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.
Steckel RR, Page EH, Geddes LA, Van Vleet JF.The effect of low-level direct-current stimulation on skin wound healing in the horse was assessed. Self-sustaining electrical circuits with electrodes were implanted subcutaneously in or near the wound. Stimulation by direct current (10 or 20 microA) was used to determine the effect on equine skin healing. The efficacy of electrotherapy was evaluated by sequentially comparing the clinical appearance of the wound and measuring the size of the granulating wound bed. The histologic appearance of the healing stimulated wounds was compared with that in nonstimulated control wounds created on 9 hor...
Adams SB, Lamar CH, Masty J.Bipolar stainless steel electrodes were surgically implanted in 4 ponies to record myoelectrical and mechanical activity of the distal portion of the jejunum and pelvic flexure. After determining normal activity, the effects of neostigmine, xylazine, flunixin meglumine, dipyrone, panthenol, and atropine sulfate were determined. Flunixin meglumine, dipyrone, and panthenol had no effect on the motility of the jejunum or pelvic flexure. Xylazine and atropine sulfate decreased motility of the distal portion of the jejunum and pelvic flexure, with atropine sulfate having a greater effect and lastin...
Turner TA, Adams SB, White NA.Fifteen horses were referred to Purdue University or to the University of Georgia because of colic. Each of these horses had small intestine incarcerated through the epiploic foramen. However, signs of pain, gastric reflux, and small intestine distention were not consistent signs, as would have been expected with small intestine strangulation/obstruction. In 10 of the 15 cases, abdominal fluid analysis provided the decisive information needed for surgical intervention. Surgery was performed in 14 cases. The small intestine was incarcerated through the epiploic foramen in a right-to-left direct...
Bowman KF, Leitch M, Nunamaker DM, Fackelman GE, Tate LP, Park MI, Boles CL, Raker CW.A total of 19 Thoroughbred horses were treated for traumatic disruption of the suspensory apparatus, using either external support of the injured limb, removal of fractured proximal sesamoid bone fragments, metacarpophalangeal arthrodesis, compression screw fixation of the fractured proximal sesamoid bones, application of a cast-brace attached to a transfixation pin inserted through the third metacarpal bone, or combinations thereof. Major complications during the treatment of traumatic disruption of the suspensory apparatus were infection (9 of 19 horses, 47%), large cast sores (10 of 14 trea...
Wagner PC, DeBowes RM, Grant BD, Kaneps AJ, Watrous BJ.Proximal growth plate fractures of the tibia in 4 foals were treated surgically. A medial approach was utilized in 3 cases and a lateral approach in the fourth. Bone screw fixation was achieved with cancellous screws and washers. In 3 cases, the screw shaft crossed the proximal tibial growth plate with no adverse effects. In all animals, there was rapid and cosmetic healing. At 8 to 18 months after surgery, all horses were sound at a walk, trot, and canter.
Kaneps AJ, Hultgren BD, Riebold TW, Shires GM.Surgical incisions were made in the skin and superficial digital flexor tendons in horses. A low intensity laser therapy device was used to treat the limbs. After laser therapy was completed, skin and superficial digital flexor tendons from incised laser-irradiated, incised-control, and nonincised-control limbs were compared microscopically. Qualitative differences between laser irradiated and nonirradiated tissues were not found. The laser therapy device used in this study may be of insufficient power to affect wound healing.
Gerring EL, Webbon PM.Restriction of free movement of the flexor tendons through the fetlock canal results in lameness. The commonest cause was chronic synovitis of the digital sheath. The condition is characterised by an unremitting lameness, synovial distension and a notch on the caudal aspect of the limb. The condition can be relieved by section of the annular ligament of the fetlock. In a series of 24 cases 16 horses returned to work with no recurrence of lameness, three cases were lost to follow up and five animals remained lame; three of these had intercurrent disease.
