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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.
Favorable survival of horses with guttural pouch mycosis following hospital-based treatment. To report the clinical outcomes and survival time in horses undergoing treatment of guttural pouch mycosis. Unassigned: Client-owned horses with guttural pouch mycosis admitted between 2005 and 2024 for evaluation and treatment were identified by medical record search. Signalment, disease history, and surgical and treatment details were recorded. Owners were contacted for follow-up information. Unassigned: 41 horses with guttural pouch mycosis were identified, of which 28 had epistaxis or a history of epistaxis on presentation. Thirty-five horses underwent surgical treatment, and the procedure...
Effect of neonatal rib fracture repair on racing and sales performance in Thoroughbreds. The racing outcome of horses that have undergone surgical repair of neonatal rib fractures is not well documented. Objective: To evaluate the impact of surgical repair of neonatal rib fractures on subsequent sales and racing performance in Thoroughbreds. Methods: Retrospective cohort study. Methods: Medical records of neonatal Thoroughbreds that underwent surgical repair of rib fractures at a referral hospital between 2014 and 2025 were reviewed. Sales and racing data were obtained from publicly available databases. Outcomes assessed included sale price at weanling and yearling sales, total ca...
Ceratohyoidectomy for Management of Unilateral and Bilateral Temporohyoid Osteoarthropathy: Long-Term Outcome in 33 Equids. Temporohyoid osteoarthropathy is a disease affecting the temporohyoid joint in equids caused by local inflammation and/or degeneration, leading to neurological deficits ranging from mild signs that affect performance to significant, acute neurological deficits such as facial nerve paralysis or vestibular signs. Multiple surgical treatment options are available, and while treatment has historically been performed unilaterally on the side of the clinical signs, advances in diagnostic imaging have highlighted the occurrence of bilateral disease of the temporohyoid joints, warranting evaluation of...
Penile and preputial pythiosis in Saudi Arabian horses: clinicopathological features and surgical outcomes. Pythiosis, caused by , is a chronic granulomatous disease of horses characterized by invasive, ulcerative, and pyogranulomatous cutaneous lesions. Involvement of the external genitalia is uncommon and remains poorly characterized, particularly regarding environmental exposure and treatment outcomes. This study aimed to describe the epidemiological pattern, clinicopathological features, diagnostic findings, and surgical outcomes of penile and preputial genital pythiosis in a hospital-presented horse cohort. Unassigned: A retrospective study was conducted on 123 horses presented with cutaneous u...
Single-stage orthognathic correction of campylorrhinus lateralis in foals using transection and fixation: Surgical description and outcome of four horses. Campylorrhinus lateralis ('wry nose') is a rare congenital maxillofacial deformity of foals resulting in compromise of the airway and severe class 4 malocclusion. Various surgical techniques to correct the deformity have been described, but contemporary data on single-stage transection and fixation, including use of a rib graft, and long-term functional and cosmetic outcomes remain underreported. Objective: To describe the transection-and-fixation technique and perioperative management used to correct wry nose in horses, and to report postoperative complications and long-term outcomes of horse...
The Peridental Structures of Equine Cheek Teeth: An Age-Dependent Anatomical Study of Maxilla and Mandible. Sequestration is the most common complication following equine cheek tooth extraction, occurring predominantly in the mandible of younger horses. Extraction-related trauma to the peridental region may impair healing. Despite its clinical relevance, detailed knowledge of peridental anatomy remains limited. This study investigated age-related differences in the peridental region of maxillary and mandibular equine cheek teeth 07 to 09. The peridental region of 24 cheek teeth rows from six cadaver heads was sectioned horizontally at approximately 10 mm intervals. Sections were photographed and the...
