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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.
[Sonographic diagnosis of lingual abscess formation in 2 horses with feeding difficulties]. Feeding disorders in horses may have various underlying causes. A thorough clinical examination of the oral cavity is essential for clarification and is often supplemented by imaging techniques such as oral endoscopy, radiography, and computed tomography (CT) of the head. Sonographic examinations of the head and oral cavity are less commonly described diagnostic methods for the investigation of feeding disorders. This case report describes 2 horses presented to the clinic due to impaired feed intake. In both cases the radiographic examination of the head did not reveal any abnormalities relate...
Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses. To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression. Unassigned: Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were ...
Navigated minimally invasive puncture of the trigeminal cistern in horses-a cadaveric study in preparation for a controlled rhizotomy. Trigeminal-mediated headshaking is a neuropathic disorder in horses, characterized by signs of regional pain similar to trigeminal neuralgia in humans. The injection of glycerol into the trigeminal cistern to ablate pain-conducting nerve fibers within the trigeminal ganglion -known as glycerol rhizotomy- is a well-established treatment in human medicine. This study compares two approaches to the equine trigeminal cistern using a navigation system for guiding needle placement, a previously described ventral and a newly developed transmandibular lateral approach. The surgical accuracy and risk o...
Direct arthroscopic approach to the distal pouch of the palmar/plantar recess of the metacarpophalangeal/metatarsophalangeal joint in horses. To describe a direct arthroscopic approach of the distal pouch of the palmar/plantar recess of the fetlock to facilitate fragment removal, highlighting its advantages over previously described arthroscopic methods for the fetlock. Additionally, to evaluate and present a retrospective case series. Methods: Ex vivo and retrospective clinical study. Methods: A total of 25 fetlocks in 23 horses. Methods: A direct approach to the distal pouch of the palmar/plantar recess of the fetlock was developed on five cadaveric limbs. Arthroscopic anatomy and landmarks were examined. The approach was clinical...
Computed tomography and nephrotomy in a Warmblood stallion with bilateral nephrolithiasis. This case report describes the use of computed tomography for the diagnosis and surgical planning in a horse with bilateral nephrolithiasis. An adult Warmblood stallion (460 kg) was presented with chronic weight loss, hypercalcemia and azotemia. Ultrasonographic examination identified hyperechoic masses in both kidneys and dilation of the right renal pelvis. A solid mass was evident upon transrectal examination on the left side. Computed tomography (CT) of the caudal abdomen was performed and provided good quality images that facilitated exact determination of the size, position and extent of ...
Use of a point prevalence survey to measure antimicrobial use and antimicrobial resistance in equine veterinary hospitals. Antimicrobial resistance (AMR) is increasingly recognised in equine medicine. Antimicrobial use (AMU) is a key driver of AMR. Objective: To pilot a point prevalence survey (PPS), based on the Global-PPS used in human hospitals, to obtain data on antibiotic prescribing and AMR in equine hospitals and to identify targets for improvement in AMU. Methods: Point prevalence survey. Methods: Eight equine hospitals located in Australia, Belgium, South Africa, the United Kingdom and the United States were recruited. Data on AMU were collected from all in-patients on antibiotic treatment at 08h00 on fou...
An ex vivo comparison of mono-versus polyaxial locking compression plates for metacarpophalangeal joint arthrodesis in the horse. The aim of the study was to determine if a novel arthrodesis technique for the equine metacarpophalangeal (MCP) joint using a human non-contact bridging (NCB), polyaxial locking compression plate system has biomechanical and potential clinical advantages versus a traditional 5.5 mm stainless steel locking compression plate (LCP) under biomechanical testing. Methods: An ex vivo biomechanical equine cadaver study. Methods: A total of 11 MCP joints collected from adult Thoroughbred horses euthanized unrelated to musculoskeletal disease. Methods: Each pair of MCP joints were randomly implanted w...
Blood and Peritoneal Lactate, Ratio and Difference, and Peritoneal Lactate to Total Solids Ratio for Detection of Intestinal Strangulating Obstructions in Horses. The effectiveness of the peritoneal fluid L-lactate-to-total solids ratio (PFL:PFTS) as a diagnostic marker for strangulating lesions of the small intestine (SI) and large colon (LC) has not been investigated. Objective: Describe and compare the PFL:PTFS and blood lactate (BL), peritoneal fluid lactate (PFL) and PFL:BL difference and PFL:BL ratio of horses with SI and LC strangulating (SO) and non-strangulating (NSO) obstructions and determine sensitivity and specificity to predict SO. Methods: A total of 282 horses, 117 with SI lesions (59 classified as SINSO and 58 as SISO), and 165 with LC ...
Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding. To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer-assisted surgery. Methods: A 12-year-old Swiss Warmblood gelding. Methods: Case report. Methods: The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5 mm cortex screws of 58 and 48 mm length placed in lag fashion using computer-assisted surgery. Results: During general anesthesia, it was su...
The Suitability of Dried Blood Spot Sampling for Pharmacokinetic Studies in Veterinary Medicine. Dried blood spot (DBS) sampling has emerged as a promising microsampling technique in biomedical and clinical research, offering advantages such as reduced invasiveness, minimal blood volume requirements, and enhanced analyte stability. Although well established in human medicine for neonatal screening and diagnostic applications, its potential in veterinary pharmacology remains underexplored. This study investigated the feasibility of using DBS samples to quantify anesthetic agents-ketamine and medetomidine in cats and lidocaine in horses-during routine surgical procedures at a veterinary tea...
Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study. To assess the accuracy of computer-assisted surgery (CAS) of equine cervical vertebrae using a purpose-built cervical frame (CF) for neck stabilization. Methods: Experimental cadaveric study. Methods: Six whole fresh equine cadavers. Methods: Cadavers were positioned in dorsal recumbency with the neck extended within the CF. A cone-beam computed tomography (CBCT)-based surgical navigation system with optical tracking was used. A ventral approach exposed cervical vertebrae C3-C5. In each cadaver, 12 drill corridors were prepared with the patient tracker on the CF (position CF), followed by 12 c...
Sinonasal angiofibroma in a horse. A 34-year-old Haflinger gelding presented with a unilateral, expansile, intranasal mass that regrew after partial excision. After euthanasia, a large pedunculated mass that originated from the left caudal maxillary sinus and obliterated the left nasal cavity was seen by radiological and macroscopic examination. Histopathology revealed a poorly cellular, expansile, well-vascularized neoplasm composed of a loosely arranged meshwork of spindle cells and collagen fibres. Spindle cells were immunopositive for alpha-smooth muscle actin and occasionally for vimentin, whereas endothelial cells immunol...
Differentiation of equine paranasal sinus cysts and progressive ethmoid haematomas on computed tomographic images. Paranasal sinus cysts (PSC) and progressive ethmoid haematomas (PEH) are regularly observed in the paranasal sinus system. Due to their different prognosis and treatment options, differentiation of both lesions prior to surgery on computed tomographic (CT) images is important for guidance. It was hypothesised that PSC and PEH can be reliably differentiated on CT images. The database of four European equine referral centres were retrospectively searched for horses that had undergone a CT examination of the head and had a confirmed PSC or PEH. Additionally, cases with confirmed sinusitis were se...
Effect of a ventral midline colopexy on large colon volvulus recurrence and days to next live foal in Thoroughbred broodmares. To report the impact of ventral midline colopexy on colic, recurrence of large colon volvulus (LCV) and time to next live foal. Methods: Retrospective case control study. Methods: A total of 188 Thoroughbred broodmares surgically treated for LCV (2016-2020). Methods: Horses treated for LCV were grouped based on whether they received a colopexy (CP) or did not (NCP). All broodmares that underwent a second LCV surgery were subsequently categorized into two groups: those that received a colopexy (RCP) and those that did not (NRCP). Differences in the number of horses with large colon compromise, ...
Retrospective radiographic myelogram measurements and long-term outcomes in horses undergoing cervical interbody fusion surgery: 22 cases. Site selection for cervical stabilization surgery in horses with spinal ataxia frequently relies on measurements derived from radiographic myelography. A variety of measurement criteria exist and can provide conflicting results. The main objectives of this study were to assess the correlation between two commonly used myelographic measures, dorsal contrast column reduction (DCCR) and dural diameter reduction (DDR), and their association with previously selected operative sites in a population of horses operated at a tertiary clinic. Secondary objectives were to determine if articular process j...
Surgical technique, outcome, complications, and recurrence rate for removal of extensive perianal melanomas: 50 treated horses. To describe surgical treatment and outcome for horses with extensive perianal melanomas. Unassigned: Gray horses treated surgically for extensive perianal melanoma between July 1, 2020, and July 31, 2023, were eligible. Horses without the entire perianal skin covered with coalescing or ulcerating melanomas were excluded. Unassigned: 59 horses (30 mares, 27 geldings, and 2 stallions) met the inclusion criteria. Median age was 16 years (range, 7 to 28 years). Clinical signs included tenesmus (n = 53), weight loss (3), and hind limb lameness (1). Six horses presented with no complaints; in these ...