Bayly WM, Grant BD, Modransky PD.Arterial blood samples were collected during maximal exercise over 1.6 km in a thoroughbred horse with left laryngeal hemiplegia. Acid-base and blood gas measurements were performed on each sample and compared to the results from samples which were similarly collected 48 hours after laryngoplasty surgery was performed. Before surgery, the PaO2 was 53.2 mm Hg and the PaCO2 was 58.1 mm Hg after 1.6 km. After surgery, the corresponding results were 83.6 mm Hg (PaO2) and 39.0 mm Hg (PaCO2). There was no significant difference in the times taken for each gallop. The exercise intolerance associated ...
Nixon AJ, Stashak TS, Smith FW, Norrdin RW.Carbon fibre-polylactic acid composites and monofilament non-absorbable suture material were compared for the repair of surgically transected superficial digital flexor tendons in 10 horses. All surgical wounds healed by first intention. The repaired tendons were enlarged, the carbon implanted tendons being larger than those sutured. The horses were killed at six, eight, 12,20 or 24 weeks. Greater fibrous thickening occurred in tendons repaired with carbon fibre, especially at 12 weeks postoperatively. Carbon fibre incited a greater histological response with macrophages, lymphocytes, plasma c...
Sullivan M, Burrell MH, McCandlish IA.A nine-and-a-half-year-old three quarters thoroughbred gelding was presented with unilateral epistaxis. The cause was a destructive, progressive haematoma in the left maxillary sinus. In all previous reports of progressive haematomata in the equine nasal cavity, the site of origin has been the ethmoidal labyrinth. Surgical removal of the progressive haematoma resulted in an apparent cure.
Turner AS, Trotter GW.The case histories of 18 horses with hindlimb lameness attributed to fibrotic myopathy were reviewed. In 14 horses, the problem developed after trauma. In 5 others, it developed secondary to intramuscular injections. Other causes of the lameness were surgery, exertional injuries, and purpura hemorrhagica. Eleven of the horses were treated by resection of scar tissue or by semitendinosus myotenotomy. Postoperative complications included pressure necrosis under quill sutures (9 horses), acute disruption of the skin incision (2 horses), dehiscence of the wound during healing (2 horses), and prolo...
Turner AS, White N, Ismay J.Thirty-five horses with a history of crib biting or wind sucking were treated with a modification of the Forssell procedure. The technique involved bilateral neurectomy of the ventral branch of the accessory nerve combined with excision of a portion of the omohyoideus, sternohyoideus, and sternothyroideus muscles. Twenty horses became free of the vice, while in 11 there was a noticeable reduction in frequency of the vice. Four horses returned to crib biting/wind sucking at the same intensity as before surgery. The observation time following each operation was at least 12 months. Complications ...
Kalhoro AB, Rex MA.Twenty-one horses undergoing clinical surgery and diagnostic procedures received 15% glyceryl guaiacolate followed by a rapid intravenous injection of a thiobarbiturate for induction of anaesthesia. Premedication was with atropine and acepromazine. Induction was smooth and free from problems apart from transient apnoea in some horses. Maintenance of anaesthesia was with oxygen and halothane administered by means of a closed circle system with soda-lime absorber and with the vaporiser out of circuit. During the period immediately following induction, the heart rate increased and the respiratory...
Holt PE, Pearson H.The presenting signs, treatment and postoperative progress of 13 horses with vesical and urethral calculi are reviewed. Single, discrete stones were present in 10 animals in which the results of treatment were generally good. In three horses with sabulous cystic deposits, urolithiasis was associated with bladder paralysis and the response to treatment was poor.
Schatzmann U, Girard P.The paper describes the problems of injection anaesthesia in the horse. Different commonly used methods, drugs and drug combinations are explained. Their actions and side-effects are compared and discussed.
MacLean AA, Robertson-Smith RG.The upper respiratory tract of a pony mare with marked exercise intolerance and respiratory stridor was examined with a flexible fibreoptoscope. Both arytenoids were adducted and distorted. A diagnosis of bilateral chondritis of the arytenoids was made and confirmed at autopsy after surgery to enlarge the rima glottidis was unsuccessful. Other space occupying lesions of the rima glottidis are discussed and theories on the aetiology are postulated.
