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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.
Radiographic and arthroscopic features of third carpal bone slab fractures and their impact on racing performance following arthroscopic repair in a population of racing Thoroughbreds in the UK.
Equine veterinary journal    August 19, 2019   Volume 52, Issue 2 213-218 doi: 10.1111/evj.13155
Baldwin CM, Smith MRW, Allen S, Wright IM.Slab fractures of the third carpal bone (C3) are a common injury of Thoroughbred racehorses. Results of arthroscopically guided repair have not been reported since the initial description of the technique in 1986. Additionally, fracture details and racing outcomes in a population of Thoroughbreds racing under UK jurisdiction have not previously been described. Objective: To report the frequency distribution of C3 slab fractures and to determine the impact on racing performance following arthroscopically guided repair in a population of Thoroughbred racehorses. Methods: Retrospective case serie...
Computed tomography angiography of a congenital extrahepatic splenocaval shunt in a foal.
Acta veterinaria Scandinavica    August 14, 2019   Volume 61, Issue 1 39 doi: 10.1186/s13028-019-0474-0
Willems DS, Kranenburg LC, Ensink JM, Kummeling A, Wijnberg ID, Veraa S.Congenital portosystemic shunts in foals are rare and only a small number of cases have been described. Detailed description of the course of the shunt is lacking in earlier reports. This is the first detailed description of a computed tomography angiography (CTA) displaying an extra-hepatic splenocaval shunt. A 1-month old colt showing increasing signs of dullness, ataxia, circling, lip-smacking and coordination problems was presented. Hyperammonemia was detected and abdominal CTA revealed an extra-hepatic portocaval shunt. During surgery, ligation of the abnormal vessel could not be achieved...
Treatment of Infiltrative Superficial Tumors in Awake Standing Horses Using Novel High-Frequency Pulsed Electrical Fields.
Frontiers in veterinary science    August 14, 2019   Volume 6 265 doi: 10.3389/fvets.2019.00265
Byron CR, DeWitt MR, Latouche EL, Davalos RV, Robertson JL.Irreversible electroporation is a proven ablation modality for local ablation of soft tissue tumors in animals and humans. However, the strong muscle contractions associated with the electrical impulses (duration, 50-100 μs) requires the use of general anesthesia and, in most situations, application of neuromuscular blockade. As such, this technology is not used in an outpatient setting for ablating common cutaneous tumors (e.g., squamous cell carcinoma or melanoma) in humans or animals. Recently, high-frequency irreversible electroporation (H-FIRE) technology has been developed to enable ele...
Cone-beam computed tomography of the head in standing equids.
BMC veterinary research    August 13, 2019   Volume 15, Issue 1 289 doi: 10.1186/s12917-019-2045-z
Bregger MDK, Koch C, Zimmermann R, Sangiorgio D, Schweizer-Gorgas D.Computed tomography in standing horses has revolutionized diagnostic imaging. The O-arm®, a cone beam computed tomography (CBCT) scanner with a gantry opening of 96.5 cm is routinely used for image-guided spine and neurosurgery in humans. The aim of this study is to describe the set-up and first experiences using the O-arm® to achieve CBCT imaging of the head in standing horses. CT imaging of the predefined region of interest (ROI) was tested on 2 cadaveric heads, concentrating on centering issues within the gantry, as well as determining the number of scans needed per ROI. All horses pres...
Application of a laparoscopic technique for vasectomy in standing horses.
The Veterinary record    August 13, 2019   Volume 185, Issue 11 345 doi: 10.1136/vr.105396
Vitoria A, Romero A, Fuente S, Barrachina L, Vazquez FJ.This report describes a technique for standing laparoscopic vasectomy in stallions through a prospective descriptive study. A preliminary study was carried out with two experimental intact male horses and subsequently the procedure was performed in two clinical cases. These horse owners want to keep their animals in the most possible natural way, preserving its stallion behaviour in a herd without generating offspring. The horses were sedated and restrained in stocks and laparoscopic vasectomy was performed using three portal sites in both paralumbar fossae recording surgical times. A 4-cm seg...
Use of perioperative variables to determine the requirement for repeat celiotomy in horses with postoperative reflux after small intestinal surgery.
