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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.
Needle Arthroscopy of the Scapulohumeral Joint and Bicipital BURSA in Horses: An Ex Vivo Study.
Journal of equine veterinary science    February 24, 2021   Volume 101 103432 doi: 10.1016/j.jevs.2021.103432
Canola PA, Cardenas JJ, Sá GC, de Paula VB.To evaluate the feasibility of performing needle arthroscopy of the scapulohumeral joint and bicipital bursa in standing horses by using the thoracic limbs of euthanized horses. To that purpose, this experimental study was designed. Ten thoracic limbs, five left and five right from euthanized horses were retained in an upright position to simulate a standing horse. The craniolateral and lateral scapulohumeral arthroscopic portals were used to access the articular structures. A third (caudal) portal was also identified and described. The degree of difficulty in accessing the articular space and...
EOTRH Syndrome in Polish Half-Bred Horses – Two Clinical Cases.
Journal of equine veterinary science    February 24, 2021   Volume 101 103428 doi: 10.1016/j.jevs.2021.103428
Górski K, Tremaine H, Obrochta B, Buczkowska R, Turek B, Bereznowski A, Rakowska A, Polkowska I.The aim of this paper is to thoroughly describe the etiology, diagnostic processes and recommended treatment of equine odontoclastic tooth resorption and hypercementosis (EOTRH). It is a relatively recently described disease. Most recent reports show that it is a common problem involving older equine patients. The most common and significant symptom of EOTRH is oral pain. The main clinical signs include periodontitis and gingivitis with a gingival recession, alveolar bone protrusion, periodontic fistulas and soreness of the incisors. When establishing the final diagnosis, it is necessary to co...
Polyaxial pedicle screw external fixation to stabilize oblique mandibular fractures in three standing, sedated horses.
Veterinary surgery : VS    February 19, 2021   Volume 50, Issue 3 659-667 doi: 10.1111/vsu.13587
Nelson BB, Easley J, Steward SKT, Smanik LE, Koch DW, Rawlinson JE, Easley JT.To report the radiographic, surgical and postoperative features in horses with unstable oblique mandibular fractures secured with polyaxial pedicle screws (PPS) external fixation construct and intraoral wiring. Methods: Three client-owned horses. Methods: Short case series. Methods: Two horses each had a unilateral fracture, which did not improve after conservative management, and one horse had bilateral fractures. Clinical and radiographic features were documented. Polyaxial pedicle screw external fixators and intraoral tension band wiring were applied in standing horses after combining sedat...
Balloon catheter occlusion of the maxillary, internal, and external carotid arteries in standing horses.
Veterinary surgery : VS    February 19, 2021   Volume 50, Issue 3 546-555 doi: 10.1111/vsu.13580
Genton M, Farfan M, Tesson C, Laclaire AL, Rossignol F, Mespoulhes-Rivière C.To assess the feasibility of balloon catheter occlusion of the internal carotid artery (ICA), external carotid artery (ECA), and maxillary artery (MA) in standing horses. Methods: Experimental and clinical cases series. Methods: Eight healthy horses (phase 1) and 11 clinical cases (phase 2). Methods: Occlusions were performed on standing horses under sedation and local anesthesia. In phase 1, four horses underwent bilateral ICA balloon catheter occlusion, and four horses underwent balloon catheter occlusion of the ECA and MA. In phase 2, horses were treated by occlusion of ICA (n = 7), ECA (n ...
A composite absorbable implant used to treat subchondral bone cysts in 38 horses.
Equine veterinary journal    February 18, 2021   Volume 54, Issue 1 97-105 doi: 10.1111/evj.13428
Ravanetti P, Lechartier A, Hamon M, Zucca E.In the last 30 years, several treatments have been proposed to treat subchondral cystic lesions (SCLs) but there have been no randomised studies to compare different methods and there is no consensus as to the optimal treatment. Objective: To evaluate a biocompatible absorbable implant for the treatment of SCLs in young horses in different anatomical locations. Methods: Retrospective case series. Methods: Horses with SCLs were treated with debridement through a trans-cortical extra-articular approach and an absorbable implant was inserted in the cavity. Clinical and radiographic follow-up was...
