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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.
Hemangiopericytoma in the eyelid of a horse. Hemangiopericytoma (HP) is a well-recognized neoplasm arising from vascular pericytes that has been reported only in the dog and man. In this study, we describe a 14-year-old female Arabian horse that was presented for surgical excision of a 2-cm-diameter expansile subcuticular mass in the right lower eyelid. Histologically, the mass consisted of loosely arranged interlacing streams and storiform bundles of spindle cells that often formed distinct whorls around a central capillary and bundles of collagen (Antoni A-like pattern). Immunohistochemical analysis revealed strong diffuse cytoplasmic ...
A clinical evaluation of a headless, titanium, variable-pitched, tapered, compression screw for repair of nondisplaced lateral condylar fractures in thoroughbred racehorses. To report clinical evaluation of headless compression screws for repair of metacarpal/metatarsal (MC/MT3) condylar fractures in horses. Methods: Retrospective case study. Methods: Racing Thoroughbreds (n=16) with nondisplaced lateral condylar fractures of MC/MT 3. Methods: Medical records (1999-2004) of horses with nondisplaced longitudinal fractures of the lateral condyle of MC/MT3 were reviewed. Pre-operative variables retrieved were: patient age, gender, limb involvement, injury occurrence, fracture length, and width, evidence of palmar comminution and degenerative joint disease, number of ...
Laparoscopic obliteration of the nephrosplenic space using polypropylene mesh in five horses. To report a laparoscopic technique for insertion of polypropylene mesh in the nephrosplenic space in horses and evaluate outcome. Methods: Descriptive experimental study. Methods: Five healthy mature horses. Methods: One laparoscope and 2 instrument portals were made on the left side of the horse. The nephrosplenic space was measured and appropriately sized polypropylene mesh was inserted and attached to the dorsolateral splenic capsule and perirenal fascia using helical titanium coils. All horses had repeat laparoscopy 4 weeks later and were necropsied at intervals 4-14 weeks after mesh place...
Equine cutaneous fungal granuloma: a study of 44 lesions from 34 horses. Forty-four nodular and noninvasive cutaneous fungal granulomas were identified in 34 horses over a 14.5-year period. Cutaneous fungal granulomas were most common in young horses (mean age 6.1 +/- 4.2 years; range 1-19 years). There was no apparent breed or sex bias. Granulomas were either single or multiple, and most often occurred in the skin of the head and neck. The characteristic histological finding was a nodular dermal mass with a mean diameter of 7.3 mm (range 2.5-20 mm) and an intact overlying epithelium. Lesions most often exhibited intense lymphocytic inflammation, with admixed pyogr...
Effects of calcified cartilage on healing of chondral defects treated with microfracture in horses. Microfracture of full-thickness articular defects has been shown to significantly enhance the amount of repair tissue. However, there is a suggestion that leaving calcified cartilage inhibits this repair response. Objective: Removal of the calcified cartilage with retention of subchondral bone enhances the amount of attachment of the repair tissue compared with retention of the calcified cartilage layer. Methods: Controlled laboratory study. Methods: There were 1-cm(2) articular cartilage defects made in 12 skeletally mature horses on the axial weightbearing portion of both medial femoral cond...
Maggot debridement therapy for serious horse wounds – a survey of practitioners. Hoof disease and injuries are common and serious problems for equines. Maggot debridement therapy (MDT) has been used to treat problematic wounds in humans, but has been used only rarely in other animals. US veterinarians who had employed MDT were surveyed to investigate their reasons for the choice of this treatment and their clinical experiences with it. Between 1997 and 2003, 13 horses were treated by eight veterinarians who used MDT to control infection or debride wounds, which could not easily be reached surgically or were not responding to conventional therapy. Seven animals were lame, a...
Ex vivo comparison of a novel tapered-sleeve and traditional full-limb transfixation pin cast for distal radial fracture stabilization in the horse. Distal radial fractures in adult horses are examples of long-bone fractures that are not always amenable to internal fixation. These fractures are often open, contaminated, severely comminuted, and located adjacent to the antebrachiocarpal joint. There have been few studies to improve upon the methods of stabilization of this type of fracture. External coaptation incorporating transfixation pins is one method that has been used to stabilize distal radial fractures in horses (1-3). The purpose of this preliminary study was to compare the load to failure in simulated weight-bearing of a novel ta...