Veterinary surgery : VS    August 12, 2019   Volume 48, Issue 7 1204-1210 doi: 10.1111/vsu.13306
Jacobs CC, Stefanovski D, Southwood LL.To determine whether perioperative variables can be used to differentiate a medical vs a surgical reason for postoperative reflux (POR) after small intestinal (SI) surgery in horses. Methods: Retrospective study. Methods: Horses >1 year of age that recovered from SI surgery and had POR. Methods: Medical records of horses that underwent SI surgery and developed POR from 2009-2015 were reviewed. Surgical reasons for POR were defined as an anastomosis complication, mechanical obstruction, or nonviable intestine identified at repeat celiotomy/necropsy. A medical reason for POR was presumed wh...
Partial resection of bilateral ulnar remnants for treatment of carpus valgus in a 3-week-old Hanoverian foal.
The Canadian veterinary journal = La revue veterinaire canadienne    August 9, 2019   Volume 60, Issue 8 864-868 
Dubuc J, Da Silveira EA.A 3-week old Hanoverian foal was presented with bilateral moderate to severe carpal valgus. The deviations were 10 and 14 degrees, respectively for the left and right carpi and orthogonal radiographs of both front limbs highlighted bilateral persistent ulnar remnants. A partial resection of the ulnar remnants and periosteal transection on the disto-lateral aspect of the radius were performed bilaterally under general anesthesia. The valgus deviations began to improve within the first month and the limbs were almost straight (2 degrees for the left and right carpi) 5 1/2 months after surgery. T...
Preliminary heritability of complete rotation large colon volvulus in Thoroughbred broodmares.
The Veterinary record    August 7, 2019   Volume 185, Issue 9 269 doi: 10.1136/vr.105323
Petersen JL, Lewis RM, Embertson R, Valberg SJ, Holcombe SJ.Large colon volvulus (LCV) is a life-threatening form of colic that occurs when the large colon rotates 360° or more on its axis, resulting in colonic distention and ischaemia. Any horse can suffer from LCV, but the risk is greatest for periparturient Thoroughbred broodmares; the objective of this study was to estimate the heritability of LCV in these horses. The criteria for classification as an LCV case were being a Thoroughbred broodmare from one of three farms in central Kentucky and having had surgical correction for LCV. Controls were identified as Thoroughbred broodmares present on the...
Computed Tomographic Evaluation of Adjacent Segment Motion after Ex Vivo Fusion of Equine Third and Fourth Cervical Vertebrae.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 6, 2019   Volume 33, Issue 1 1-8 doi: 10.1055/s-0039-1693665
Schulze N, Ehrle A, Weller R, Fritsch G, Gernhardt J, Ben Romdhane R, Lischer C. Surgical fusion of vertebral segments is a treatment option for horses with cervical stenotic myelopathy or cervical fracture.Degenerative disease affecting adjacent vertebral segments is a reported complication following surgical vertebral fusion in other species, termed adjacent segment disease. The aim of this study was to evaluate the impact of cervical vertebral fusion on the biomechanics of adjacent vertebral segments in the horse. Methods:  Neck specimens of 12 horses were assessed using computed tomographic imaging. Range of motion (ROM) was determined by measuring the maximum sag...
Clinical insights: Equine anaesthesia and analgesia.
Equine veterinary journal    August 3, 2019   Volume 51, Issue 5 563-564 doi: 10.1111/evj.13147
Southwood L.No abstract available
Letter to the Editor: Prospective, randomised clinical trial of four different presurgical hand antiseptic techniques in equine surgery.
Equine veterinary journal    August 3, 2019   Volume 51, Issue 5 705 doi: 10.1111/evj.13139
Kampf G, Verwilghen D.No abstract available
Equine cheek tooth extraction: Comparison of outcomes for five extraction methods.
Equine veterinary journal    July 30, 2019   Volume 52, Issue 2 181-186 doi: 10.1111/evj.13150
Caramello V, Zarucco L, Foster D, Boston R, Stefanovski D, Orsini JA.Post-operative complications are reported for all methods of equine cheek tooth extraction but not all methods carry the same risks. An outcome comparison for commonly used methods is needed so that clinicians can make informed treatment decisions. Objective: We conducted a side-by-side comparison of five cheek tooth extraction methods, comparing types and incidence of complications among oral extraction, tooth repulsion (three surgical approaches) and lateral buccotomy techniques. Methods: Retrospective clinical study using hospital medical records. Methods: Medical records of all horses unde...
A 10-year study of arthroscopic surgery in racing Thoroughbreds and Quarter Horses with osteochondral fragmentation of the carpus.
