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.
Hornof WJ, Koblik PD, O'Brien TR.A 2-month-old thoroughbred colt with noisy and difficult respiration was diagnosed as having an intrathoracic mass, using conventional radiographic techniques. Nuclear scintigraphy was then used to characterize the mass, leading to successful surgical removal.
Trotter GW, McIlwraith CW, Norrdin RW, Turner AS.Degenerative joint disease of the proximal interphalangeal joint was diagnosed in 9 joint of 6 horses. All of the horses were 3 years old or younger and the affected joints were in the hindlimbs. Radiographic evidence of osteochondrosis involving the distal end of the proximal phalanx was apparent in 5 joints. Lameness and local soft tissue swelling were prominent in all cases. In 1 horse euthanatized tissues because of lameness, histologic examination of joint tissues revealed osteochondrosis as well as severe osteoarthritis. Surgical arthrodesis of the affected joint was performed on 2 horse...
McIlwraith CW.The postoperative management of the surgical colic patient varies according to the complications experienced. Many of these complications can be related to the time at which surgery is performed
relative to commencement of the problem, the condition of the patient at the time of surgery, the particular condition, and, last but not
least, the surgeon's performance. Some of the points have been discussed elsewhere in the symposium. The maintenance of asepsis, attention to minimizing trauma to the bowel, and appropriate attention
to visceral and parietal closures are all important principles. ...
Bramlage LR, Hanes GE.A 3-year-old Thoroughbred mare was examined because of hindlimb lameness from incomplete fracture of the tibia, which became a complete diaphyseal fracture during the examination. The fracture was repaired by open reduction and internal fixation with lag screws and 2 neutralization plates. A cranial approach was used and the plates were placed craniolateral and medial on the tibia. At 18 months after surgery, there was no evidence of complications resulting from the fracture or its repair. It was concluded that a cranial approach with craniolateral and medial plate placement allows easier inse...
Booth LC.Single or multiple split-thickness autogenous skin transplants were applied to 20 limb wounds of 17 horses. The surface area of the wounds ranged from 25 to 200 sq cm. Grafts 0.635-mm thick were collected by use of an electric dermatome and were expanded on a mesh dermatome. The expanded mesh grafts were applied to wounds on 3 horses 4 days after injury. For the other 14 horses, grafts were applied after a granulation tissue bed had formed. The grafts were secured to the recipient beds with sutures and a dressing composed of a foam pad and elastic adhesive tape or with the dressing alone. Furt...
Edwards GB.During a 3 year period 20 horses with bone spavin were treated by surgical arthrodesis of the affected joints. The horses chosen for surgery were those with osteoarthritis, but with little or no evidence of periostitis. Whenever possible they were examined periodically during the postoperative period to evaluate the lameness and to assess the progress of ankylosis by radiography. Three of the horses were still lame 12 months later. The remainder returned to normal work, although one subsequently developed spavin in the other hock and was destroyed. The earliest return to soundness was 3 1/2 mo...
Bowman KF, Tate LP, Evans LH, Donawick WJ.Seven foals, 2 horses, and 2 calves were presented to the George D. Widener Hospital for Large Animals at New Bolton Center and the Large Animal Clinic at Auburn University for surgical repair of cleft palate. All animals had preexisting pneumonia. Initial repair of cleft palate in 6 foals, 2 horses, and 2 calves was performed via mandibular symphysiotomy. Primary repair of cleft soft palate in a foal was attempted through a pharyngotomy incision after fracture of the basal hyoid bone; however, exposure was inadequate and mandibular symphysiotomy had to be done. Dehiscence of a portion of the ...
Schneider RK, Milne DW, Kohn CW.Twenty-seven cases of acquired inguinal hernia in the horse were reviewed. The history, clinical signs, treatment, and complications were summarized. Mortality was 25.9%. Only 13 or the 27 cases were diagnosed prior to admission. With early diagnosis and treatment, mortality should approach zero. In 24 of these cases, the hernia was strangulated. In each case, the signs were colic, a firm slightly enlarged testicle in the scrotum, and small intestine displacement through the inguinal ring, as determined via rectal palpation. In was concluded that palpation of the scrotum and inguinal rings sho...
Grubaugh W, Sharp DC, Berglund LA, McDowell KJ, Kilmer DM, Peck LS, Seamans KW.When mares were pinealectomized in summer or in winter there was no difference in the annual ovulation date of these animals and of pineal-intact controls during the first post-operative breeding season but in the second season the ovulation date of the winter pinealectomized mares was significantly delayed, suggesting a long-term but clear pineal involvement in seasonal reproductive patterns. Exposure of pinealectomized mares to a stimulatory photoperiod failed to advance the average date of first annual ovulation and was similar to that of intact mares receiving no stimulatory lighting. The ...