Grabner A.Using a fibreoptic endoscope ("small gastroscope" with outside diameter of 9.3 mm) a simple and sparing inspection of the guttural pouch is performed. The flap-type tube cover is opened by means of medial leverage with a guidance probe shifted through the work duct of the endoscope. The same procedure is used in diagnostic specimen collection and therapeutical measures such as irrigations. Guttural pouch topography and pathological disorders are illustrated by endoscopic photography. The different diseases such as follicular hyperplasia, ascending pharyngeal catarrh, perforating abscesses of t...
Lucke VM, Lane JG.The clinical and pathological aspects of two cases of C-cell (parafollicular cell) tumours of the thyroid are described. Both the horse and the pony presented with a paralaryngeal mass and a history of constant gulping. Ultrastructural examination of the tumours demonstrated that they were composed of C-cells containing typical, membrane-bound secretory granules. The pony is alive and well three years after surgery and the horse has raced successfully following removal of the tumour.
McIlwraith CW.This paper reviews the current status of diagnostic and surgical arthroscopy in the horse. Arthroscopy has been used as a diagnostic aid since 1974 and is useful for evaluation of abnormalities in synovial membrane and articular cartilage. Surgical arthroscopy is a more recent advance that has replaced conventional arthrotomy in 90 per cent of the author's cases. Clinical conditions currently being treated using arthroscopic techniques rather than arthrotomy include all chip fractures in the carpus, chip fractures of the first phalanx, chronic proliferative synovitis in the fetlock and osteoch...
Pfeil L, Zetner K.A mare with rectal prolaps was operated at Vienna University. The prolaps was corrected by mucosal resection only. The remaining vital layers of the corresponding intestinal section were saved. The advantage of a special tissue saving operating technique in the rectal area is seen in avoiding postoperative complications.
DeBowes RM, Grant BD, Bagby GW, Gallina AM, Sande RD, Ratzlaff MH.A modified form of the Cloward technique for anterior cervical fusion in human beings was used in the application of different grafts for evaluation of their effectiveness in stabilizing equine cervical vertebrae. Results of bovine xenograft implants in 8 horses were compared with results of stainless steel baskets (SSB) packed with cancellous autogenous bone in 8 horses. Graft material was incorporated in all cases. Evidence of graft rejection was not present. Both forms of implants decreased the mobility of the intervertebral space in which they were implanted. A fibrous connective tissue un...
Dice PF, Cooley PL.This report involves a retrospective study of five horses with an unusual form of progressive peripheral corneal ulcers. These ulcers were located at the perilimbal region of the cornea and spread both centripetally to mid periphery and circumferentially. Lipping of the epithelial edge was observed often. The depth ranged from superficial to mid stroma. Patients ranged from two and a half to eight years, both sexes, and were referred after a variety of antibacterial therapy. Histories were similar in that all ulcers were initially located adjacent to the limbus in one or more quadrants. No tra...
Smith HL, Rosenblatt AJ, Suen WW, Owen H, Ahern BJ.A 6-week-old Thoroughbred filly was presented for evaluation of an expansile mass overlying the right nasal passage and causing respiratory stertor. On skull radiographs, there was a loculated, soft tissue-opaque mass identified dorsal to the right upper premolars and effacing the right nasal cavity. Computed tomography (CT) revealed a locally extensive mass with relatively benign characteristics located centrally on the tooth root apices of the deciduous second premolar (506). The mass extended axially into the right nasal cavity, occluding the meatuses and causing displacement of the nasal s...
Henneman K.Addressing poor performance issues in horses is a common yet challenging request to veterinarians. Often, there are limited field diagnostic or therapy choices. Growing lay popularity in integrative therapies, as well as increasing clinical incorporation, is creating more awareness of their clinical applications. Many modalities are showing increasing evidence of positive outcomes with minimal harm, but additional safety and efficacy evaluation is needed. Integrative modalities have unique ways of perceiving disease patterns that are different from more modern approaches, and these different p...