Equine veterinary journal    July 25, 2019   Volume 52, Issue 2 225-231 doi: 10.1111/evj.13145
Graham RJTY, Rosanowski SM, McILWRAITH CW.Osteochondral fragmentation of the carpus is a common cause of lameness in racehorses. Prognosis following arthroscopic removal of the fragments was reported in 1987, but little is known of recent success rates. Objective: To identify associations between the severity and location of osteochondral fragments in the carpus, and to describe the racing performance of horses pre- and post-surgery in Thoroughbreds and Quarter Horses. To identify factors associated with a horse racing post-surgery. Methods: Retrospective study of clinical records (2006-2016). Methods: Surgical and racing records for ...
Long-term prognosis for return to athletic function after interspinous ligament desmotomy for treatment of impinging and overriding dorsal spinous processes in horses: 71 cases (2012-2017).
Veterinary surgery : VS    July 22, 2019   Volume 48, Issue 7 1278-1286 doi: 10.1111/vsu.13298
Prisk AJ, García-López JM.To determine the long-term return to performance of horses with impinging and/or overriding dorsal spinous processes (ORDSP) treated with interspinous ligament desmotomy (ISLD) and to determine the prognostic value of radiographic and scintigraphic grades. Methods: Retrospective study. Methods: Seventy-one horses with ORDSP treated with ISLD. Methods: Medical records were reviewed for signalment, physical examination, gait evaluation, and number of interspinous spaces treated. Preoperative radiographic and scintigraphic images were evaluated with grading scales. Follow-up was obtained with a t...
A short-term evaluation of a thermoplastic polyurethane implant for osteochondral defect repair in an equine model.
Veterinary journal (London, England : 1997)    July 20, 2019   Volume 251 105340 doi: 10.1016/j.tvjl.2019.105340
Korthagen NM, Brommer H, Hermsen G, Plomp SGM, Melsom G, Coeleveld K, Mastbergen SC, Weinans H, van Buul W, van Weeren PR.Cartilage repair remains a major challenge and treatment of (osteo)chondral defects generally results in poor quality fibrous repair tissue. Our approach aims to address some of the major biomechanical issues encountered in scaffold-based cartilage repair, such as insufficient stiffness of the scaffolds, step formation at the interface with the native tissue and inadequate integration with the original tissue. Two osteochondral defects were created on the medial femoral trochlear ridge in each stifle of six Shetland ponies. The defects were filled with a bi-layered implant consisting of a poly...
Risks and Outcomes of Equine Flat Bone Fractures.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 18, 2019   Volume 32, Issue 4 v doi: 10.1055/s-0039-1693467
Johnson KA.No abstract available
Ultrasonographic findings post laryngoplasty in the horse. Miller S, Carstens A.Laryngoplasty is commonly used to treat laryngeal hemiplegia in Thoroughbred racehorses. Evaluation of the success of the laryngoplasty is traditionally determined using endoscopy. Laryngeal ultrasonography and normal ultrasonographic appearance have been reported in the standing horse, but post-laryngoplasty and ventriculectomy ultrasonographic evaluation has limited literature coverage. A prospective case series of 10 Thoroughbred racehorses with left laryngeal hemiplegia was examined ultrasonographically and endoscopically prior to 3-10 days, 30-50 days, and 6-12 months after laryngoplasty ...
Restoration of arterial oxygen tension in horses recovering from general anaesthesia.
Equine veterinary journal    July 16, 2019   Volume 52, Issue 2 187-193 doi: 10.1111/evj.13142
Bardell D, Mosing M, Cripps PJ.Arterial hypoxaemia is common in anaesthetised horses, but little information exists regarding restoration of arterial oxygen tension (PaO ) during recovery from anaesthesia, or if intra-operative management factors exert any longer-term effect. Objective: To evaluate PaO in horses recovering from general anaesthesia up to 1 h after resuming standing. Methods: Prospective observational clinical cohort study. Methods: Systemically healthy adult horses undergoing inhalational general anaesthesia for elective surgical procedures were studied. Arterial blood samples were obtained anaerobically pr...
Internal fixation of a complete ventral luxation of the dens axis in an American quarter horse yearling.
Veterinary surgery : VS    July 12, 2019   Volume 48, Issue 8 1500-1506 doi: 10.1111/vsu.13283
Schulze N, Ehrle A, Noguera Cender AC, Lischer C.To report surgical treatment of a complete luxation of the atlantoaxial articulation with a 4.5-mm T-locking compression plate (T-LCP) in a horse. Methods: Case report. Methods: A one-year-old American quarter horse filly. Methods: A one-year-old American quarter horse filly presented with a complete luxation of the atlantoaxial articulation. Closed and open reduction of the luxation were attempted under general anesthesia with the aid of a pulley system. Because the manual reduction was unsuccessful, the dens axis was excised, and the atlas and axis were stabilized with a 4.5-mm T-LCP. Fo...
