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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.
Validation of a regression model for standardizing lifetime racing performances of thoroughbreds. To determine the relationship between prediction errors of a regression model of racing finish times and earnings or finish position; the relationship between standardized finish times, determined by use of this model, and earnings or finish position; and whether this model was valid when applied to data for horses that underwent surgical treatment. Methods: Survey. Methods: Records of 6,700 healthy Thoroughbreds racing in Louisiana and of 31 Thoroughbreds with idiopathic left laryngeal hemiplegia that underwent surgical treatment. Methods: Predicted and standardized finish times were calculat...
Evaluation of cartilage lesions on the medial femoral condyle as a cause of lameness in horses: 11 cases (1988-1994). To evaluate clinical findings and response to treatment in horses in which cartilage lesions on the medial femoral condyle were a cause of lameness. Methods: Retrospective case series. Methods: Medical records of 11 horses that had cartilage lesions on the medial femoral condyle detected during arthroscopy of the stifle. Methods: Signalment, history, lameness examination, response to intra-articular anesthesia, radiographs of the stifle, observations during diagnostic arthroscopy, and treatment were extracted from the medical record of each horse. Follow-up examinations and outcome were availa...
Monorchidism in two horses. This research article discusses monorchidism in horses, a rare condition presenting a complete absence of one testicle. It outlines two case studies, involving a 2-year-old Thoroughbred colt and a 3-year-old [...]
Modified carotid artery transposition for repetitive arterial blood gas sampling in large animals. A modified surgical procedure for creation of a carotid loop for repeated percutaneous sampling of arterial blood gas was performed on 8 Holstein heifers and 14 horses. This approach permitted sampling of blood gas via fine-needle aspiration (one to three times daily) and/or catheterization for extended periods. It offers several advantages over previously reported techniques, including greater accessibility, absence of postoperative complications such as hematoma formation, and absence of foreign materials supporting the loop.
Repair of a deep digital tendon deficit in a horse using a polypropylene implant. A yearling horse was treated for a chronic wound with a 4 cm deficit in the deep digital tendon. The gap in the tendon was bridged with paired polypropylene braided implants designed for use as a ligament augmentation device. Uncomplicated healing and return to function occurred.
Comparison of three methods of ulnar fixation in horses. This study compares the mechanical properties of three methods of equine ulnar fixation: dynamic compression plating, pins and wires tension band, and a prototype grip system. Methods: The mechanical properties of dynamic compression plating, pins and wires tension band, and a prototype grip system repair of equine ulnar fractures were evaluated in a cadaveric osteotomy model. Methods: Fifteen pairs of the radius and ulna from equine cadavers. Methods: The three repair techniques were evaluated to mimic the pull of the triceps brachii muscle in single cycle to failure and in cyclic fatigue loa...
Diaphragmatic hernia repair in three young horses. This clinical report describes surgical correction of diaphragmatic hernia in three young horses. Methods: Retrospective investigation of medical records and subsequent racing performance. Methods: Three young horses with diaphragmatic hernia. Results: Three young horses with signs of abdominal pain had diaphragmatic hernia causing small intestinal strangulation. The strangulated small intestine was resected and an end-to-end jejuno-jejunal (two horses) or a side-to-side jejuno-cecal anastomosis (one horse) was performed. Diaphragmatic hernias were closed with a continuous suture pattern. All ...
Severe nasal hemorrhage in an anesthetized horse. An 8-year-old Thoroughbred gelding with colic was anesthetized for surgical correction of right dorsal displacement of the ascending colon. Removal of the nasogastric tube at the end of surgery resulted in hemorrhage from the nares and loss of 24 L of blood. Treatment included administration of acetated Ringer's solution, hypertonic saline solution, and dobutamine. A blood transfusion was started after hemorrhage was controlled, and arterial pressure was restored to the prehemorrhage value, but was stopped after infusion of 2.7 L of blood because of a suspected adverse reaction. This case indi...
Recovery of equine forelimb function after desmotomy of the accessory ligament of the deep digital flexor tendon. The recovery process of the equine locomotor system after desmotomy of the accessory ligament of the deep digital flexor tendon (AL-DDFT) was investigated by studying the movement patterns and joint moments in 6 horses before and 10 days and 6 months following surgery. Using a modified CODA-3 system the joint angles and angular velocities of the lower limb were assessed in the operated forelimb as before the operation. Simultaneously ground reaction forces were measured and joint moments calculated. At 10 days and 6 months after the operation the carpal joint started to bend earlier in the sta...