Lucas JM, Ross MW, Richardson DW.A retrospective study of 176 Standardbred horses that had arthroscopic surgery for carpal chip fractures over a 7 year period was done in order to determine fracture location and post operative performance. Chip fractures of the proximal third carpal bone and the distal radiocarpal bone occurred with equal frequency (49.2 and 49.6% respectively), and chip fractures involving the antebrachiocarpal joint were rare. Trotters had significantly more third carpal bone lesions than radiocarpal bone lesions when compared to pacers (P = 0.0304). Seventy-four per cent of horses made at least one start f...
van der Velden MA, van der Harst MR.A literature review is given concerning the occurrence, clinical signs and possible treatment of the different types of inguinal herniation in foals. A six-week old filly with a reducible inguinal hernia is described in detail.
Sloet van Oldruitenborgh-Oosterbaan MM, van der Velden MA.A review of displacements and surgery of the large colon is given on the basis of two cases. A four-year-old Dutch Warmblood mare was referred, one week before foaling, for colic of twelve hours duration. At rectal palpation a large uterus was found, but no cause for the colic. Laparotomy revealed a colonic volvulus and resection of about 75% of the large colon was necessary. A dead foal was born five days postoperatively, but the mare recovered well. A nine year-old Dutch Warmblood stallion with a history of frequent colic had been treated for nephrosplenic entrapment three times. Resection o...
Bartmann CP, Schiemann V.Diagnostic and operative hysteroscopy have offered an advance in equine fertility diagnostic and equine fertility surgery. A distension of the uterine cavity and an establishment of a continuous intrauterine pressure are basic requirements for complete visualisation of intrauterine structures and safe and efficient surgical procedures. Superelevated pressure and resorption of distension media may result in fatal complications. Intrauterine pressure was monitored in 28 healthy di- or anestrus mares during hysteroscopy via a transcervically inserted catheter. Mares were sedated with xylazine and...
Adair HS, Duncan RB, Toal RL.A 3-year-old Appaloosa stallion with a 4 cm x 4 cm x 2.5 cm mass protruding from his nasal bone was evaluated. Radiographs revealed an osseous mass, with a radiopaque outer margin and several radiolucent areas within the body of the mass. The mass was surgically removed and evaluated histopathologically. The histopathological diagnosis was osteochondroma. This case represent the first reported occurrence of an osteochondroma arising from intramembraneous bone in the horse.
Ketzner KM, Stewart AA, Byron CR, Stewart M, Gaughan EM, Vanharreveld PD, Lillich JD.Describe the use of a phalangeal cast as treatment for wounds in the pastern and foot region of horses. Secondly, to evaluate the healing and soundness of horses treated with phalangeal casts. Methods: Retrospective study of 49 horses. Procedures Medical records of 49 horses that were treated with a phalangeal cast for 50 cases of wounds in the pastern and foot region at equine referral hospitals from 1995 to 2006 were reviewed and follow-up information was obtained. Results: Treatment consisted of wound debridement, lavage, wound closure (28 wounds), cast application and antibiotics (84%). At...
Kirker-Head CA, Fackelman GE.Four long bone fractures with a short distal fragment were repaired with a cobra head bone plate alone (2 cattle) or in combination with a straight, broad dynamic compression plate (2 horses). Three fractures were of the distal femur (1 horse, 2 cattle) and one was of the distal radius (1 horse). The long-term outcome of the three femoral fractures was soundness in one case and mild lameness in two. Although satisfactory bone healing progressed in the horse with the radial fracture, laminitis in the contralateral forelimb necessitated euthanasia at week 6.
McKinnon AO, Belden JO.A surgical technique involving reconstruction of the caudal vaginal vault was used to correct vesicovaginal reflux in 32 of 34 mares. After surgery, 22 of 24 mares became pregnant, and embryos were harvested for transfer from 6 of the other 10 mares. It was concluded that the procedure was safe and efficacious.
Steffey EP, Berry JD.Inspiratory flow rates were measured and compared in an equine intermittent positive pressure breathing-anesthesia delivery apparatus powered by a positive phase ventilator, a positive-negative phase ventilator, and a modified positive phase ventilator with automatic flow acceleration at driving pressures of 2,600, 4,400, and 5,200 mm of Hg (50, 85, and 100 psi). The last-named apparatus consistently produced the highest flows for a given ventilator setting and driving pressure. Regardless of the unit used, the greater driving pressures and high ventilator range settings produced the greatest ...