Electrochemotherapy Following Surgical Cytoreduction for the Treatment of Recurrent Equine Sarcoids: A Retrospective Study of 23 Lesions. Despite the wide range of therapeutic options currently available for equine sarcoids, recurrence of these lesions remains a major clinical challenge. Consequently, the identification of effective strategies for the management of recurrent sarcoids remains an important objective in equine oncology. The aim of this retrospective study was to evaluate the clinical outcome of surgical cytoreduction combined with intraoperative electrochemotherapy in horses affected by recurrent equine sarcoids. Medical records of horses treated between July 2018 and August 2025 at the Veterinary Teaching Hospital...
Anatomical Insights Into the Equine Cervical Intervertebral Foramina: Implications for Veterinary Practice. The equine cervical intervertebral foramina (IVF) represent vital anatomical regions facilitating the passage of spinal nerves and associated vasculature. An in-depth understanding of their anatomy is imperative for the safe implementation of diagnostic and surgical interventions. Despite their clinical significance, anatomical descriptions of the equine cervical IVF remain under-characterised in the existing literature, particularly in relation to the needs of equine veterinary surgeons. Our study provides comprehensive anatomical analysis of the IVF at the cervical vertebral levels C5/C6 and...
Hoist failure during recovery transfer in an anaesthetised horse: a near miss analysed through a Safety-II lens. A 660 kg, 11-year-old Irish Sport Horse gelding underwent general anaesthesia for an out-of-hours emergency exploratory laparotomy. After approximately 5 hours of anaesthesia, transfer to the recovery box began, using a ceiling-mounted hoist. As the horse crossed the theatre-recovery interface, the hoist failed due to mechanical disengagement. This resulted in loss of electrical power, leaving the anaesthetised horse suspended approximately 150 cm above the floor for approximately 10 minutes. The horse could not be advanced, reversed, or lowered using standard controls. Activity was paused, an...
Comparison of Rectal and Intraoperative Findings in Horses with Colic. Per rectum examination (PRE) is commonly used in the triage of horses with acute abdominal pain, despite reports of associated risk factors for both horses and personnel, but its diagnostic accuracy is questionable. This multicenter, observational study aimed to evaluate the agreement between PRE findings and surgical findings obtained via exploratory laparotomy in horses with colic. A total of 201 cases from four equine referral hospitals across Europe were included. Rectal findings were categorized as primary (most likely cause of colic) or additional. Agreement with surgical findings was as...
First reported case of Parafilaria bovicola infection in a horse (Equus caballus). This study reports the infection, diagnosis and treatment of the nematode Parafilaria bovicola in a horse (Equus caballus) in France. A soft, fluctuated and non-painful subcutaneous nodule was observed under the right eye. Ultrasound revealed a mobile verminous element in a fluid cyst. A nematode was surgically extracted from the cyst and further identified as Parafilaria bovicola by sequencing of mitochondrial cytochrome c oxidase subunit 1 gene. This first report indicates that horses can be accidental hosts of P. bovicola in enzootic areas.
Maxillary and mandibular fracture repair using a modified bis-acryl reinforced interdental wiring technique: Description of the technique and report of 11 cases. Repair options for maxillary and mandibular fractures in horses are dictated by the proximity of dentition, fracture configuration, and implant design. Jaw fractures can be repaired by minimising tension forces via intraoral splint constructs when dentition is present on either side of the fracture line. This repair option reduces iatrogenic damage to dentition while achieving reduction and stability until appliance removal. Objective: To first report a modified technique for jaw fracture repair in horses with cadaveric example images. Second, to report the clinical outcome of maxillary and ma...
Pneumocoele sinus: Computed tomographic findings and surgical approach in a 2-year-old Cob filly. Pneumosinus dilatans and pneumocoele sinus describe abnormal hyperpneumatisation of paranasal sinuses, with the latter being accompanied by thinning of bony walls. Although recognised in human and equine medicine, to the authors' knowledge, this condition's computed tomography (CT) findings and successful surgical approach in horses have not previously been reported in conjunction. Advanced imaging, particularly CT, is pivotal for identifying abnormal sinus expansion and associated nasal obstruction. Methods: Case report. Conclusions: A 2-year-5-month-old Cob filly presented with a 1-month his...