Morel-Lavallée lesion on the craniomedial aspect of the stifle in a horse: diagnosis, surgical management and outcome. Morel-Lavallée lesions (MLLs) are post-traumatic, closed, degloving injuries observed in humans and cats. Morel-Lavallée lesions have never been reported in horses. An 8-year-old Warmblood gelding used for dressage presented with a large swelling on the craniomedial aspect of the stifle that did not respond to conservative treatment. Ultrasonography revealed a large anechogenic fluid-filled cavity with a well-defined capsule. Standing endoscopic examination revealed separation between the deep crural fascia, vastus medialis muscle and skin. Cytology of the fluid collected demonstrated a lymp...
Standing repair of long frontal plane fractures of the proximal phalanx in UK Thoroughbred racehorses: A retrospective analysis of 13 fractures. Sagittal plane fractures of the proximal phalanx (P1) are commonly observed in the UK Thoroughbred racehorse, with the technique and outcome following standing lag screw fixation widely reported. Long frontal plane P1 fractures propagating from the central third of the proximal articular surface occur less frequently, with information concerning repair methods and outcomes currently lacking. Objective: To describe a surgical technique for standing lag screw fixation of long frontal P1 fractures and report on post-operative performance in a UK Thoroughbred population. Methods: Single centre ret...
Oral Extraction and Nasal Retrieval of a Fragmented Maxillary Fourth Premolar Tooth in a Horse Using Endoscopic Guidance: A Case Report. This case report presents the removal of the left maxillary fourth premolar tooth (208) which had a chronic complicated crown root fracture in a 9-year-old Warmblood mare. Following a 14-month history of malodorous nasal discharge, clinical and radiographic examination allowed the diagnosis of a comminuted crown root fracture of 208 and oronasal fistula. Some root fragments inaccessible for oral extraction were subsequently removed using a transnasal approach through the existing oronasal fistulous tract using bronchoesophageal forceps under endoscopic guidance. The oronasal fistula was surgic...
Patent Urachus and Associated Comorbidities in 101 Newborn Foals: A Retrospective Study. Patent urachus is a common disease in newborn foals. However, despite its frequency, studies investigating symptoms, comorbidities, treatment and prognosis in a large number of affected foals have rarely been conducted. This study aimed to describe the clinical symptoms, laboratory diagnostic findings and prognosis of foals with patent urachus. Data from 101 foals with a patent urachus from 2006 to 2017 were analysed. Patent urachus occurred at a frequency of 7.8% of all foals up to the 14th day of life during the study period. More colts (74.3%) than fillies (25.7%) were affected. In those wi...
Racing performance in 75 Thoroughbreds after arthroscopic removal of Osteochondritis dissecans from the lateral femoral trochlear ridge before first race start in Korea (2015-2017). The lateral trochlear ridge of the stifle joint is highly susceptible to developing Osteochondrosis (OC)/Osteochondritis dissecans (OCD) lesions. This retrospective study evaluated the medical and racing outcomes of 75 Thoroughbreds who underwent arthroscopic OCD removal at the Jeju Stud Farm Equine Hospital from 2015 to 2017. The analysis included medical records, radiographic assessments, and race performance data, comparing 75 horses that underwent surgery with 257 control horses selected as siblings from the same dam. The surgical group had comparable racehorse registration rates (89.3 %...
Survey on outcomes of emergency standing caesarean section in equids. Standing caesarian section (C-section) in mares is poorly documented in the literature. It is reportedly straightforward to perform for veterinarians experienced in bovine practice and is more accessible and less expensive than recumbent techniques. The study aimed to create a survey to report the outcomes of in field C-section through a flank laparotomy with the mare standing under sedation. Unassigned: A survey was developed for field veterinarians practicing standing C-sections. Data were collected regarding the veterinarian's experience and practice type, details about the mare and the rea...
Innovative approach in the treatment of comminuted proximal phalanx fractures in horses based on biomechanical modelling. Proximal phalanx (P1) fractures in horses are relatively common, and present significant treatment challenges, especially when the fractures are comminuted or infected. An innovative treatment approach includes attaching an external fixator to the third metacarpal bone (MC III), the healthy bone above fracture, to offload the injured P1 and protect it from load-bearing forces, particularly during post-surgical standing up. This study aims to develop the favourable mathematical and numerical models for screws configuration in this external fixator. Nine configurations (I-IX), varying in screw a...
