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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.
Comparison of a 3-hole 4.5-mm Dynamic Compression Plate and a 7-hole 5.5-mm Y Locking Compression Plate for Arthrodesis of the Proximal Interphalangeal Joint in Horses-an Ex Vivo Biomechanical Study.
Journal of equine veterinary science    September 12, 2020   Volume 94 103252 doi: 10.1016/j.jevs.2020.103252
Latorre CAS, de Souza AF, Ramos PAR, Nóbrega FS, van de Graaf GMM, Pereira CAM, Ferrigno CRA, Hendrickson DA, De Zoppa ALDV.The objective of this study was to compare the biomechanical properties in a single cycle axial loading test and the types of failures in two constructs (a 3-hole 4.5-mm dynamic compression plate (DCP) and 7-hole 5.5-mm Y locking compression plate (Y-LCP)) in equine proximal interphalangeal joint (PIJ) arthrodesis. One limb in each pair was randomly assigned to PIJ arthrodesis using a 3-hole 4.5-mm DCP combined with two transarticular 5.5-mm cortical screws, whereas the contralateral limb was submitted to PIJ arthrodesis using a 7-hole Y-shaped 5.0-mm LCP in conjunction with one transarticular...
European Forensic Veterinary Pathology Comes of Age.
Journal of comparative pathology    September 9, 2020   Volume 179 83-88 doi: 10.1016/j.jcpa.2020.08.003
Munro R, Ressel L, Gröne A, Hetzel U, Jensen HE, Paciello O, Kipar A.During the mid-1700s, development of the veterinary profession was largely focussed on equine medicine and surgery. Subsequently, rather erratic development encompassed other species and eventually led to specialization in different disciplines. Teaching of veterinary pathology was well established in Europe and North America by the late 19 century. Specialization in this discipline was boosted in the 1940s by the formation, in the USA, of the Register of Veterinary Pathology and American College of Veterinary Pathologists. National societies followed soon afterwards in Europe. The European So...
CEPEF4: update and plan.
Veterinary anaesthesia and analgesia    September 8, 2020   Volume 47, Issue 5 724-725 doi: 10.1016/j.vaa.2020.08.004
Gozalo-Marcilla M, Redondo JI, Johnston M, Taylor P, Bettschart-Wolfensberger R.No abstract available
Association Between Disease Severity, Heart Rate Variability (HRV) and Serum Cortisol Concentrations in Horses with Acute Abdominal Pain.
Animals : an open access journal from MDPI    September 2, 2020   Volume 10, Issue 9 1563 doi: 10.3390/ani10091563
Gehlen H, Faust MD, Grzeskowiak RM, Trachsel DS.Heart rate variability (HRV) is a noninvasive technique to detect changes in the autonomous nervous system. It has rarely been investigated in horses with colic. Therefore, the objective was to assess the evolution of HRV parameters and cortisol concentrations in horses with colic. The 43 horses included in this study were categorized into three groups according to the treatment (1, surgical; 2, conservative; 3, euthanized). The HRV and laboratory variables were measured at admission (T1), the day after admission (T2), and at discharge (T3) and compared between groups and over time with an ANO...
Diagnostic and Treatment Practices of Equine Endometritis-A Questionnaire.
Frontiers in veterinary science    September 2, 2020   Volume 7 547 doi: 10.3389/fvets.2020.00547
Köhne M, Kuhlmann M, Tönißen A, Martinsson G, Sieme H.Endometritis is a major cause for impaired fertility in mares. The objectives of this study were to collect information on diagnostic and treatment practices performed by veterinarians and to investigate possible effects of professional experience, caseload, and geographical location on the practitioners' management of endometritis cases. For this purpose, equine practitioners ( = 680) were asked to fill out an online survey (34 questions). The online survey yielded 117 responses by veterinarians practicing in all parts of Germany. Most respondents came from Lower Saxony and managed <20 mares ...
The effect of intra-articular mepivacaine administration prior to carpal arthroscopy on anesthesia management and recovery characteristics in horses.
Veterinary surgery : VS    August 31, 2020   Volume 49, Issue 7 1343-1349 doi: 10.1111/vsu.13501
Gaesser AM, Varner KM, Douglas HF, Barr CA, Hopster K, Levine DG.To evaluate the effects of intra-articular (IA) mepivacaine administration prior to carpal arthroscopy on anesthetic drug requirements, blood pressure support, hemodynamic variables, and quality of recovery in horses. Methods: Experimental, analytical, cohort study. Methods: Twenty-two horses (n = 11 horses/group). Methods: Horses were anesthetized by using the same protocol, but an IA injection of mepivacaine or saline was performed before carpal arthroscopy. End-tidal isoflurane concentration, heart rate, and mean arterial pressure were recorded at specific time points. Quality of recovery w...
