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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.
Effects of Leaving Amputated Ovaries Intra-Abdominally during Elective Bilateral Standing Laparoscopic Ovariectomy in Equids.
Animals : an open access journal from MDPI    January 18, 2021   Volume 11, Issue 1 232 doi: 10.3390/ani11010232
Devick IF, Hendrickson DA.There is risk of dropping an amputated ovary within the abdomen during standing laparoscopic ovariectomies in mares. If the ovary can no longer be directly visualized with the laparoscope, the procedure is then converted to a flank laparotomy for manual retrieval of the ovary which negates the minimally invasive nature of the laparoscopic procedure. The objective was to identify if ovaries left in the abdomen after amputation would atrophy or if they re-vascularize. Standing bilateral ovariectomies were performed in mature mares, but after transection of the ovarian pedicle, the ovaries were i...
Surgical Repair of a Unicortical Condylar Fracture in a Thoroughbred Racehorse Using a Bioabsorbable Screw.
Journal of equine veterinary science    January 16, 2021   Volume 99 103384 doi: 10.1016/j.jevs.2021.103384
Ravanetti P, Hamon M, Lechartier A, Zucca E.Surgical repair of unicortical fractures of the distal condyles of the third metacarpal/metatarsal bones (MCIII/MTIII) has been described. In the present case, a bioabsorbable screw was used to stabilize a unicortical fracture in the palmar aspect of the medial condyle of MCIII in a National Hunt Thoroughbred racehorse. The clinical, radiographic, and magnetic resonance imaging findings before and after surgery were recorded. Eighteen weeks after surgery, the lameness had resolved and the bone surrounding the fracture had recovered its normal architecture. One year after surgery, the horse was...
Intraincisional medical grade honey decreases the prevalence of incisional infection in horses undergoing colic surgery: A prospective randomised controlled study.
Equine veterinary journal    January 15, 2021   Volume 53, Issue 6 1112-1118 doi: 10.1111/evj.13407
Gustafsson K, Tatz AJ, Slavin RA, Sutton GA, Dahan R, Ahmad WA, Kelmer G.Medical grade honey has previously been described as a prophylactic treatment for wounds. Local prophylactic treatment may be valuable in preventing post-operative incisional infections in horses undergoing colic surgery but has not been evaluated. Objective: To establish whether medical grade honey gel, applied on the linea alba intraoperatively, decreases the prevalence of incisional infections in horses undergoing colic surgery with no associated adverse effects. Methods: Prospective blinded randomised controlled clinical study. Methods: Horses older than 4 months that underwent colic surg...
Experimental evaluation of cortical screw placement in lag fashion into the distal phalanx in standing horses.
Acta veterinaria Hungarica    January 15, 2021   Volume 68, Issue 4 399-404 doi: 10.1556/004.2020.00054
Izing S, Béni D, Molnár S, Bakos Z, Bodó G.The objectives of this in vivo experimental study were to evaluate the feasibility of cortical screw insertion into the intact distal phalanx in standing sedated horses and to document potential postoperative complications. One cortical screw was randomly inserted in lag fashion into each distal phalanx in 9 horses. The second surgery on the contralateral limbs was performed 2-3 weeks after the first operation, when a 4.5-mm cortical screw was inserted in lag fashion into the distal phalanx of sedated horses following perineural analgesia. Following surgery, the drill hole was filled with an a...
Three-Dimensional Printing: Building a Solid Foundation for Improving Technical Accuracy in Orthopaedic Surgery.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    January 13, 2021   Volume 34, Issue 1 v-vi doi: 10.1055/s-0040-1722257
Guiot LP, Allen MJ.No abstract available
Use of Hausdorff Distance and Computer Modelling to Evaluate Virtual Surgical Plans with Three-Dimensional Printed Guides against Freehand Techniques for Navicular Bone Repair in Equine Orthopaedics.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    January 13, 2021   Volume 34, Issue 1 9-16 doi: 10.1055/s-0040-1721846
Biedrzycki AH, Kistler HC, Perez-Jimenez EE, Morton AJ. The aim of this study was to evaluate the surgical execution of a virtual surgical plan (VSP) with three-dimensional (3D) guides against a freehand approach in the equine navicular bone using an automated computer analysis technique. Methods:  Eight pairs of cadaveric forelimb specimens of adult horses were used in an experimental study design with modelling. Limbs received either a 3.5 mm cortical screw according to a VSP or using an aiming device. Using computed tomography and computer segmentation, a comparison was made between the executed screw and the planned screw using the Ha...