Intra- and Post-Operative Bacteriological Surveys of Surgical Site in Horses: A Single-Centre Study. Bacterial contamination of the surgical site in horses is a major risk factor for the development of surgical site infections (SSIs), which increase morbidity, mortality, the hospitalisation period, antibiotic use, and management costs. While contamination is a prerequisite for infection, its progression to clinical infection depends on additional factors that compromise host defences. The present study, conducted at the Veterinary Teaching Hospital of the University of Perugia over an 11-month period, investigated bacterial contamination in 70 surgeries (53 clean and 17 clean-contaminated) at...
Prices for veterinary care of dogs, cats, and horses in Sweden and Norway: comparisons between corporate chain, government-run, and independent clinics. In a 10-15-year period, veterinary clinics in Sweden and Norway, as elsewhere, have undergone widespread corporatisation. High veterinary care costs have received attention in the lay press and from competition authorities. Whether corporate chains and independent clinics differ in price levels and how clinic characteristics, such as on-call service, affect pricing is not well-documented. The aim was to analyse prices levels and price changes for various diagnoses/procedures for dogs, cats, and horses from clinics in Norway and Sweden and to examine the influence of affiliation (corporate chai...
[Guttural pouch mycosis in a warmblood foal – Occlusion of the internal carotid artery using transendoscopic clip application]. The present report describes an 8-week-old warmblood foal presented following two episodes of epistaxis. The foal had a history of an umbilical infection, which had been treated with antibiotics when it was 8 days old. Four days before admission the filly showed severe, self-limiting epistaxis. The second hemorrhage occurred on the day of admission. The foal was lethargic and the remainder of the clinical examination unremarkable. A latero-lateral radiograph of the head revealed a fluid line within the guttural pouch. Endoscopy showed large amounts of blood within the pharynx and the upper thi...
What is the “train track” in the retained equine testis? A 3-year-old Quarter horse stallion with unilateral left cryptorchidism was referred for the absence of the left testis in the scrotal bursa and an enlarged right testis. The ultrasonographic examination revealed the presence of the left testis at the abdominal level. Two small hyperechogenic lines were observed running parallel and resembling a cylindrical cavitary foreign body, within a non-homogeneous area with blurred margins. The testis was removed by laparoscopy and macroscopically, the testis's cut section revealed the presence of two live adult nematodes emerging from 2 mm blood-filled...
Sublingual microcirculation in isoflurane-anesthetized horses receiving dexmedetomidine and lidocaine constant rate infusion. To assess the sublingual microcirculation in horses anesthetized with isoflurane and undergoing constant rate infusion of dexmedetomidine (DEX) and lidocaine (LID). Unassigned: 16 horses undergoing arthroscopy were included in a blind, randomized study comparing 2 groups: a DEX group (DEX-LID; 1.75 μg·kg-1·h-1 with a LID bolus of 1.3 mg·kg-1 followed by a continuous infusion of 0.05 mg·kg-1·min-1) and a LID-only group (LID; at the same dose). Hemodynamic variables, including mean, systolic, and diastolic blood pressure; heart rate; capnography; blood gas analysis; blood lactate; and orth...
Use of the rectus sheath block for perioperative analgesia in three foals undergoing omphalectomy and cystoplasty. Locoregional techniques promote multimodal analgesia and may reduce general anaesthetic requirements. However, there is limited evidence in foals. The rectus sheath block (RSB) is an interfascial plane block previously described in other species such as dogs, cats, pigs, and calves, and recently in foals, which targets desensitization of ventral abdominal midline. This block may provide an efficacious analgesic alternative for ventral celiotomies and umbilical surgeries. This case series reports the use of a bilateral RSB with 0.25-0.3 mL kg-1 bupivacaine (maximum dose of 2 mg kg-1) per hemiab...
An unusual case of a monorchid horse with an abdominally retained testicle. Introduction Monorchidism is a rarely described condition in the horse and is not to be confused with cryptorchidism. The diagnosis is challenging and confirmed by surgery and histology in combination with hormonal assays. This report describes, to the best of the author's knowledge, the first case of monorchidism and abdominal cryptorchidism of the developed testicle in a horse. Methods An Irish Cob underwent laparoscopic castration for removal of bilateral cryptorchid testicles. At surgery the horse was diagnosed as a monorchid with the testicle retained intra-abdominally. Histopathological,...