A new equine anaesthetic mortality study two decades after CEPEF2: CEPEF4 is going live!
Equine veterinary journal    August 30, 2020   Volume 52, Issue 6 891-892 doi: 10.1111/evj.13327
Gozalo-Marcilla M, Redondo JI, Johnston M, Taylor P, Bettschart-Wolfensberger R.No abstract available
The use of hyoscine N-butylbromide to treat intraoperative bradycardia during isoflurane anaesthesia in a Thoroughbred horse.
Veterinary anaesthesia and analgesia    August 29, 2020   Volume 47, Issue 6 847-849 doi: 10.1016/j.vaa.2020.06.005
Loomes K.No abstract available
Complications associated with closure of the linea alba using a combination of interrupted vertical mattress and simple interrupted sutures in equine laparotomies.
The Veterinary record    August 29, 2020   Volume 187, Issue 11 e94 doi: 10.1136/vr.105855
Salciccia A, de la Rebière de Pouyade G, Gougnard A, Detilleux J, Caudron I, Verwilghen D, Serteyn D, Grulke S.(1) Evaluate the occurrence and variables associated with incisional morbidities (IMs) after ventral median laparotomy when using interrupted vertical mattress sutures (IVMS) and (2) determine the occurrence of abdominal bandage-associated complications in horses. Methods: Occurrence of IM and bandage-associated complications were determined after single laparotomies (SL group; n=546 horses) and repeat laparotomies (RL group: multiple laparotomies within four weeks; n=30 horses) in horses that survived ≥7 days postoperatively. Univariate analysis and multivariate logistic regression were per...
Tough magnesium phosphate-based 3D-printed implants induce bone regeneration in an equine defect model.
Biomaterials    August 23, 2020   Volume 261 120302 doi: 10.1016/j.biomaterials.2020.120302
Golafshan N, Vorndran E, Zaharievski S, Brommer H, Kadumudi FB, Dolatshahi-Pirouz A, Gbureck U, van Weeren R, Castilho M, Malda J.One of the important challenges in bone tissue engineering is the development of biodegradable bone substitutes with appropriate mechanical and biological properties for the treatment of larger defects and those with complex shapes. Recently, magnesium phosphate (MgP) doped with biologically active ions like strontium (Sr) have shown to significantly enhance bone formation when compared with the standard calcium phosphate-based ceramics. However, such materials can hardly be shaped into large and complex geometries and more importantly lack the adequate mechanical properties for the treatment ...
Standing Arthroscopic Treatment of Temporomandibular Joint Sepsis in a Horse.
Journal of veterinary dentistry    August 20, 2020   Volume 37, Issue 2 94-99 doi: 10.1177/0898756420948269
Elzer EJ, Wulster KB, Richardson DW, Ortved KF.A 15-year-old Thoroughbred gelding was presented for investigation of fever, right temporomandibular region swelling, and progressive pain when opening the mouth. Right temporomandibular joint (TMJ) sepsis was diagnosed based on synovial fluid analysis, sonographic imaging, and standing robotic cone-beam computed tomography. Concurrent otitis media and temporohyoid osteoarthropathy (THO) were also noted. The horse was treated with arthroscopic debridement and lavage during standing sedation followed by local and systemic antimicrobial therapy. There were no complications associated with the su...
Effect of position on transdiaphragmatic pressure and hemodynamic variables in anesthetized horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    August 18, 2020   Volume 84, Issue 3 205-211 
Youngblood CD, Hodgson DS, Beard WL, Song Y, Prakash P, Heflin LV.Recumbency affects respiratory mechanics and oxygenation in anesthetized horses. Changes in pleural and abdominal pressures that can impair ventilation have not been described in all recumbencies. The objective of this study was to determine the effects of patient positioning on transdiaphragmatic pressure and selected hemodynamic variables. Horses were maintained under total intravenous general anesthesia with nasal oxygen supplementation. Transnasal balloon catheters in the stomach and thoracic esophagus were used to measure intrathoracic and gastric pressures in standing horses and in anest...
Bilateral third eyelid ectopic cilia in an adult horse.