Orchiectomy in horses: closed technique and primary closure of the incision. To provide a video tutorial on how to perform equine castrations using the closed technique and primary closure of the skin. Unassigned: Intact male horses presented to equine veterinary hospitals for castration. Unassigned: The closed castration technique was performed with incisions over the inguinal rings and primary closure. Unassigned: This technique is associated with minimal complications, decreased edema, less pain, lower infection rates, and faster healing. Unassigned: The technique presented in this video tutorial provides a quick and safe method for removing descended as well as non...
Umbilical vein marsupialization in foals-short literature review. Umbilical remnant infections are common in neonatal foals and may involve one or more umbilical structures. Diagnosis relies on thorough clinical examination, ultrasonography, and hematologic evaluation. Standard care includes broad-spectrum antibiotics, with surgical resection if conservative therapy fails. Omphalophlebitis may extend to the liver, prompting consideration of umbilical vein marsupialization. Surgery is performed in dorsal recumbency with a fusiform incision around the umbilicus. The umbilical arteries and urachus are ligated and transected, with partial cystectomy when indicat...
Jejunocecostomy in horses-a review of its unique complexities. Jejunocecostomy (JC), or jejunocecal anastomosis, is arguably the most controversial surgical procedure in equine small intestinal surgery. It is also the only option for resection and anastomosis for a third of small intestinal strangulating lesions in horses. Critics of the procedure identify its low survival and high complication rates as reasons to avoid its use. This review is intended to highlight findings of recent research and clinical studies that validate use of the JC, and to provide some insights into technical aspects of the procedure that might improve its survival rates. Jejunoc...
Computed tomography long-term follow-up of a facial fracture involving the orbit and paranasal sinus. Fractures of the facial bones involving the orbit are challenging conditions that require surgical treatment. Objective: To describe preoperative and postoperative clinical and computed tomographic findings of an orbital rim fracture repaired using a reconstruction plate. Methods: Case report. Methods: A 14-year-old Haflinger mare was presented with an open, depressed and comminuted fracture involving the frontal, nasal, lacrimal and maxillary bone, sinus system and the medial aspect of the orbital rim and wall on the right side, as diagnosed by CT. Fracture repair included orbital rim reconst...
Outcome of keratoma removal using different surgical techniques, including a modified partial hoof wall resection: A retrospective study (2004-2025). Keratomas are diseases of the equine hoof that can be associated with intermittent lameness and/or recurrent foot abscesses. Different surgical techniques for keratoma removal have been described. The aim of this retrospective study was to report the short- and long-term postoperative complications after keratoma removal using different surgical techniques: complete hoof wall resection (CR), partial hoof wall resection (PR) and a modified version of PR (MPR). The medical records of horses diagnosed with keratoma and space occupying lesion (SOL) of the hoof wall (2004-2025) at a Veterinary Teac...
Transcriptomic and Meat Quality Differences in Longissimus Dorsi Muscle of Surgically Castrated Three-Year-Old Kazakh Horses. Although the Kazakh horse is a dual-purpose breed renowned for both milk and meat production, the extent to which surgical castration alters gene expression in its muscles has not yet been fully elucidated. In this study, left longissimus dorsi muscle (LDM) samples were obtained from six Kazakh stallions (W group) and six Kazakh geldings (S group) to comparatively evaluate meat quality parameters, examine histological characteristics in tissue sections, and apply transcriptomic profiling to comprehensively explore the principal regulatory pathways and candidate genes through which surgical cas...
Phage Therapy for a Refractory and Multidrug-resistant Equine Surgical Site Infection. A 14-year-old American Quarter Horse mare developed a refractory deep surgical site infection following emergency celiotomy for acute right dorsal large colon displacement with 180° volvulus. Initial cultures revealed a high-burden polymicrobial infection with and , associated with delayed healing, and later followed by multidrug-resistant , further limiting therapeutic options. Phage therapy was initiated using a customized lytic phage cocktail administered topically on a daily basis over a 35-day period, with cocktail composition guided by daily wound culture results. Phage therapy markedl...