Successful Surgical and Medical Management of a Pararectal Abscess in a Horse.
Journal of equine veterinary science    January 13, 2021   Volume 99 103387 doi: 10.1016/j.jevs.2021.103387
Ortolani F, Nannarone S, Scilimati N, Gialletti R.Pararectal abscesses are life-threatening conditions that can rupture and cause septic peritonitis. The objective of this case report is to describe aggressive treatment of a pararectal abscess to allow a quick return to competitions. A 14-year-old pony was admitted to the Veterinary Teaching Hospital (VTH) of the University of Perugia because of a suspected intra-abdominal mass. Two weeks earlier, it exhibited clinical signs compatible with colic which was treated medically; however, because of the persistence of a firm mass on the right side of the abdomen noted on rectal palpation, the pony...
Questionnaire on the process of recovering horses from general anesthesia and associated personnel injury in equine practice.
Veterinary anaesthesia and analgesia    January 12, 2021   Volume 48, Issue 2 223-229 doi: 10.1016/j.vaa.2020.12.005
de Miguel Garcia C, Campoy L, Parry S, Miller JE, Martin-Flores M, Gleed RD.To collect data about the current practice of recovering horses from general anesthesia and recovery personnel safety. Methods: Online survey. Methods: An online questionnaire, including questions on general demographic data, recovery drugs, modality and characteristics of equine recovery and morbidity and mortality, was designed and distributed via e-mail to equine practitioners worldwide. Results: Practitioners from 22 countries completed 373 questionnaires; 53% of the participants were board-certified equine surgeons, and the remainder were board-certified anesthesiologists (18%), large ani...
Equine nutrition in the post-operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons.
Equine veterinary journal    January 9, 2021   Volume 53, Issue 5 1015-1024 doi: 10.1111/evj.13381
Lawson AL, Sherlock CE, Ireland JL, Mair TS.Evidence is lacking concerning re-introduction of feed and water following colic surgery. Objective: To describe current approaches of European and American specialists to re-introduction of feed and water in adult horses following surgical treatment of common intestinal lesions, assuming an uncomplicated recovery. Methods: Cross-sectional survey. Methods: Electronic invitations, with a link to the online survey, were sent to 1,430 large animal specialists, including Diplomates of the ECVS, ACVS, ECEIM and ACVIM colleges. Results: The response rate was 12.6% including partial respondent data. ...
Equine colic associated with small intestinal epiploic foramen entrapment.
Veterinary journal (London, England : 1997)    January 8, 2021   Volume 269 105608 doi: 10.1016/j.tvjl.2021.105608
van Bergen T, Wiemer P, Martens A.Intestinal epiploic foramen entrapment (EFE) is an important differential diagnosis in horses with colic, but disappointing short- and long-term outcomes are reported in the scientific literature. Many horses are euthanased during surgery due to a predicted poor prognosis or due to uncontrollable intraoperative haemorrhage. The ileum is involved in the majority of cases. Several risk factors for the development of EFE are described; crib-biting/windsucking being the most important one. The recurrence rate of EFE is low despite the described risk factors, probably due to spontaneous closure of ...
Fibro-Osseous Lesions Of The Craniofacial Complex In Horses: 30 Cases (2001-2019).
Veterinary surgery : VS    January 5, 2021   Volume 50, Issue 2 383-392 doi: 10.1111/vsu.13559
Nottle BF, Tatarniuk DM, Caldwell FJ, Bell CD, Caston SS, Merkatoris PT, Gillen AM, Katzman SA.To describe the presentation, diagnosis, treatment, and outcome for horses with fibro-osseous lesions of the craniofacial complex. Methods: Retrospective multicenter case series. Methods: Thirty horses evaluated for fibro-osseous lesions of the skull from January 1, 2001 through December 31, 2019 in four centers. Methods: Medical records were reviewed for signalment, clinical presentation, histological and diagnostic imaging findings, treatment instituted, and outcome. Long-term outcome information was obtained by owner questionnaire or the medical record. Results: Diagnoses included ossifying...
Hand-assisted laparoscopic cystotomy for cystic calculus removal in male horses (3 cases).