Retrospective evaluation of association between perioperative antimicrobial protocol and complications following elective equine synovial endoscopy.
Veterinary medicine and science    February 17, 2021   Volume 7, Issue 3 609-620 doi: 10.1002/vms3.447
Pezzanite LM, Griffenhagen GM, Krause DM, Hendrickson DA.Prophylactic perioperative antimicrobial protocols in equine synovial endoscopy have been described but not compared with respect to post-operative outcomes and complications. Increasing antimicrobial resistance in equine practice and interest in promoting judicious use of antimicrobials has prompted reevaluation of drug selection and dosing strategies. To determine the frequency of and compare post-operative complications following elective synovial endoscopy between horses receiving different perioperative antimicrobial protocols. Records from the Colorado State University Veterinary Teachin...
Evaluating the efficacy of surgical excision and topical dimethyl sulphoxide (DMSO) in the treatment of equine cutaneous pythiosis.
Iranian journal of veterinary research    February 16, 2021   Volume 21, Issue 4 301-307 
Atiba A, Ghazy A, Hamad MH.Cutaneous pythiosis in horses is a chronic ulcerative granulomatous disease caused by the oomycete Pythium insidiosum. Objective: The objective of the present study was to evaluate the response of cutaneous pythiosis in horses to surgical excision and topical dimethyl sulphoxide (DMSO). Methods: Thirty horses were presented clinically with pruritus, fistulae discharging serosanguineous fluid, and output kunkers in different body areas (limb, abdomen, neck, and face). The clinical diagnosis was confirmed by isolation of the causative agent and histopathology. All animals were treated by surgica...
Evaluation of the perioperative stress response from dexmedetomidine infusion alone, with butorphanol bolus or remifentanil infusion compared with ketamine and morphine infusions in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    February 15, 2021   Volume 48, Issue 3 344-355 doi: 10.1016/j.vaa.2021.01.006
Fujiyama M, Jones T, Duke-Novakovski T.To evaluate perioperative stress-related hormones in isoflurane-anesthetized horses administered infusions of dexmedetomidine alone or with butorphanol or remifentanil, compared with ketamine-morphine. Methods: Randomized, prospective, nonblinded clinical study. Methods: A total of 51 horses undergoing elective surgical procedures. Methods: Horses were premedicated with xylazine, anesthesia induced with ketamine-diazepam and maintained with isoflurane and one of four intravenous infusions. Partial intravenous anesthesia (PIVA) was achieved with dexmedetomidine (1.0 μg kg hour; group D; 12 hor...
Implications of the neuroanatomy of the equine thoracolumbar vertebral column with regional anaesthesia and complications following desmotomy of the interspinous ligament.
Equine veterinary journal    February 15, 2021   Volume 53, Issue 4 649-655 doi: 10.1111/evj.13402
Derham AM, Schumacher J, O' Leary JM, Kelly G, Hahn CN.Impinging/overriding dorsal spinous processes (DSPs) of the thoracolumbar vertebrae are a common cause of poor performance in horses. In the last five decades, numerous surgical treatments have been reported on, from transverse transection of the affected DSPs, and endoscopic resection of the affected DSPs, to transection of the interspinous ligament. Until recently, cosmetic outcomes have been reported as good to excellent in studies. However, a previously unreported complication of neurogenic atrophy of the contralateral epaxial muscle following desmotomy of the interspinous ligament has bee...
Strangulated internal abdominal hernia caused by horse riding.
Polish archives of internal medicine    February 11, 2021   Volume 131, Issue 3 290-291 doi: 10.20452/pamw.15805
Kaliszewski K, Szwed D, Śliwa A, Rudnicki J.No abstract available
Comparison of intraoperative cardiorespiratory and behavioral responses to medetomidine combined with tramadol or butorphanol during standing laparoscopic ovariectomy in horses.