Outcome of arthroscopic debridement of cartilage injury in the equine distal interphalangeal joint.
The Canadian veterinary journal = La revue veterinaire canadienne    July 10, 2019   Volume 60, Issue 7 731-736 
Warnock WR, Marsh CA, Hand DR.The purpose of this study was to report long-term outcome following arthroscopic debridement of articular cartilage lesions of the distal interphalangeal joint, diagnosed with high-field magnetic resonance imaging. Diagnosis was based on the results of diagnostic anesthesia, magnetic resonance imaging (MRI), and arthroscopy. Ten horses underwent arthroscopic evaluation for cartilage injury and received various intra-articular therapies after surgery. Three of ten horses had lesions that were surgically inaccessible. Four horses became sound and returned to their preoperative level of athletici...
Accelerated Idioventricular Rhythm Associated With Isoflurane Administration in a Foal: A Case Report.
Journal of equine veterinary science    July 9, 2019   Volume 80 64-68 doi: 10.1016/j.jevs.2019.06.018
Peña-Cadahia C, Manso-Díaz G, Santiago-Llorente I, Villalba-Orero M.A 2-day-old filly was referred to the hospital with abdominal pain and constipation. The foal presented tachycardia, tachypnea, hypoxemia, hyperlactatemia, and abdominal distension. Meconium impaction was diagnosed, and the filly underwent abdominal surgery. Diazepam and butorphanol were administered for anesthesia premedication, but sedative effects were mild. Xylazine was used to enhance sedation and ketamine was subsequently administered for induction. The foal showed swallow reflex and head movement when intubation was attempted. Consequently, isoflurane on oxygen was provided via an anest...
Meta-analysis of the effects of lidocaine on postoperative reflux in the horse.
Veterinary surgery : VS    July 9, 2019   Volume 49, Issue 1 44-52 doi: 10.1111/vsu.13286
Durket E, Gillen A, Kottwitz J, Munsterman A.To determine the efficacy of lidocaine at reducing incidence of postoperative reflux (POR) in horses by using quantitative statistical analysis. Methods: Systematic meta-analytical review. Methods: Studies on horses undergoing gastrointestinal surgery for small intestinal lesions, identified by systematic search between 2001 and 2017. Methods: A search with PubMed/MEDLINE, Web of Science, and Google Scholar was performed, followed by secondary searches of veterinary trade journals and bibliographies of relevant articles. The primary outcome measure for this study was the effect of lidocaine th...
And Now for Something Completely Different: Some Controversies in Equine Medicine, Surgery, and Reproduction.
The Veterinary clinics of North America. Equine practice    July 8, 2019   Volume 35, Issue 2 xi-xii doi: 10.1016/j.cveq.2019.05.001
MacKay RJ.No abstract available
Treatment Options for Melanoma of Gray Horses.
The Veterinary clinics of North America. Equine practice    July 8, 2019   Volume 35, Issue 2 311-325 doi: 10.1016/j.cveq.2019.04.003
MacKay RJ.All gray horses inherited a single gene mutation, STX17G, that unbalances melanocyte behavior to cause graying and propensities to develop vitiligo and melanoma. The coat color genes ASIPa and MC1RE add risk such that relative likelihood of melanoma based on pregraying coat color is black > bay > chestnut. Melanomas begin at about 4 years. Locoregional control of melanoma masses depends on surgical removal and/or intralesional chemotherapy (possibly with adjunctive hyperthermia or electroporation). Systemic treatment is not evidence based but immunomodulators (cimetidine, levamisole) and ...
Single-stage reconstruction of third-degree perineal lacerations in horses under general anesthesia: Utrecht repair method.
Veterinary surgery : VS    July 7, 2019   Volume 48, Issue 7 1299-1308 doi: 10.1111/vsu.13280
Frietman SK, Compagnie E, Stout TAE, Jonker FH, Ter Braake F.To describe perioperative management, surgical procedure, and outcome in mares with third-degree perineal lacerations (TDPL) treated with a single-stage repair, the Utrecht repair method (URM). Methods: Retrospective study. Methods: Twenty mares with TDPL. Methods: Medical records of mares with TDPL reconstructed with a URM were reviewed for perioperative management; surgical outcome; and postoperative fertility, athletic performance, and complications. Results: Mares ranged in age from 3.5 to 11 years. Long-term follow-up was available for 13 mares. Mean duration of follow-up was 9 years ...