Little CB, Hilbert BJ, McGill CA.The clinical features of 21 horses which sustained head fractures are reviewed. There was a higher incidence of fractures in males and Standardbred horses. Surgical treatment was practical and successful in most cases when the fractures involved the bones of the jaws and the face. Fractures which involved the cranial cavity or the cranial nerves were difficult to treat and usually held a poor prognosis.
Hooper RN, Taylor TS, Behrens EA, Varner DD.Ovariohysterectomy was performed in 20 mares at three stages of estrus. An ecraseur was used to severe the ovarian branch of the ovarian artery and vein and the ovarian suspensory ligament en masse. All other vessels supplying the ovaries and uterus were doubly ligated and transected. All mares survived. Complications were intraoperative hemorrhage in three mares, postoperative vaginal bleeding in two mares, and a hematoma in the remnant of the broad ligament in one mare. No adhesions between the uterine stump or remnants of the broad ligament and abdominal structures were detected by palpatio...
Moll HD, Juzwiak JS, Santschi EM, Slone DE.Volvulus of the small intestine was diagnosed as a complication of acquired inguinal herniation in 2 horses. One of the horses continued to have signs of pain after reduction of the hernia. The volvulus was diagnosed at a second surgery, but the intestine was devitalized, and the horse was euthanatized. Ventral midline exploratory surgery was performed on the second horse, in conjunction with an inguinal approach. The small-intestinal volvulus was diagnosed and corrected at this time. It is suggested that ventral midline abdominal exploration be performed when acquired inguinal herniation caus...
Firth EC.Low radial neurectomy in the left thoracic limb was performed in 4 mixed-breed weanling horses, with subsequent paralysis of the lateral and common digital extensor muscles. Weight bearing of the denervated and control limbs was discouraged by the use of special shoeing. Clinical signs of flexural deformity were not induced in the horses.
Somm F, Suárez Sánchez-Andrade J, Martens A, Zedler ST, Klopfenstein MD, Boswell JC, Bladon BM, Lischer CJ, Richardson DW, Auer JA, Fürst AE....To report on technical aspects and outcomes after scapulohumeral arthrodesis (SHA) with a locking compression plate (LCP) in small equids. Methods: Retrospective multicenter case series. Methods: Client-owned Shetland Ponies, Miniature Shetlands, and American Miniature Horses (n = 15). Methods: Inclusion criteria were completed SHA with an LCP to treat scapulohumeral osteoarthritis/subluxation and availability of postoperative radiographs. Contributing surgeons completed a questionnaire to collect data. All radiographs were reviewed for this study. Follow-up information was obtained via re-a...
Turner AS, Milne DW, Hohn RB, Rouse GP.Fracture of the capital femoral epiphysis occurred in three foals. One fracture was repaired by means of pinning under radiographic control and the two other fractures were repaired by means of trochanteric osteotomy.
Markel MD, Meagher DM, Richardson DW.Colopexy of the left ventral colon to the abdominal wall was performed in 4 horses with recurrence of large-colon displacement or volvulus. Horses were discharged between 5 and 27 days after surgery. At follow-up evaluation (mean, 10.5 months; range, 7 to 13 months) of the horses, none had recurrence of signs of abdominal pain, and all had normal body weight. Three horses were exercised regularly; signs of abdominal pain were not observed.
Hawkins JF, Fessler JF.To evaluate efficacy of debridement for treatment of supraspinous bursitis in horses and to evaluate the outcome. Methods: Retrospective study. Methods: 10 horses with clinical signs of supraspinous bursitis. Methods: Medical records were reviewed for signalment, anamnesis, results of physical and radiographic examination, microbial culture results of supraspinous bursa tissue or exudate, Brucella abortus titers, type of antimicrobial and anti-inflammatory therapies, surgical technique, complications of the surgical procedure, and findings on histologic examination of excised nuchal ligament a...