Veterinary ophthalmology    August 17, 2020   Volume 23, Issue 5 913-917 doi: 10.1111/vop.12814
Chiwitt CLH, Scurrell EJ, Featherstone HJ, Heinrich CL.A 15-year-old Cob mare presented with a 4-month history of chronic epiphora and intermittent blepharospasm in the right eye. On ophthalmic examination, two translucent aberrant hairs were identified at the third eyelid margin corresponding to an area of corneal fibrosis and neovascularization. Partial excision of the third eyelid was performed, and histopathology confirmed ectopic hair follicles. Two weeks later, clinical signs recurred in the same eye. Examination revealed another pair of aberrant hairs on the bulbar surface of the third eyelid near its leading edge. This portion of the third...
Plate Removal after Internal Fixation of Limb Fractures: A Retrospective Study of Indications and Complications in 48 Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 16, 2020   Volume 34, Issue 1 59-67 doi: 10.1055/s-0040-1714411
Donati B, Fürst AE, Del Chicca F, Jackson MA. The aim of this study was to determine the indications for, and complications of, plate removal surgery in horses that underwent internal fixation of limb fractures. Methods:  Medical records of horses presented to our hospital between 1990 and 2015 for the removal of plates after treatment of limb fractures were reviewed. Data collected at the time of initial presentation, including signalment, history, fracture features and treatment and information about the indications, timing and complications of implant removal were reviewed. Results:  The most common bones involved were the ulna ...
The Effect of Increasing Fracture Site Stiffness on Bone-Pin Interface Stress and Foot Contact Pressure within the Equine Distal Limb Transfixation Cast: A Finite Element Analysis.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 14, 2020   Volume 33, Issue 5 348-355 doi: 10.1055/s-0040-1714353
Lescun TB, Adams SB, Nauman EA, Breur GJ. The aim of this study was to determine how increasing stiffness of fracture site tissues distal to the pins in an equine distal limb transfixation cast influences stress at the bone-pin interface, within the bones distal to the transcortical pins, and contact pressure between the foot and the cast. Methods:  A transfixation cast finite element model was used to compare the bone-pin interface stress, pin stress, bone stress distal to the pins and contact pressure between the foot and the cast, using six stiffness values for a composite tissue block representing progressive stages of fractu...
Computed Tomography and Magnetic Resonance Imaging of an Epidermoid Cyst in a Foot of a Horse.
Journal of equine veterinary science    August 14, 2020   Volume 94 103223 doi: 10.1016/j.jevs.2020.103223
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...
Complications Following Mandibular Cheek Tooth Extraction in 20 Horses.
Frontiers in veterinary science    August 13, 2020   Volume 7 504 doi: 10.3389/fvets.2020.00504
Gergeleit H, Bienert-Zeit A.The objectives of this retrospective study were to describe the prevalence and characteristics of post-operative complications that occur following equine mandibular cheek tooth extractions and to assess for possible associated risk factors. Clinically significant post-extraction complications necessitating repeat referral developed following 20/302 (6.6%) mandibular cheek tooth extractions. Horses developing complications were younger than the overall population having mandibular cheek teeth extractions and the most commonly affected teeth were the Triadan 07 s and 09 s. Alveolar sequestratio...
Tunnel grafting for wound repair in horses: a novel technique in graft production and placement.
Australian veterinary journal    August 12, 2020   Volume 98, Issue 10 517-522 doi: 10.1111/avj.12998
Kalamanova A, Anderson BH, Cust AR, Fulton IC.There are several skin grafting methods described in the human and animal literature. Currently, there are five types of free grafts used in horses: pinch and punch grafts, split and full-thickness sheet or mesh grafts and tunnel grafts. Published methods of tunnel grafting describe the use of alligator forceps. The alligator forceps create a poor tunnel and are excessively traumatic to the granulation bed. This technique utilised a 13G Jamshidi needle that was placed across the granulation bed and created a uniform tunnel. The Jamshidi needle was atraumatic to the granulation bed increasing t...
Ex vivo comparison of sliding knot ligatures vs. haemostatic clips for equine small intestinal mesenteric vessel occlusion.
BMC veterinary research    August 12, 2020   Volume 16, Issue 1 290 doi: 10.1186/s12917-020-02498-x
Giusto G, Gandini M.In equine abdominal surgery, resection and anastomosis of strangulated intestine is a commonly performed procedure. To date, ligatures, vessel sealing devices and the ligate-divide stapler have been described for this use in horses. The objective of this study was to compare the application of haemostatic clips and ligatures to occlude equine mesenteric vessels. Portions of jejunum with ten associated mesenteric vessels were collected from 12 horses at a local abattoir and divided into two groups. Portions of intestine were divided into two sections comprising five vessels each and assigned to...
Outcome following repair of 63 sagittal fractures of the proximal phalanx in UK Thoroughbreds using either a triangular or linear screw configuration.