Speirs VC, Anderson GA, Bourke JM.The efficacy of treating carpal lesions by arthrotomy was evaluated in 210 Thoroughbred racehorses, using survival analysis to compare their racing performances and earnings with those of 840 control horses. The treated horses were significantly inferior with respect to races contested, and wins plus places (P less than 0.001) and races won (P less than 0.01). There was no difference with respect to earnings (P less than 0.1); after adjusting for other factors, arthritis, site of fracture and presence of a displaced chip had no effect on racing performance in horses with a single-site lesion i...
Cheramie HS, Pleasant RS, Robertson JL, Moll HD, Carrig CB, Freeman DE, Jensen ME.To evaluate an occlusion technique for the internal carotid artery of horses using an intravascular, detachable, self-sealing, latex balloon distally and ligatures proximally. Methods: Experimental study. Methods: Six healthy adult horses. Methods: In each horse, the left internal carotid artery was occluded by placement of an intravascular, detachable, self-sealing, latex balloon distally and two ligatures proximally. Radiographs were taken on days 2, 5, 10, and 30 after surgery to evaluate balloon inflation and position. Endoscopic examination of the left guttural pouch was performed 10 days...
Epp TL.A 4.5-month-old quarter horse colt was presented with severe right hind metatarsophalangeal varus, present since birth. On radiographs, it was determined that there was a 16 degree deviation with the pivot point at the distal physis of the 3rd metatarsal bone. A step ostectomy in the sagittal plane corrected the deformity. Un poulain Quarter horse âgé de 4,5 mois a été présenté pour une difformité congénitale métatarsophalangienne varus du membre postérieur droit. Une déviation de 16° par rapport au point de pivotement au niveau de la plaque de croissance distale du 3 métatarse a...
Peters JW.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...
Kübleck E.The pathology of a horse is described, in which thoracic trauma with costal fracture and a small diaphragmatic defect later led to entrapment of small intestine in the thorax.
Meinecke B.The present study comprises 31 mares, that showed a permanent unilateral enlargement of the ovary. In 29 patients the ovary in question was removed by a flanc laparotomy in the standing animal. In the histopathologic examination a granulosa cell tumor was diagnosed in 23 cases, a fibroma twice and a teratoma, hematoma, leiomyoma and a cystic ovary each once. Due to the endocrine activity of the granulosa cell tumor, the clinical picture was characterized by changed behaviour and atrophy of the contralateral ovary. Clinically the ovarial blastomas (teratoma, leiomyoma, fibroma) could not be dif...
Hall LW.Catheters were implanted through the left atrium into large veins drawing blood from regions of the diaphragmatic lobes in five ponies. Measurement of oxygen and carbon dioxide tensions in blood samples drawn through these catheters showed that in laterally recumbent conscious and anaesthetised animals the function of the lowermost lung is progressively impaired while in the supine position the function of both lungs is adversely affected.
Valdez H, Adams OR.After preliminary studies on cadavers, a surgical approach was developed for removal of the medial meniscus, offering maximal exposure and minimal trauma to the articular surfaces of the medial tibial plateau and femoral condyle. Medial meniscectomy was then performed on 10 clinically normal horses that had been given general anesthesia. Nine horses were euthanatized at intervals of 1 to 6 months, and the joints were evaluated grossly and histologically. (One horse will be examined 1 year after surgery). Medial meniscus tears were diagnosed in 5 horses; medial meniscectomy was done on 4 horses...
Voorhout G, Klein WR, Meutstege FJ.An avulsion fracture of the tendon of origin of the extensor digitorum longus muscle is reported in a horse and a cat. This avulsion fracture was due to injury in both animals. There was a striking similarity of radiographic findings in these animals, with involvement of the lateral trochlear ridge and lateral condyle of the femur. The horse was slaughtered because of a poor prognosis as a riding-horse. Fixation of the avulsed fragment with two Kirschner wires resulted in complete recovery in the cat.
Ghaly P, Di Mascio D, Vicaretti M.A common source of infection in equine, , is an uncommon pathogen in humans, rarely identified as the cause for mycotic aortic aneurysms. Typically associated with consumption of unpasteurized milk or contact with horses, can result in severe bacteremia, endocarditis and meningitis. We describe the presentation and successful management of a 69-year-old retired equestrian who underwent infrarenal aortic resection and reconstruction using autologous right femoral vein for a mycotic aneurysm.