The Canadian veterinary journal = La revue veterinaire canadienne    January 5, 2021   Volume 62, Issue 1 22-26 
Merchan A, Barrett EJ, Rodgerson DH.A technique for hand-assisted laparoscopic removal of cystic calculi in male horses is described. Three cystic calculi ranging from 5 to 10 cm in diameter were removed successfully using bilateral para-inguinal laparoscopic portals assisted by a human hand within the abdomen, effectively sealing the midline incision. Long-term follow-up information obtained from referring veterinarians and owners indicated that the patients returned to their previous activity level and had no recurrence of clinical signs in the following 6 to 12 months. Key clinical message: Hand-assisted recumbent laparoscopy...
Evolution of laboratory discovery supporting progress in anesthetic management of horses: the 1950s and 1960s.
Veterinary anaesthesia and analgesia    January 4, 2021   Volume 48, Issue 2 160-166 doi: 10.1016/j.vaa.2020.12.004
Steffey EP.No abstract available
A Retrospective Study of Cryptorchidectomy in Horses: Diagnosis, Treatment, Outcome and Complications in 70 Cases.
Animals : an open access journal from MDPI    December 21, 2020   Volume 10, Issue 12 doi: 10.3390/ani10122446
Straticò P, Varasano V, Guerri G, Celani G, Palozzo A, Petrizzi L.The aim of the study was to investigate the breed predisposition and the diagnostic and surgical management of horses referred for cryptorchidism. The breed, localization of retained testis, diagnosis, type of surgical treatment and complications were analyzed. Seventy horses were included in the study; the Western Riding horse breeds were the most affected (Quarter Horse 34/70, 48.5%; Appaloosa 9/70, 12.8%). In unilateral cryptorchids (65/70, 92.8%) the most common location for a retained testis was the left abdomen (28/65, 43%), while in bilateral cryptorchids (5/70, 7.1%), bilateral abdomin...
12th Annual European College of Equine Internal Medicine Congress.
Journal of veterinary internal medicine    December 18, 2020   Volume 35, Issue 1 666-683 doi: 10.1111/jvim.15994
No abstract available
An anatomical study of the dorsal and ventral nasal conchal bullae and middle nasal conchae in normal Shetland ponies: Computed tomographic anatomical and morphometric findings.
Anatomia, histologia, embryologia    December 16, 2020   Volume 50, Issue 3 431-438 doi: 10.1111/ahe.12646
Gerlach K, Vervuert I, Gittel C, Köhler L, Schmidt N, Winter K, Berner D, Troillet A, Schulz-Kornas E.Equine paranasal sinuses are susceptible to inflammation. Insufficient drainage through the nasal passages and meatus may lead to the accumulation of inspissated purulent discharge. Particularly in ponies, these anatomical structures are suspected to be relatively small. To date, there are no reports considering the morphology of nasal conchal bullae in small horse breeds such as Shetland ponies. The aim of the present study was to evaluate the size of the conchal bullae and the medial nasal conchae of Shetland ponies and their relation to the skull dimension using computed tomography. Reco...
Surgical Debulking and TransEndoscopic Noncontact Diode Laser Application for Treating a Sinonasal Myxoma in a Horse.
Journal of equine veterinary science    December 16, 2020   Volume 98 103354 doi: 10.1016/j.jevs.2020.103354
Palozzo A, Celani G, Varasano V, Marruchella G, Petrizzi L.Equine sinonasal myxomas (SNM) are very rare; only a few cases/small case series are reported in veterinary literature. The purpose of this report is to describe the diagnostic and surgical procedure adopted to approach the neoplastic mass in a case of equine SNM. A 5 year old, Murgese gelding was presented with mild serous nasal discharge, minimal facial swelling, decreased airflow from the right nostril, and dull frontal sinus percussion. Diagnostic imaging, including endoscopy, revealed a pale mass in the caudal portion of the right middle meatus, which developed inside the right conchofron...
Outcome following neurectomy of the deep branch lateral plantar nerve and plantar fasciotomy for hindlimb proximal suspensory desmopathy in western performance horses: 21 cases.
Veterinary surgery : VS    December 16, 2020   Volume 50, Issue 2 273-282 doi: 10.1111/vsu.13552
Tatarniuk DM, Hill JA, Modesto RB, Swor TM, Caston SS, Kersh KD.To report the outcome of horses used in western performance disciplines after deep branch lateral plantar neurectomy/fasciotomy surgery for hind limb proximal suspensory desmopathy (PSD). Methods: Retrospective analysis. Methods: Twenty-one client-owned horses. Methods: Medical records were reviewed (2009-2019) for horses involved in western performance disciplines that had been treated with deep branch lateral plantar neurectomy and plantar fasciotomy for lameness due to hind limb PSD. Follow-up was obtained by reexamination and/or verbal interviews with owners >2 years postoperatively. Res...