The Journal of veterinary medical science    February 11, 2021   Volume 83, Issue 4 643-647 doi: 10.1292/jvms.20-0397
Kim A, Sasaki N, Lee I, Seo JP.The purpose of this study was to assess the cardiorespiratory and behavioral responses to the combination of medetomidine and tramadol (M-T) or butorphanol (M-B) in standing laparoscopic ovariectomy in horses. One ovary was removed under M-T and the contralateral ovary was removed under M-B with at least 4 weeks between operations at random. Horses were sedated using intravenous medetomidine (5 µg/kg) followed by tramadol (1 mg/kg) or butorphanol (10 µg/kg) after 5 min. Sedation was maintained through the repeated injection of medetomidine (1 µg/kg) and tramadol (0.4 mg/kg) or medetomidine ...
Survey of the equine broodmare industry, abortion, and equine herpesvirus-1 vaccination in Ontario.
The Canadian veterinary journal = La revue veterinaire canadienne    February 6, 2021   Volume 62, Issue 2 124-132 
Cooper CJ, Arroyo LG, Pearl DL, Hewson J, Lillie BN.A survey of Ontario horse breeders was conducted in 2016 and retrospectively asked farm-level management questions regarding herd sizes, vaccination, respiratory disease, and abortion over the years 2014 to 2015. A total of 88 farm owners completed the survey, reporting 857 broodmares. Using logistic regression modelling, management influences on vaccine use, and the reporting of respiratory disease or abortion was investigated. Having veterinary records and the reasons for breeding were significantly associated with the odds of an abortion even after controlling for broodmare herd size. The o...
Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012-2019).
Animals : an open access journal from MDPI    February 5, 2021   Volume 11, Issue 2 403 doi: 10.3390/ani11020403
Giusto G, Cerullo A, Labate F, Gandini M.Incomplete ileocecal bypass can be performed in cases in which an ileal disfunction is suspected but resection of the diseased ileum is not necessary. Objective: To describe the clinical findings, the surgical technique, and the outcome of 21 cases of colic with ileal pathologies that underwent an incomplete ileocecal bypass. Methods: Historical, clinical, and surgical features of cases diagnosed with pathologies involving the ileum or the ileocecal valve that underwent ileocecal anastomosis without ileal resection were retrieved. Clinical (heart rate, duration of symptoms, presence of reflux,...
Biomechanical Effects of Unidirectional Expansion Using Anisotropic Expanders in Horse Skin Tissue.
Journal of equine veterinary science    February 3, 2021   Volume 99 103399 doi: 10.1016/j.jevs.2021.103399
Al-Majhali SH, Khairuddin NH, Abdul Razak IS, Radzi Z, Rahman MT, Sapalo JT, Mayaki AM, Czernuszka JT.The use of a self-inflating tissue expander is a technique to stretch cutaneous tissues for potential use in reconstructive skin surgeries. This study investigates the mechanical properties of horse skin stretched by the subcutaneous implantation of anisotropic tissue expanders at the forehead, right shoulder, and dorsomedial part of the cannon region of the right forelimb in six (n = 6) horses. After 14 days of skin expansion, expanded and normal (control) skin samples were harvested and their mechanical properties of elastic modulus (EM), maximum force (MF), maximum stress (MSs) and maximu...
Towards an improved pain assessment in castrated horses using facial expressions (HGS) and circulating miRNAs.
The Veterinary record    February 2, 2021   Volume 188, Issue 9 e82 doi: 10.1002/vetr.82
Dalla Costa E, Dai F, Lecchi C, Ambrogi F, Lebelt D, Stucke D, Ravasio G, Ceciliani F, Minero M.Pain in horses is an emergent welfare concern, and its assessment represents a challenge for equine clinicians. This study aimed at improving pain assessment in horses through a convergent validation of existing tools: we investigated whether an effective analgesic treatment influences the horse grimace scale (HGS) and the concentration of specific circulating microRNAs (miRNAs). Eleven stallions underwent routine surgical castration under general anaesthesia. They were divided into two analgesic treatment groups: castration with the administration of preoperative flunixin and castration with ...