Equine veterinary journal    August 12, 2020   Volume 53, Issue 3 524-529 doi: 10.1111/evj.13304
Findley JA, O'Neill HD, Bladon BM.A triangular screw configuration has been suggested as preferable for repair of sagittal fractures of the proximal phalanx. Objective: To assess the outcome of a triangular screw construct for repair of incomplete and complete minimally displaced proximal phalanx fractures under standing sedation in a population of Thoroughbred racehorses, compared with a cohort repaired using a linear screw configuration. Methods: Retrospective cohort study. Methods: Medical records and radiographs were accessed to garner clinical data. Date of return to racing was determined from www.racingpost.com. Survival...
Tensile strength and early healing of self-locking and surgeon’s knots.
Veterinary surgery : VS    August 11, 2020   Volume 49, Issue 8 1580-1589 doi: 10.1111/vsu.13497
Weatherall KM, Boone LH, Caldwell FJ, Cole RC, Cattley RC, Lascola KM, Clark-Price SC, Farag R, Perkins E, Hanson RR.To compare the biomechanical properties and healing of ventral midline celiotomies (VMC) closed with a self-locking knot combination and forwarder start and Aberdeen end (F-A) vs a traditional knot combination and surgeon's start and end (S-S). Methods: In vivo, experimental. Methods: Twenty-one horses. Methods: Fourteen horses underwent VMC, which was closed with either an F-A (n = 7) or an S-S (n = 7) knot combination. Incisions were subjectively graded by masked evaluators for dehiscence, edema, and drainage. Biomechanical testing was performed on three abdominal segments, and histology was...
Antimicrobial susceptibility of bacterial isolates from 33 thoroughbred horses with arytenoid chondropathy (2005-2019).
Veterinary surgery : VS    August 7, 2020   Volume 49, Issue 7 1283-1291 doi: 10.1111/vsu.13474
Johnston GCA, Lumsden JM.To describe the prevalence and antimicrobial susceptibility of bacterial isolates cultured from surgical specimens of infected arytenoid cartilage and granulomas. Methods: Retrospective cohort study. Methods: Thirty-three thoroughbred horses. Methods: Hospital records were retrieved for all horses admitted to a referral hospital for arytenoid chondropathy surgery that had samples submitted for culture and sensitivity between 2005 and 2019. Descriptive analyses were performed. Results: In total, 56 bacterial isolates were obtained. Gram-positive bacteria (58%), Gram-negative bacteria (54%), and...
Congenital Osteoma of the Frontal Bone in an Arabian Filly.
Journal of equine veterinary science    August 7, 2020   Volume 93 103217 doi: 10.1016/j.jevs.2020.103217
Abu-Seida AM, Shamaa AA.Congenital frontal osteoma has not been previously described in horses. This report records-for the first time-a congenital osteoma of the frontal bone in a 4-month-old Arabian filly. The filly had a frontal hard mass that was present at birth and then showed a slow and continuous growth. This mass appeared as a solitary, painless, oval dense tumor of compact bone, about 2 cm in diameter and 3 cm in length. The tumor was asymptomatic, and the skin over the mass was normal. Radiography revealed a well-defined oval, radio-dense mass projecting from the surface of the right frontal bone with no...
An Exploratory Study into the Implantation of Arytenoid Cartilage Scaffold in the Horse.
Tissue engineering. Part A    July 30, 2020   Volume 27, Issue 3-4 165-176 doi: 10.1089/ten.TEA.2019.0295
Cercone M, Brown BN, Stahl EC, Mitchell LM, Fortier LA, Mohammed HO, Ducharme NG.Respiratory function in the horse can be severely compromised by arytenoid chondritis, or arytenoid chondropathy, a pathologic condition leading to deformity and dysfunction of the affected cartilage. Current treatment in cases unresponsive to medical management is removal of the cartilage, which can improve the airway obstruction, but predisposes the patient to other complications like tracheal penetration of oropharyngeal content and dynamic collapse of the now unsupported soft tissue lateral to the cartilage. A tissue engineering approach to reconstructing the arytenoid cartilage would repr...
Resolution of cauda equina syndrome after surgical extraction of lumbar intrathecal bullet.
Surgical neurology international    July 25, 2020   Volume 11 214 doi: 10.25259/SNI_400_2020
Aljuboori Z, Sieg E.Gunshot wound (GSW) injuries to the spinal column are correlated with potentially severe neurological damage. Here, we describe a GSW to the thoracolumbar junction (e.g., T12/L1 level) which resulted in a cauda equina syndrome that resolved once the bullet was removed. Methods: A 29-year-old male presented with a T12-L1 GSW; the bullet traversed the right chest and liver, entered the spinal canal at T12, and then settled at L1. He experienced excruciating burning pain in the right lower extremity/perineum and had urinary retention. On neurological examination, he exhibited severe weakness of t...