An unusual presentation of a sarcoid in Australia. Sarcoids are a common skin tumour affecting all equids. To date, only one case of a sarcoid in the oral cavity of the horse has been reported. In the present case, an oral sarcoid was identified using histology and polymerase chain reaction to detect bovine papillomavirus type 2 DNA. The lesion was known to be incompletely surgically excised and did not recur over a 15-month period. This case report describes the first oral sarcoid identified in Australia.
A study of the forces generated during equine cheek tooth extraction. Significant force is often applied when elevating equine teeth from the alveolus during extraction. No previous studies have investigated these forces. Objective: To develop a method to allow measurement of elevation forces (EF) applied during extraction, and to record forces during extraction of cheek teeth in both cadaver specimens and clinical cases, evaluating factors that might affect this and comparing differences between tooth positions and horse signalments. Methods: In vitro experimental study of cadavers and observational study of a convenience sample of clinical cases. Methods: Stra...
Novel technique for correcting urovagina via urethral transposition in the horse. Vesicovaginal reflux is a common cause of infertility in mares. Surgical correction is commonly recommended and involves caudal relocation of the urethral orifice which forces the urine to be expelled caudally. There have been several previously described techniques. Complications associated with caudal urethral extension occur in 11-33.3% of cases. Objective: To identify a novel technique for performing caudal urethral translocation that effectively corrects vesicovaginal reflux with minimal associated complications. Methods: In vivo experiment and clinical case series. Methods: The experimen...
Morbidity associated with inhalation anesthesia in horses: the role of opioid use in a university teaching hospital. Despite concerns among equine practitioners, the effects of opioid administration on intraoperative complications during inhalation anesthesia remain incompletely characterized. This retrospective study evaluated intraoperative complications and perianesthetic mortality in horses undergoing inhalation anesthesia according to opioid use. Medical records from a university veterinary hospital were reviewed (2014-2025) and grouped based on opioid inclusion in anesthetic protocols and surgery type (colic vs. non-colic). Intraoperative hypotension (MAP < 70 mmHg), hypothermia (temperature 65 mmH...
Mitigating and addressing complications in equine laparoscopy. The purpose of this article was to report a condensed overview of current strategies for mitigating and managing complications in equine laparoscopic surgery. Minimally invasive surgical techniques have become standard in equine surgery for a variety of diagnostic and therapeutic procedures, with purported advantages including reduced postoperative pain, expedited recovery, fewer incisional complications, and enhanced visual imagery for the surgeon compared to traditional open approaches. Despite these benefits, complications can arise, and the literature demonstrates variability in definition...
Use of computer-assisted tomography for diagnosis and standing surgical reduction of progressive ethmoidal hematoma in a mare. Progressive ethmoidal hematoma (PEH) is a rare, nonneoplastic mass occurring in the sinonasal passages of horses. An 11-year-old, pregnant Thoroughbred mare was presented with a history of intermittent nasal discharge and stertorous respiration. On examination, radiography revealed increased opacity in the sinus and nasal cavities and endoscopy identified a mass emerging from the left ethmoidal turbinate. Computed tomography (CT) showed the range and origin of the mass, indicative of PEH. A standing frontonasal flap was made under sedation, following temporary tracheostomy to secure the airway...
Roux-en-Y gastrojejunostomy and jejunojejunostomy for pyloric obstruction bypass in a horse and a foal. Gastric outflow obstruction in horses is a rare but challenging condition, often resulting from either congenital anomalies or acquired lesions such as chronic ulceration or pyloric polyps. Conventional surgical bypass procedures, including gastrojejunostomy (GJ) or gastroduodenostomy and less commonly duodenojejunostomy, can restore patency but may lead to postoperative complications. Objective: To describe the presentation, surgical management, and postoperative outcome of two horses-an adult and a foal treated with Roux-en-Y gastrojejunostomy combined with a side-to-side jejunojejunostomy (...