Ex vivo comparison of the bursting strength of an equine ventral midline celiotomy covered by two standard abdominal bandages.
Veterinary surgery : VS    February 2, 2021   Volume 50, Issue 3 615-621 doi: 10.1111/vsu.13572
Weatherall KM, Boone LH, Munsterman A, Hanson RR.To determine the compressive effect of abdominal bandages after ventral midline celiotomy closure in horses. Methods: Ex vivo, experimental study. Methods: Equine cadavers (n = 18), six per group. Methods: A 20-cm ventral midline celiotomy was created in each of 18 equine cadavers. A 200-L inflatable bladder was placed in the abdomen, and the linea alba was apposed. Horses were randomly assigned to no bandage (C), elastic (E), or Velcro inelastic (I) bandage groups for testing. Circumferential bandages were placed with a subbandage pressure monitoring system over the incision. The bladder was ...
Vaccination against GnRH as a prelude to surgical castration of horses.
Equine veterinary journal    January 20, 2021   Volume 53, Issue 6 1141-1149 doi: 10.1111/evj.13411
Birrell JR, Schulman ML, Botha AE, Ganswindt A, Fosgate GT, Bertschinger HJ.Surgical castration is one of the most frequently performed surgeries in horses and is associated with various post-surgical complications ranging in severity. Objective: We investigated the effects of administering an anti-GnRH vaccine to colts for reduction of testis size on the incidence of complications associated with their subsequent surgical castration. Methods: Randomised open controlled trial. Methods: Nineteen colts were randomly assigned to one of the three groups. Treatment Groups V1-57 and V2-100 received two treatments of Improvac (Zoetis, South Africa) before their castration in...
Reining in the Wound-Healing Response in an Equine Model with a Biomimetic Hydrogel.
ACS biomaterials science & engineering    January 19, 2021   Volume 7, Issue 1 1 doi: 10.1021/acsbiomaterials.0c01702
Pun SH.No abstract available
Validation of standing cone beam computed tomography for diagnosing subchondral fetlock pathology in the Thoroughbred racehorse.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 3 510-523 doi: 10.1111/evj.13414
Curtiss AL, Ortved KF, Dallap-Schaer B, Gouzeev S, Stefanovski D, Richardson DW, Wulster KB.Subchondral bone pathology is common in Thoroughbred racehorses and believed to precede more serious injury. Early identification of pathology is critical to allow for intervention. Objective: To determine interobserver variability of fetlock subchondral bone lesions using cone beam and fan beam computed tomography (CBCT, FBCT) and to validate a robotics-controlled CBCT to identify fetlock subchondral bone pathology in the Thoroughbred racehorse. Methods: Prospective cohort study. Methods: FBCT and CBCT images were acquired of 25 metacarpo-/metatarsophalangeal joints of Thoroughbred racehorses...
Influence of osteochondrosis on the longevity and racing performance of standardbred trotters and pacers.
Veterinary surgery : VS    January 18, 2021   Volume 50, Issue 3 507-516 doi: 10.1111/vsu.13568
Boorman S, Hofmeister EH, Ross MW, Ralston S, Bell G, Mackie S, Ortved K.To determine the influence of clinical osteochondrosis (OC) on the short-term (2, 3, and 4-year-old) and long-term racing performance and longevity of standardbred racehorses. Methods: Retrospective case-control study. Methods: Standardbred racehorses from a single breeding farm born between 2009 and 2017 that survived to racing age (n = 2711). Three hundred eighty-two (14%) horses were OC-affected (829 lesions confirmed arthroscopically during surgical treatment), and 2329 (86%) horses were nonaffected. Methods: Racing performance data were obtained from an online database and evaluated with ...
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 ...
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