Catheter-based electrical interventions to study, diagnose and treat arrhythmias in horses: From refractory period to electro-anatomical mapping.
Veterinary journal (London, England : 1997)    July 24, 2020   Volume 263 105519 doi: 10.1016/j.tvjl.2020.105519
van Loon G, Van Steenkiste G, Vera L, Decloedt A.Minimally-invasive catheter-based interventional cardiology is a mainstay for the diagnosis and treatment of arrhythmias in human medicine. Very accurate imaging using fluoroscopy, CT and MRI is essential during interventional cardiology procedures. Because these imaging techniques are either not possible or provide too little anatomical detail in horses, echocardiography is currently the best technique to visualize catheters in horses. Over the past decades, catheter-based techniques have been applied to induce arrhythmias using pacing and to perform arrhythmia research using electrophysiolog...
Ex vivo modeling of the airflow dynamics and two-and three-dimensional biomechanical effects of suture placements for prosthetic laryngoplasty in horses.
American journal of veterinary research    July 24, 2020   Volume 81, Issue 8 665-672 doi: 10.2460/ajvr.81.8.665
Lynch NP, Jones SA, Bazley-White LG, Wilson ZF, Raffetto J, Pfau T, Cheetham J, Perkins JD.To identify the degree of left arytenoid cartilage (LAC) abduction that allows laryngeal airflow similar to that in galloping horses, assess 2-D and 3-D biomechanical effects of prosthetic laryngoplasty on LAC movement and airflow, and determine the influence of suture position through the muscular process of the arytenoid cartilage (MPA) on these variables. Methods: 7 equine cadaver larynges. Methods: With the right arytenoid cartilage maximally abducted and inspiratory airflow simulated by vacuum, laryngeal airflow and translaryngeal pressure and impedance were measured at 12 incremental LAC...
A retrospective evaluation of the effect of perianesthetic hydromorphone administration on the incidence of postanesthetic signs of colic in horses.
Veterinary anaesthesia and analgesia    July 23, 2020   Volume 47, Issue 6 757-762 doi: 10.1016/j.vaa.2020.06.003
Skrzypczak H, Reed R, Barletta M, Quandt J, Sakai D.To describe the incidence of postanesthetic signs of colic (PASC) in horses and determine if perianesthetic administration of hydromorphone was associated with an increased risk of PASC. Methods: Retrospective, cohort study. Methods: A total of 409 horses. Methods: Anesthesia and clinical records of horses admitted for various procedures from July 2018 to September 2019 were reviewed. Signs of colic and interventions were recorded up to 48 hours after anesthesia. A binomial logistic regression model was used to evaluate the association between the type of surgery, administration of hydromorpho...
Degenerative Lumbar Spinal Stenosis.
Revista brasileira de ortopedia    July 23, 2020   Volume 56, Issue 1 9-17 doi: 10.1055/s-0040-1712490
Hennemann S, de Abreu MR.Degenerative lumbar spinal stenosis is the most frequent cause of low back pain and/or sciatica in the elderly patient. Epidemiology, pathophysiology, clinical manifestations and testing are reviewed in a wide current bibliographic investigation. The importance of the relationship between clinical presentation and imaging study, especially magnetic resonance imaging (MRI), is emphasized. Prior to treatment indication, it is necessary to identify the precise location of pain, as well as the differential diagnosis between neurological and vascular lameness. Conservative treatment combining medic...
Retrospective analysis of 15 years of horse-related maxillofacial fracture data at a major German trauma center.
European journal of trauma and emergency surgery : official publication of the European Trauma Society    July 22, 2020   Volume 48, Issue 4 2539-2546 doi: 10.1007/s00068-020-01450-w
Stier R, Tavassol F, Dupke C, Rüter M, Jehn P, Gellrich NC, Spalthoff S.The purpose of this study was to estimate the effect of the mechanism of trauma (fall versus kick), rider demographics, equestrian experience, protective equipment, and whether or not a horse was shod on the anatomic site of a horse-related maxillofacial fracture, operating time, postoperative complication rate, and length of hospital stay. Methods: We retrospectively reviewed the medical records of patients treated for horse-related maxillofacial fractures at a single institution in Germany between January 2000 and March 2015. We used linear and logistic regression to test the above-mentioned...
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