Detection of an epidermoid cyst in the foot of a horse by use of magnetic resonance imaging. CASE DESCRIPTION-A 4-year-old Quarter Horse stallion was evaluated because of a 10-month history of moderate (grade 3/5) left forelimb lameness (detectable during trotting over a smooth, hard surface). CLINICAL FINDINGS-No abnormalities were detected in either forelimb via palpation or application of hoof testers; however, lameness was eliminated after administration of a palmar digital nerve block in the left forelimb. Whereas radiography and ultrasonography did not identify any left forelimb foot abnormalities, magnetic resonance (MR) imaging revealed a circumscribed soft tissue mass in the ...
[Mini-invasive distraction technique for treatment of severe ankle and foot deformities secondary to ischemic contracture of the leg]. To explore the Ilizarov mini-invasive distraction technique for the treatment of severer ankle and foot deformities secondary to ischemic contracture of the leg. Methods: Based on the tension-stress low of Ilizarov, a serial of adjustable three dimensions external distractive instrument was developed in our department. From April 2002 to March 2004, 8 patients with ankle and foot deformities secondary to ischemic contracture of the leg induced by trauma and fracture were treated with the distractive instrument. Of them, 4 patient were male and 4 female, aged from 13 to 31 years with an average...
Use of colonic luminal pressure to predict outcome after surgical treatment of strangulating large colon volvulus in horses. To evaluate the relationship of colonic luminal pressure (CLP) measurements to outcome in horses with large colon volvulus (LCV) after either manual correction or large colon resection and anastomosis (LCRA). Methods: Retrospective study. Methods: Horses (n=57) that had LCV. Methods: Records for horses with LCV (March 1997-December 2003) were reviewed. Inclusion criteria were strangulating LCV proximal to the cecocolic ligament (>270 degrees), recorded CLP, and successful recovery from anesthesia. CLP measurements and survival/mortality rates were compared between horses that had manual correc...
Radical surgical resection of locally invasive oro-cutaneous tumors in the buccal region of 2 horses. To report treatment and wound healing after radical surgical mass excision in the equine buccal region. Methods: Clinical case reports. Methods: An 11-year-old Warmblood gelding and a 9-year-old Norwegian Trotter gelding. Methods: Large tumoral masses were removed from the buccal region by radical electrosurgery, creating large defects into the oral cavity. Wound ultimately healed by second intention. Results: Buccal defects in both horses healed well by second intention without tumor recurrence. Conclusions: Locally invasive tumors involving the cheek region of the horse can be successfully t...
Evaluation of a vessel-sealing device for laparoscopic granulosa cell tumor removal in standing mares. To describe a laparoscopic technique for granulosa cell tumor removal using a vessel sealing device (LigaSuretrade mark) in standing mares. Methods: Retrospective study. Methods: Eight mares (8-24 years old; weighing, 406-525 kg). Methods: Before surgery, ovarian size and adjacent body wall thickness was determined by ultrasonography. Mares were sedated and after local anesthesia (inverted L and local infiltration), laparoscopic cannulation was performed without insufflation. The mesovarium was anesthetized and the LigaSure instrument applied to the mesovarium for hemostasis and resection to r...
Laparoscopic-assisted cystotomy for urolith removal in geldings. To describe a technique for laparoscopic-assisted removal of cystic calculi in geldings and report outcome. Methods: Clinical report. Methods: Four geldings with cystic calculi. Methods: Laparoscopic-assisted cystotomy and urolith retrieval was performed in 4 anesthetized geldings positioned in dorsal recumbency. With a laparoscope portal located at the umbilicus, the abdomen was insufflated and then the surgical table was tilted (30 degrees head-down position) before an instrumental portal was created parallel and 2-3 cm medial to the left external inguinal ring. Laparoscopic grasping forceps...