A long-term study of sinoscopic treatment of equine paranasal sinus disease: 155 cases (2012-2019).
Equine veterinary journal    December 14, 2020   Volume 53, Issue 5 979-989 doi: 10.1111/evj.13393
Dixon PM, Kennedy R, Poll K, Barakzai S, Reardon RJM.There is little objective information concerning the intra- and post-operative complications or the long-term outcome of sinoscopic treatment of equine sinus disorders. Objective: To document the long-term outcome, including intra-operative complications, reasons for treatment failure and other complications, in horses undergoing standing sinoscopic treatment of sinus disorders. Methods: Retrospective clinical study. Methods: Records of sinus disease cases presented to The University of Edinburgh Veterinary School between January 2012 and July 2019 were reviewed. Follow-up information was obta...
The Impact of Surgical Excision of the Orbital Lacrimal Gland on the Aqueous Tear Production and Ocular Surface Health in Donkeys (Equus asinus).
Journal of equine veterinary science    December 13, 2020   Volume 97 103344 doi: 10.1016/j.jevs.2020.103344
Ibrahim A, Ahmed AF.The exact contribution of the orbital lacrimal gland (OLG) is unknown and is still a subject of debate and inconsistency in literature. Currently, there are no detailed studies addressing the influence of the OLG removal on tear production in equines. This study aimed to address the influence of surgical excision of the OLG on aqueous tear production and ocular surface health in donkeys. The study was conducted on six clinically healthy donkeys with no ophthalmic abnormalities. In each donkey, the OLG of the left eye was surgically excised, whereas the right eye was served as a control. Extern...
Isolation of Campylobacter fetus subspecies fetus from an abdominal abscess in an adult mare.
The Canadian veterinary journal = La revue veterinaire canadienne    December 11, 2020   Volume 61, Issue 12 1307-1311 
Pye J, Galuppo L, Whitcomb MB, Clothier K, Byrne B.A 12-year-old Warmblood mare was referred for evaluation of behavioral changes not explained by general physical examination or lameness evaluation. Transrectal ultrasound examination was performed to determine if the behavioral changes were related to ovarian abnormalities, and a large abscess was found near the base of the cecum. Laparoscopic-guided aspiration and lavage of the abscess cavity followed by injection of benzyl penicillin G was carried out. Culture of the lavage sample yielded subspecies , an organism not previously reported as an etiological agent in abdominal abscesses in hor...
Two different clinical forms of squamous cell carcinoma (SCC) in the perineum and vulva of two mares.
BMC veterinary research    November 30, 2020   Volume 16, Issue 1 464 doi: 10.1186/s12917-020-02678-9
Raś A, Otrocka-Domagała I, Raś-Noryńska M.Genital malignant neoplasms in mares are relatively rare. The treatment involve surgical removal of the tumour masses, chemotherapy or both. Methods: Two elderly warmblood mares, aged 16 and 20 were presented in University Clinic with the lumpy lesions at the region of perineum and left labia. Surgical removals of tumour masses were performed on standing animals. Removed tissues were subjected to histopathological examination which confirmed SCC. Conclusions: Clinical and ultrasound examination of reproductive organs in both mares showed no inflammatory or neoplastic changes. Both mares healed...
Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses.
Animals : an open access journal from MDPI    November 29, 2020   Volume 10, Issue 12 doi: 10.3390/ani10122242
Maskato Y, Dugdale AHA, Singer ER, Kelmer G, Sutton GA.Assessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities evaluated were quickness and ease-of-use. Pain in 231 horses, presented for colic, was assessed by 35 participants; 26 in the UK and 9 in Israel. Without prior training, participants assessed the severity of pain using two scales; the EAAPS and a visual analogue scale (VAS). Convergent validity comp...
Expression of Proteinase-Activated Receptor 2 During Colon Volvulus in the Horse.
Frontiers in veterinary science    November 27, 2020   Volume 7 589367 doi: 10.3389/fvets.2020.589367
Lambertini C, Zannoni A, Romagnoli N, Bombardi C, Morini M, Dondi F, Bernardini C, Forni M, Rinnovati R, Spadari A.Large colon volvulus in horses is associated with a poor prognosis, especially when ischemic-reperfusion injury of the affected intestinal tract develops. Proteinase-activated receptor 2 (PAR2) plays an important role in the pathogenesis of inflammation in the gastrointestinal tract. The aim of this study was to evaluate the distribution and expression of PAR2 in colonic pelvic flexure of horses spontaneously affected by large colon volvulus (CVH group). Eight horses admitted for severe abdominal colon volvolus and which underwent surgery were included. Colon samples were collected after enter...