Comparative Stiffness of an Equine Distal Sesamoid Bone Fracture Model Stabilized with 3.5-mm versus 4.5-mm Cortical Bone Screws in Lag Fashion.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 6, 2019   Volume 32, Issue 6 440-446 doi: 10.1055/s-0039-1692979
Mampe JR, Tatarniuk DM, Suarez-Fuentes DG, Kraus KH. The aim of this study was to to determine the comparative stiffness following repair of an axial sagittal fracture model in equine distal sesamoid bones using either a single 3.5-mm or 4.5-mm cortical bone screw placed in lag fashion. Methods:  The present study was an biomechanical study. Results:  The mean (±standard deviation) stiffness value for the 4.5-mm screw-bone construct (522.49 N/mm ± 168.21) was significantly greater than the 3.5-mm screw-bone construct (408.46 N/mm ± 131.13) ( = 0.047). This represents a 28% difference in mean stiffness. Conclusions:  ...
Evaluation of a Novel Bone Substitute Injection Technique for Potential Treatment of Impact Injury to the Equine Palmar Metacarpal Condyle.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 6, 2019   Volume 32, Issue 6 447-453 doi: 10.1055/s-0039-1692984
Rice HC, Brokken MT, Hostnik ET, Bertone AL. The aim of this study was to evaluate the injection of a bone substitute material (BSM) into an impact lesion in the palmar condyle of the third metacarpal bone. Methods:  This was an controlled study performed on six horses. Methods:  Medial metacarpal condyles were exposed via arthrotomy and a compressive lesion created in anaesthetized horses using 80 psi (27.6 MPa) onto the articular surface ( = 12). Paired limbs were randomly selected as a control or for extra-articular injection of BSM towards the subchondral bone near the compressive lesion. Parameters of the surgical tech...
Experimentally Induced Open Pneumothorax in Horses.
Journal of equine veterinary science    July 5, 2019   Volume 80 90-97 doi: 10.1016/j.jevs.2019.06.011
Canola PA, Valadão CAA, Canola JC, Flôres FN, Lopes MCS.The objective of this study was to evaluate clinical and cardiovascular parameters and pleural and intra-abdominal pressures of horses after experimentally induced unilateral open pneumothorax. Prospective, experimental study-animals: seven healthy adult horses, 4 females and 3 males. Left hemithorax thoracotomy was carried out to create an open pneumothorax for 60 minutes. Pleural pressure (P) was directly obtained at the midpoint of the left eighth intercostal space before thoracotomy. Esophageal pressure (P), arterial blood gas analysis, left ventricular function, and ultrasonographic asses...
Standing MRI for surgical planning of equine fracture repair.
Veterinary surgery : VS    July 3, 2019   Volume 48, Issue 8 1372-1381 doi: 10.1111/vsu.13272
Genton M, Vila T, Olive J, Rossignol F.To report the feasibility of standing MRI (sMRI) and document the value of sMRI in surgical planning for surgical repair of limb fractures in the horse. Methods: Retrospective case series. Methods: Thirty-one horses with preoperative sMRI. Methods: Medical records were reviewed for fracture type, application of a polyester cast, sMRI sequences performed, technical variables, and image quality. Fracture geometry and concomitant lesions were compared between sMRI and radiography. The relative value of sMRI with regard to surgical planning was classified as minor (sMRI did not provide additional ...
Surgical corrections and postsurgical complications of epiglottic entrapment in Thoroughbreds: 12 cases (2009-2015).
Journal of equine science    July 3, 2019   Volume 30, Issue 2 41-45 doi: 10.1294/jes.30.41
Lee SK, Lee I.Twelve Thoroughbred racehorses were diagnosed as epiglottic entrapment at the Korea Racing Authority equine hospital. Four different surgical correction techniques were used to treat epiglottic entrapment: the transnasal hook bistoury, transoral unshielded hook bistoury, transnasal shielded hook bistoury, and transendoscopic laser techniques. Eleven cases were surgically resolved eventually, with one case of recurrence. Five complications related to surgical correction occurred: a severe nasal passage laceration and bleeding (n=1), epiglottic laceration (n=1), epiglottis tip burns (n=2), and m...
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