Ultrasonographic changes of the equine stifle following experimental medial patellar desmotomy. The objective of this study was to evaluate, through ultrasonography, the effect of medial patellar desmotomy. Middle patellar desmitis, enthesophytes in the patella, and irregularities in the cartilage of the femoral trochlear groove were observed. Medial patellar desmotomy leads to lesions in the stifle, and restriction of movement does not prevent these lesions from occurring. L’objectif de cette étude était d’évaluer, par échographie, l’effet d’une desmotomie du ligament médial de la rotule. Une desmite du ligament médial de la rotule, des enthésophytes dans la rotule et de...
Chronic sialolithiasis in a Trakehner mare. An 11-year-old Trakehner mare was presented with a firm moveable mass over the left maxilla. Radiography revealed a discrete opaque ovoid mass. Sialolithiasis of left parotid duct was diagnosed. The sialolith was excised by using a transoral approach and found to contain an organic nidus. The mare recovered without complications. Sialolithiase chronique chez une jument Trakehner. Une jument Trakehner âgée de 11 ans a été présentée pour une masse mobile ferme au dessus du maxillaire gauche. La radiographie a révélé une masse ovoïde opaque et discrète. Une sialolithiase du canal parot...
Dissociative anaesthesia during field and hospital conditions for castration of colts. The principal aim of this study was to evaluate dissociative anaesthesia for castration of colts during field conditions. Three dissociative anaesthetic protocols were evaluated during castration of colts in an animal hospital. The protocol considered to be the most suitable was thereafter evaluated during castration of colts under field conditions. Respiratory and haemodynamic parameters and the response to surgery were determined during anaesthesia. All horses breathed air spontaneously during anaesthesia. Under hospital conditions 26 colts were randomised to receive one of three anaesthetic...
Minimally invasive plate fixation of lower limb injury in horses: 32 cases (1999-2003). Complications of osteosynthesis including superficial and deep infections continue to affect adversely outcome in equine surgery of the lower limb. Objective: To describe a technique for minimally invasive plate fixation in horses and evaluate clinical results of the technique. Objective: Lower complication rates would occur in horses treated with a minimally invasive approach compared with conventional techniques. Methods: Cases of minimally invasive plate fixation from January 1999 to December 2003 were evaluated. Case records, radiographs and race records for horses that sustained distal th...
Long-term retrospective study of 52 horses with sinunasal cysts. The spectrum of clinical presentation, methods of diagnosis, management and prognosis in cases of sinunasal cysts (SNCs) requires more extensive study. Despite the extensive nature of SNCs, the prognosis for afflicted horses appears to have improved since earlier studies were conducted. Objective: To evaluate prognosis and cosmetic outcome of surgical ablation in 52 cases of SNCs. Methods: Fifty-two case records (1982-2005) of horses affected with SNCs were retrieved from the archives. Subject details, clinical signs, diagnostic techniques, surgical management and post surgical complications w...
Use of transabdominal ultrasonography to determine the location of cryptorchid testes in the horse. Transrectal ultrasonography is a reliable technique to identify intra-abdominal testes, but can be hazardous or impractical in fractious, juvenile or small equids. The transabdominal approach therefore requires validation. Objective: To evaluate the sensitivity and specificity of transabdominal ultrasonography to localise cryptorchid testes. Methods: Thirty-eight horses admitted for cryptorchidism underwent transabdominal ultrasonography to locate errant testes. Location of the testes was confirmed during surgery (n = 37) or necropsy (n = 1). Results: Horses weighed 175-760 kg. Twenty-two test...
Evaluation of surgical treatment for signs of acute abdominal pain in draft horses: 72 cases (1983-2002). To determine whether heavy (> or = 680 kg [> or = 1,500 lb]) draft horses undergoing surgical treatment for acute signs of abdominal pain were at a greater risk for anesthetic and postoperative complications and lower postoperative survival rates than light ( 1 year) follow-up information was available was 50%. Conclusions: Draft horses weighing > 680 kg that underwent surgery because of acute signs of abdominal pain had longer durations of anesthesia, more postoperative complications, and higher mortality rates than draft horses weighing < 680 kg.