The effects of ischemia and reperfusion on mucosal respiratory function, adenosine triphosphate, electrolyte, and water content in the ascending colon of ponies. The purpose of this study was to examine the effects of ischemia and reperfusion on the biochemical integrity of equine colonic mucosa to assess the relative roles of ischemic- and reperfusion-induced damage. Methods: Two hours of no-flow ischemia experimentally induced by 720 degrees counterclockwise ascending colon volvulus followed by 2 hours reperfusion after derotation. Methods: Ten ponies. Methods: Ascending colon biopsies were obtained every hour for measurement of mucosal adenosine triphosphate (ATP), water, sodium, and potassium content. Additional samples were homogenized for assay o...
Treatment of a keratoma in a Clydesdale horse. A keratoma was diagnosed in a six-year-old Clydesdale gelding with recurrent 'pus in the foot'. The keratoma was excised through an inverted 'V' dorsal wall hoof resection up to 2 cm distal to the coronary band, the foot was bandaged and shod, and the horse treated with antibiotics and phenylbutazone. The dorsal hoof wall regrew completely and the horse gradually returned to full work.
Lateral approach for endoscopic removal of solitary osteochondromas from the distal radial metaphysis in three horses. A lateral approach to the carpal sheath was used for endoscopic removal of osteochondromas from the distal aspect of the radius in 3 horses. Previously osteochondromas have been removed through an incision into the carpal sheath; however, endoscopy is less invasive, requires less surgery and convalescence time, provides better cosmetic results, is associated with a lower risk of infection, and allows better examination of structures within the sheath. A medial approach for endoscopic removal has been described previously; however, the lateral approach was advantageous, because it avoided the m...
Lag screw fixation of an extensor process fracture in a foal with flexural deformity. A 4-month-old colt with stage I flexural deformity of the distal interphalangeal joint was diagnosed as having a type IV nondisplaced fracture of the extensor process of the 3rd phalanx. An inferior check ligament desmotomy and internal fixation of the fracture were performed. Favorable long-term results for internal fixation of extensor process fractures are presented.
Surgical repair of the parotid gland in a gelding. The surgical repair of a traumatic injury to the parotid (Stenson's) duct of an adult horse is described and compared with previous reports. The diagnosis was confirmed by the analysis of a flow of saliva-like fluid observed while the horse was eating. The repair was attempted under general anaesthesia three days after the injury. Surgical anastomosis was considered to have improved the rate of healing. However, there was some evidence of leakage of saliva from the site for three days after the removal of the in-dwelling catheter, seven days postoperatively. A full recovery followed.
Anorectal lymphadenopathy causing colic, perirectal abscesses, or both in five young horses. Enlarged anorectal lymph nodes can cause colic in young horses by obstructing the caudal aspect of the rectum. Dyschezia and clinical signs consistent with abdominal pain were the predominant reasons for evaluation of the 5 young (3 to 15 month old) horses of this report. Digital transrectal palpation revealed a firm mass obstructing the caudal aspect of the rectum in each horse. Results of cytologic evaluation of the masses revealed a lymphoid population of cells in 4 of 5 horses. These nodes regressed over time or became abscesses and drained into the rectum. In 1 horse, detection of a matur...
An in vitro biomechanical investigation of the mechanical properties of dynamic compression plated osteotomized adult equine tibiae. To determine the monotonic mechanical properties of osteotomized adult equine tibiae stabilized with two dynamic compression plates (DCP) and to compare the mechanical properties with those of intact tibiae and in vivo loads. Methods: The compressive, bending, and torsional mechanical properties of plated and intact tibiae were assessed in vitro. Methods: Twelve pairs of adult equine tibiae. Methods: Tibiae were loaded in axial compression, craniocaudal 3-point bending, or torsion in external rotation in a single cycle to failure. Mechanical properties were determined from load-displacement da...