Richardson DW.Eikenella corrodens, a previously unrecognized pathogen in the horse, was isolated from the spinous process of the axis of a colt with signs of severe neck pain. Dorsal laminectomy (excising the infected spinous process and lamina) was performed and the colt was treated with antibiotics for 6 weeks. Recovery was uncomplicated.
Narinx F, Monclin S, Sauvage A, Vercruysse E, Heimann M, Alloway E, Vandersmissen M, Grauwels M.To describe the clinical presentation and treatment of an ectopic periorbital lymph node in two young horses. Two warm-blood horses were presented at the equine clinic of the University of Liège with a periorbital non-painful mass. Differential diagnosis included neoplasm (lymphoma), (sterile) abscess, cyst, ectopic lacrimal gland tissue, hematoma, adipose tissue, or ectopic lymphoid tissue. Information collected included physical and ophthalmic examination findings, results of the ocular and periocular ultrasound, surgical procedure, histopathology, and follow-up. Masses of 2 × 2 cm and 3 Ã...
Grabner A.Using a fibreoptic endoscope ("small gastroscope" with outside diameter of 9.3 mm) a simple and sparing inspection of the guttural pouch is performed. The flap-type tube cover is opened by means of medial leverage with a guidance probe shifted through the work duct of the endoscope. The same procedure is used in diagnostic specimen collection and therapeutical measures such as irrigations. Guttural pouch topography and pathological disorders are illustrated by endoscopic photography. The different diseases such as follicular hyperplasia, ascending pharyngeal catarrh, perforating abscesses of t...
Ball MA, Allen D, Parks A.A 13 year-old pony was evaluated because of right hind limb lameness of acute onset. Radiographs of the right tarsus obtained shortly after the onset of lameness were normal, but results of nuclear scintigraphy were abnormal. Two radiolucent subchondral cyst-like lesions of the distal part of the tibia were seen on radiographs obtained 9 months later. The lesions were surgically decompressed, and the pony was sound 1 year later. It is hypothesized that a traumatic insult created a crack or split in the articular cartilage that allowed subsequent development of the cyst-like lesions.
Platt JP, MacDonald DG, Selberg K, Jackman BR.A 14-year-old American Paint Horse mare was referred for further evaluation of a firm mass with an associated draining tract at the base of the left ear suspected to be a dentigerous cyst. Approximately three months prior, the draining tract had been excised under the presumed diagnosis of an abscess with no improvement. Physical examination revealed a firm mass palpable at the base of the left ear with a draining tract that did not elicit any pain response on palpation. Digital radiographs revealed a 6x11cm mineral mass in the left temporal region. Medially, there were two projections that ex...
McKellar GM, Collins AP.The surgical correction of facial deformities of the horse have rarely been undertaken. The surgical and medical management of submucous clefting of the anterior maxilla in a young colt is described.
Orsini JA.The multiple topics summarized in this article and discussed in detail in this issue of VCNA are comprehensive and in-depth, exploring concepts and clinical experiences for state-of-the-art care of the equine foot. The research on the equine foot will translate to the clinical setting and with this the compassionate care of the horse.
Aljuboori Z, Sieg E.Gunshot wound (GSW) injuries to the spinal column are correlated with potentially severe neurological damage. Here, we describe a GSW to the thoracolumbar junction (e.g., T12/L1 level) which resulted in a cauda equina syndrome that resolved once the bullet was removed. Methods: A 29-year-old male presented with a T12-L1 GSW; the bullet traversed the right chest and liver, entered the spinal canal at T12, and then settled at L1. He experienced excruciating burning pain in the right lower extremity/perineum and had urinary retention. On neurological examination, he exhibited severe weakness of t...
Caron JP.Laparoscopic removal of the gonads from male and female horses is regularly performed for a variety of reasons. In female horses, common indications for ovariectomy include behavioral problems and signs of abdominal pain that are linked to estrus. Another indication is an abnormal, enlarged ovary, typically due to ovarian neoplasia, the most common being granulosa thecal cell tumor. Ovariectomy is also a treatment option for ovarian hematomas and other abnormalities. In addition, ovariectomy is used to sterilize mares intended for artificial insemination or embryo transfer programs.