Palmar carpal osteochondral fragments in racehorses: 31 cases (1994-2004). To evaluate records of racehorses with palmar carpal osteochondral fragments and determine whether the fragments were indicators of the severity of pathologic joint changes or prognosis. Methods: Retrospective case series. Methods: 31 racehorses. Methods: Medical records, radiographs, and videos of arthroscopic procedures were reviewed. Information gathered included signalment; location, number, and size of the primary lesion; number and size of palmar carpal fragments; and details pertaining to surgical procedures. Outcome variables were obtained from race records. Results: 31 horses met the ...
Gait abnormalities caused by selective anesthesia of the suprascapular nerve in horses. To assess gait abnormalities associated with selective anesthesia of the suprascapular nerve (SSN) achieved by use of perineural catheterization and thereby determine the function of that nerve as it relates to gait in horses. Methods: 3 adult horses with no preexisting clinically apparent lameness at a walk. Methods: Each horse was anesthetized; the right SSN was exposed surgically for placement of a perineural catheter to permit delivery of 1 mL of 2% mepivacaine hydrochloride. Six hours after recovery from anesthesia, each horse was videotaped while walking (50-step data acquisition period)...
Effect of intraluminal distension or ischemic strangulation obstruction of the equine jejunum on jejunal motilin receptors and binding of erythromycin lactobionate. To determine whether inflammation of the jejunum of horses decreases the number of motilin receptors and amounts of motilin receptor mRNA and alters erythromycin lactobionate binding affinity to the motilin receptor in jejunal tissues. Methods: Jejunal segments in 6 adult horses. Methods: Each horse was anesthetized, and a ventral median celiotomy was performed; 2 segments of jejunum underwent a sham operation, 2 segments underwent ischemic strangulation obstruction (ISO), and 2 segments underwent intraluminal distension (ILD). Treatments were maintained for 120 minutes. From each segment, ful...
Effect of diameter of the drill hole on torque of screw insertion and pushout strength for headless tapered compression screws in simulated fractures of the lateral condyle of the equine third metacarpal bone. To compare variables for screw insertion, pushout strength, and failure modes for a headless tapered compression screw inserted in standard and oversize holes in a simulated lateral condylar fracture model. Methods: 6 pairs of third metacarpal bones from horse cadavers. Methods: Simulated lateral condylar fractures were created, reduced, and stabilized with a headless tapered compression screw by use of a standard or oversize hole. Torque, work, and time for drilling, tapping, and screw insertion were measured during site preparation and screw implantation. Axial load and displacement were mea...
Dentoalveolar and mandibular body fractures caused by a horse kick: report of a case. A rare case of multiple mandibular fractures and severe facial laceration is presented. The cause was a horse hoof kick to an unmounted equestrian. The pertinent literature is reviewed and the maxillofacial injuries associated with animal interaction are discussed.
An in vitro comparison of two suture intervals using braided absorbable loop suture in the equine linea alba. To compare bursting strength and failure modes of ventral median abdominal incisions closed with loop suture in a simple continuous pattern using two different suture-bite intervals. Methods: In vitro experiment. Methods: Equine cadavers (n=14; weighing >318 kg; postmortem interval <2 hours). Methods: A template was used to make a 25 cm incision with suture interval and bite size of either 1.0 cm x 1.5 cm or 1.5 cm x 1.5 cm. A 200 L polyurethane bladder was inserted within the abdomen and insufflated to create abdominal wall tension. Celiotomies were closed with a #2 braided lactomer 9-1 conti...
In situ and ex vivo evaluation of an arthroscopic indentation instrument to estimate the health status of articular cartilage in the equine metacarpophalangeal joint. To evaluate an arthroscopic indentation instrument (Artscan 200) for assessment of the health status of equine articular cartilage. Methods: In vitro experiment using equine isolated proximal phalanx (P1) specimens. Methods: P1 specimens from 39 horses (aged 1.5-22 years). Methods: Reproducibility was tested by determination of the coefficient of variation (CV). Dynamic modulus and cartilage degeneration index (CDI) values were measured at 2 predefined sites (site 1, joint margin; site 2, joint center) to assess the accuracy and to evaluate the relation with surface integrity. Results: CV was ...