Clinical and Pathological Features in Horses With Advanced Arytenoid Chondritis.
Veterinary pathology    November 18, 2020   Volume 58, Issue 1 91-102 doi: 10.1177/0300985820967452
Bolfa P, Cercone M, Dennis MM, Conan A, Grevemeyer B, Ducharme NG.Equine arytenoid chondritis causes airway obstruction and abnormal upper airway noise due to a space-occupying lesion(s) and decreased abduction. Our objective was to compare clinical scores and ultrasonographic findings with gross and microscopic lesions of naturally occurring arytenoid chondritis, in order to guide surgical treatment. Seventeen naturally affected horses with advanced/severe chronic arytenoid chondritis and 4 control arytenoid cartilages were evaluated after partial arytenoidectomy. Cartilages were sectioned caudal to the corniculate process and the body of each arytenoid was...
Standing Sedation and Iocoregional Analgesia in Equine Dental Surgery.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 477-499 doi: 10.1016/j.cveq.2020.08.009
Campoy L, Sedgwick SR.Procedural sedation has become popular for describing a semiconscious state that allows patients to be comfortable during certain surgical or diagnostic procedures. Sedation may be enhanced by locoregional anesthetic techniques to produce sufficient analgesia and muscle relaxation for surgery to occur. Sedation and local anesthesia for standing diagnostic and surgical procedures on the horse's head circumvents the potential complications of general anesthesia (particularly, complications related to recovery). However, the implementation of a locoregional anesthetic technique requires a thoroug...
Minimizing Equine Tooth Extraction Complications.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 641-658 doi: 10.1016/j.cveq.2020.08.004
Galloway SS, Earley ET.Oral extraction has become the most popular extraction technique owing to its high rate of success with minimal major complication. Repulsion continues to produce unacceptably high iatrogenic complication rates. To avoid tooth repulsion, veterinary dentists have introduced procedures to facilitate difficult intraoral extractions and surgical extraction techniques. Minimizing complications is best achieved preoperatively. A comprehensive preoperative evaluation and treatment plan allows the dentist to predict intraoperative complication and prepare for procedures to produce the best outcome. Wi...
Equine Oral Extraction Techniques.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 545-564 doi: 10.1016/j.cveq.2020.08.010
Gieche JM.This article serves as a template for equine veterinarians to become proficient in basic intraoral premolar and molar extraction techniques of Equidae. Indications, equipment, and methodology are described. Numerous photos and videos are included to achieve a more immersive learning experience than can be accomplished with the written word alone. Clinicians performing these techniques will continue to improve their skillsets to achieve positive outcomes as case specifics become more challenging.
Equine Standing Surgical Extraction Techniques.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 575-612 doi: 10.1016/j.cveq.2020.08.008
Earley ET, Galloway SS.Dental repulsion techniques reported in the past decades have a high incidence of complications. Although the practice of surgical extractions in horses is limited because of the training, instrumentation, and experience required to perform these techniques, veterinarians should be aware these procedures are available, general anesthesia is not required, and when performed by skilled veterinary dentists they have low complication rates. Surgical techniques are often used after failure of other extraction techniques to remove retained tooth root and fragments or to debride chronically contamina...
Meningitis After Tooth Extraction and Sinus Lavage in a Horse.
Journal of equine veterinary science    November 16, 2020   Volume 97 103323 doi: 10.1016/j.jevs.2020.103323
Zetterström S, Groover E, Lascola K, Cole R, Velloso A, Boone L.A five-year-old Thoroughbred mare was evaluated because of chronic, malodorous, unilateral nasal discharge, and suspected maxillary cheek tooth root abscess. Skull radiographs revealed bilateral sinusitis suspected secondary to tooth root abscessation of 109 and 210. Following oral extraction of 109, bilateral conchofrontal sinus trephination and lavage; fever, tachycardia, and cervical stiffness developed. A lumbosacral cerebrospinal fluid tap was performed, and a presumptive diagnosis of bacterial meningitis was made. Targeted therapy consisted of antibiotic treatment with penicillin, enrofl...
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