Preliminary investigations of pain and analgesia assessment in horses administered phenylbutazone or placebo after arthroscopic surgery. Twenty-five horses undergoing arthroscopic surgery were studied to develop a scheme for assessing pain in horses while investigating the effects of phenylbutazone (PBZ) analgesia. Fifteen of the 25 horses received PBZ 4 mg/kg intravenously (IV) before surgery and 2 mg/kg (IV) every 12 hours thereafter until 60 hours; the remaining 10 (placebo group) were given a corresponding volume of saline. In both groups, venous blood samples were collected for catecholamine, beta-endorphin, and cortisol assays before premedication and up to 72 hours after surgery. Postoperative pain was evaluated by measu...
Medical management of a full-thickness tear of the retroperitoneal portion of the rectum in a horse with hyperadrenocorticism. A 30-year-old Morgan-Quarter Horse gelding with hyperadrenocorticism was referred for treatment of a full-thickness tear of the retroperitoneal portion of the rectum. In older horses, the caudal end of the peritoneal space may be farther cranial than is commonly thought. Thus, there is a greater chance that full-thickness rectal tears will involve the retroperitoneal, rather than the peritoneal, portion of the rectum. This horse had a quick recovery and good outcome, despite underlying hyperadrenocorticism that would be expected to impair healing. Although relatively little is known about mana...
Liver biopsy techniques for adult horses and neonatal foals to assess copper status. To evaluate standing, percutaneous, ultrasound-guided, transthoracic liver biopsy in mares, and transabdominal laparoscopically-guided, liver biopsy under general anaesthesia in foals, as techniques for obtaining tissue for assessment of copper status. The techniques were evaluated with respect to ease of use and effect on the animal. Methods: Twenty of 24 Thoroughbred mares and 21 of their foals were biopsied. The animals were part of a larger study of the effect of copper supplementation on copper status and the prevalence of developmental orthopaedic disease. Livers were also collected from...
Orbital neuroendocrine tumors in three horses. Three horses were examined because of exophthalmos and others signs indicative of a space-occupying orbital mass. In 2 horses, exenteration was used to remove the orbital mass. In a third horse, an orbital tumor and lung metastases were found at necropsy. Routine histologic and Grimelius' histochemical staining were used on fixed tissues; immunohistochemical staining for chromogranin and electron microscopy also were performed. Masses were orbital neuroendocrine tumors. Horses that underwent exenteration were alive 19 and 24 months after surgery. Hypotension was encountered at surgery in both ...
A pharmacodynamic study of propofol or propofol and ketamine infusions in ponies undergoing surgery. The pharmacodynamics of infusions of propofol alone (group 1) were compared with the pharmacodynamics of infusions of propofol and ketamine together (group 2) in eight ponies undergoing castration. Anaesthesia was induced with detomidine, 20 micrograms kg-1, followed by ketamine, 2.2 mg kg-1. Subsequently, a bolus dose of propofol, 0.5 mg kg-1, was administered intravenously to both groups, and an infusion of propofol was given for an average of 74 minutes to group 1, and an infusion of propofol and ketamine was given for 60 minutes to group 2. The mean (SD) infusion rates of propofol were 0.3...
Effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate function in horses. To determine the effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate and nasopharyngeal function in exercising horses. Methods: 5 Standardbreds. Methods: Treadmill videoendoscopy was performed on 5 Standardbreds exercising at 50, 75, and 100% of the speed that produced maximum heart rate; tracheal and pharyngeal pressures were measured before and after surgery. Tenectomy of the tensor veli palatini muscle was performed bilaterally on each horse while under general anesthesia, using a transoral approach. Results: Peak inspiratory tracheal pressures were significantly...
[How to manage a rectal lesion in horses in clinical practice]. The most feared complication after a rectal examination of horses and ponies is to cause a tear of all the layers in the intraperitoneal part of the rectum. The description of the anatomy is an attempt to explain that the rectal tear is mostly located in the dorsal or dorsolateral part of the rectum. This article describes a relatively simple suture technique for the rectal tear by using the needle of Deschamp which is modified by Professor B. Huskamp. Furthermore there is a description of this method as treatment of two horses in practice circumstances. The issue whether causing a rectal tear...
Removal of a nasal polyp in a standing horse. Diagnosis and removal of a nasal polyp in a horse using standing chemical restraint and readily available equipment are described. Histopathology of the polyp and differential diagnoses are discussed.
