential electrode configuration was used to record EEG for calculation of BIS by the EEG monitor. The BIS was calculated before (awake) and after (sedated) administration of detomidine (0.01 mg/kg of body weight, IV) and butorphanol (0.01 mg/kg, IV). Anesthesia was induced with ketamine hydrochloride (2.5 mg/kg, IV) and diazepam ...
Periocular neurofibrosarcoma in a horse.
Veterinary ophthalmology    March 22, 2002   Volume 4, Issue 4 237-241 doi: 10.1046/j.1463-5216.2001.00184.x
Strubbe DT.A periocular neurofibrosarcoma was debulked and treated with intralesional cisplatin in a 5-year-old Thoroughbred mare. The horse presented with a 1-year history of a large slowly progressing subcutaneous mass over the right supraorbital process. The mass was surgically debulked, and intralesional cisplatin (1.0 mg/cm3) was injected in 3 doses at 2 weeks, 5 weeks, and 8 weeks postoperatively. No recurrence was noted over a 15-month follow-up period. Histopathology of the mass indicated neurofibrosarcoma.