Lambert JL, García-López JM, Gasiorowski JC. The aim of this study was to describe the use of the locking compression plate (LCP) and locking compression T-plate (LCTP) in cases of carpometacarpal and distal tarsal arthrodesis for the treatment of osteoarthritis and small carpal or tarsal bone fractures, and to document clinical outcomes. Methods: Case records of horses treated with carpometacarpal or distal tarsal arthrodesis via internal fixation using an LCP or LCTP between 2013 and 2021 were reviewed. All cases were evaluated retrospectively. Follow-up information was gained via phone conversation with owners and referring vete...
Hohu KK, Lim CK, Adams SB, Heng HG, Ramos-Vara JA.A 19-year-old castrated Arabian male horse presented for evaluation of a firm mass at the dorsal cervical region. Ultrasonography and computed tomography revealed multiple well defined fusiform structures within the atlantal bursa. Multiple glossy smooth, white to yellowish, flattened fusiform structures were removed surgically. These structures were composed of dense fibrin with some leukocytes and red blood cells. The imaging and histopathological features of these structures were similar to chronic 'rice bodies' reported in humans with bursitis or tenosynovitis. This is the first veterinary...
Mageed M, Elfadl A.An 18-year-old Quarter Horse mare was evaluated because of moderate left forelimb lameness of 4 weeks' duration. The clinical evaluation and diagnostic perineural analgesia localized the lameness to the distal portion of the left forelimb. There was swelling on the dorsal and lateral aspect of the coronary band. Radiography, ultrasound, magnetic resonance imaging, and computed tomography of the foot revealed circumscribed well-capsulated soft tissue mass causing a focal deformation of the dorsolateral border of the middle phalanx. The treatment aimed to remove the mass surgically and stabiliz...
Smith BL, Morton LD, Watkins JP, Taylor TS, Storts RW.A 16-year-old cryptorchid Quarter House with colic had a large, lobulated soft-tissue mass to the left of the pelvic inlet. At surgery, 2 large multilobulated pedunculated masses were removed. A large blood vessel enveloped by one of the masses was damaged, and the horse exsanguinated. Postmortem examination of the abdomen revealed the masses to be malignant seminoma, with multiple sites of metastasis.
Hubbell JA, Muir WW.Clinical examination of the equine patient with acute abdominal pain should identify the affected body system and yield a provisional diagnosis. Determination of signalment, history, physical examination, and basic laboratory tests should assist in classification of the gastrointestinal disorder and direct the therapeutic plan. Determination of the definitive diagnosis of abdominal pain based on clinical examination is not crucial. For a successful outcome, efforts should be directed toward early recognition of the need for surgery and treatment of cardiovascular compromise in horses with seve...
Nijdam P, Elmas C, Fugazzola MC.A 1-month-old Miniature Shetland colt was presented to the Burg Müggenhausen Equine Clinic. Primary complaints were regurgitation of milk, bilateral white nasal discharge, and weakness. Physical examination, endoscopy of the esophagus, and contrast radiography led to the diagnosis of an esophageal stricture and aspiration pneumonia. Surgical treatment by means of an esophagomyotomy was performed. The foal improved only temporarily and multiple sessions of endoscopic balloon dilation of the esophagus were performed afterwards. 12 months after the final treatment the foal was healthy and had no...
Easley J.This article explains what is needed for successful extraction of diseased cheek teeth and how to realign the occlusal surface. Incisor teeth procedures and correcting abnormalities of cheek tooth crown wear are also discussed along with wolf and floating teeth.
Mundy LN, Lescun TB, Main RP, Hall Griffin T.To compare heat generation and mechanical bone damage achieved with 2 tapered and 1 cylindrical transfixation pin taps in third metacarpal bones from equine cadavers. Methods: 18 pairs (36 specimens) of third metacarpal bones from euthanized horses with no known metacarpal disease. Methods: In each bone, an investigator drilled 3 holes for placement of a 6.3-mm cylindrical transfixation pin, a 6.3-mm tapered pin using a prototype tapered tap, and a 6.3-mm tapered pin using a revised tapered tap. One bone of each pair was tapped by hand and the other with an electric drill. Temperatures of the ...
Vice JD, Shoemaker RS, Cho DY.A 2-year old Thoroughbred filly was examined for a 1-month history of persistent nasal discharge. Contrast radiography revealed a circumscribed mass within the right maxillary sinus which extended to the frontal sinus and ethmoid labyrinth. A discrete attachment of the mass to the ethmoid labyrinth was identified at surgery. Surgical removal of the mass eliminated the nasal discharge. On gross examination, the external structure of the mass was similar to a turbinate with a thin bony wall covered by a smooth mucosal membrane. The internal structure of the lesion had a lining membrane with mult...
Graper M, Fischer AT.Practicing at a referral center makes one aware of the necessity for consistent clear communication with the referring veterinarians. The referring veterinarian is ultimately the primary client of the referral center and should be respected as such. Once the necessary care has been provided, the client and horse should be returned to the care of the referring veterinarian. It is important that the referring veterinarian stay involved in the case and communicate if they wish for more or less contact with the referral center.
Jacklin B.Ben Jacklin is equine director and consultant veterinary surgeon at CVS UK. He is a diplomate of the European College of Veterinary Surgeons and an RCVS and ECVS Specialist in equine surgery.
Sonnichsen HV.Dexon is a new, synthetic, absorbable suture material. Its applicability for suturing distally in the extremities of horses was tested in 65 cases. The indications included burried sutures as well as skin closure. It was concluded that the material can be used with advantage in cases traditionally sutured with catgut, vetafil or mersilene. It is technically a pleasant material and has further the advantage that it shall not be removed.
Cabler P, Geddes LA, Rosborough J.Ultrasonic energy, provided by a commercially available water vaporizer, was used to vaporize methoxyflurane, halothane, and chloroform. The vaporizer was placed directly in the respiratory line, and the anaesthetic liquid was vaporized one drop at a time. Anaesthesia was maintained for periods up to 6 hr in horses, ponies, calves, sheep, dogs, and one pig. This method of vaporizing liquids is applicable to a wide variety of anaesthetics. It is easily controlled, and the same vaporizer can be used with a wide range of sizes of subjects. The vaporizer can be placed directly in the respiratory c...
Klohnen A, Peroni JF.With the recent development of video-assisted thoracic surgery, visual inspection of the thoracic cavity has been used to provide a more accurate diagnosis and prognosis of thoracic diseases and to better manage these diseases. Equipment, techniques, and complications for standing thoracoscopy in horses are described.
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...
Brokken MT, Schneider RK, Tucker RL.To describe a surgical approach for the removal of nonarticular base sesamoid fragments in performance horses and to report the outcome. Methods: Retrospective study. Methods: Horses (n=11), 7 months to 10 years of age, with lameness because of nonarticular base sesamoid fragments. Methods: Lameness was localized to the metacarpophalangeal/metatarsophalangeal region by clinical examination or response to diagnostic local anesthesia. Radiographs confirmed the diagnosis of a nonarticular base sesamoid fragment. Surgical removal was performed with an incision over the base of the affected sesamoi...
Hanson PD, Bartz TA, Stone WC, Darien BJ, Markel MD.A modification of the Roux-en-Y anastomosis procedure was used to bypass a pyloroduodenal mass in a 12-year-old Arabian stallion. Clinical signs had consisted of a 4-week progression of ventral and hind limb edema, hypoproteinemia, fecal occult blood, intermittent abdominal pain, weight loss, and gastric reflux. On exploratory celiotomy, an obstructive mass was found in the pylorus and proximal portion of the duodenum. Gastrojejunostomy and duodenojejunostomy were performed by use of stapled side-to-side anastomosis techniques. Inaccessibility of the obstructed pyloric region prevented resecti...
Quinteros DD, García-López JM, Provost PJ.To report the clinical outcome in seven horses following use of a newly described surgical technique for treating caecal impaction. Methods: The medical records of seven horses with caecal impaction treated surgically using a stapling technique to create a complete caecal bypass without ileal transection were reviewed. Data were obtained from the records and through telephone interviews with case-associated personnel. Results: The mean age was 10 years (range 2-22 years) and duration of colic ranged from 24 h to 2 weeks. Five horses had type II motility dysfunction and the remaining two had ty...
Facemire PR, Chilcoat CD, Sojka JE, Adams SB, Irizarry AR, Weirich WE, Morisset SS, Dutweiler VA.A 7-year-old warmblood mare was referred because of a respiratory tract disorder; pulmonary granular cell tumor was diagnosed. Pulmonary granular cell tumor is a locally invasive but rare type of tumor with low metastatic potential. The entire right lung was resected to ensure removal of all neoplastic tissue. The horse recovered well and has minimal difficulties functioning with one lung. Most of these tumors are diagnosed during postmortem examination. To our knowledge, this is the first report of pulmonary granular cell tumor treated by complete lung resection in a horse.
Wilson DG, Mays MB, Colahan PT.Seven horses with canker had radical surgical debridement and various irritant substances applied to the wounds. Four of the horses were clinically normal in (mean) 3.6 months, 1 mare was lame, and 2 horses were euthanatized because of complications of their treatments. Seven horses that had minor surgical debridement and antimicrobial agents used systemically and topically were clinically normal in (mean) 1.4 months. Seemingly, canker in horses should be managed using minor surgical debridement and appropriate antimicrobial therapy.
