A modified surgical technique for repairing third-degree perineal lacerations in mares.
Abstract: A modified surgical technique has been developed for repairing third-degree perineal lacerations in mares. Complications of the currently used methods include rectovaginal fistula formation, urine pooling, complete dehiscence of the repair, constipation, tenesmus and difficulty of performance in the practice. The modified method is simpler and more practical. This method was performed on eight Thoroughbred mares with third-degree perineal lacerations after delivery. The rectovestibular septum was reconstructed by three lines of sutures in a transverse direction in relation to the longitudinal axis of the rectum. In one of the eight cases pneumorectum was observed after using the new method. The conception rate obtained after using the new surgical technique was 62.5%. Pregnant mares delivered normally without any new lacerations at the subsequent parturition. It can be concluded that this new surgical technique can be used successfully for repairing third-degree perineal lacerations in mares.
Publication Date: 2005-06-18 PubMed ID: 15959984DOI: 10.1556/AVet.53.2005.2.11Google Scholar: Lookup
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Summary
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This study presents a modified surgical technique for the repair of third-degree perineal lacerations in mares, which overcomes the complications associated with traditional methods and achieves a 62.5% conception rate post-surgery.
Research Context
- Third-degree perineal lacerations are a common and serious injury in mares following delivery. Traditional surgical techniques for repairing these injuries have been associated with various complications, such as the formation of rectovaginal fistulas, urine pooling, complete separation of the sutured area, constipation, straining to defecate, and difficulty in performing the procedure itself.
- The researchers in this study have developed a modified surgical technique to address those challenges and improve the outcomes of surgeries repairing third-degree perineal lacerations in mares.
Research Methodology
- This surgical procedure was performed on eight Thoroughbred mares that had suffered third-degree perineal lacerations postpartum.
- The rectovestibular septum, a thin muscular wall separating the rectum and vagina, was reconstructed using three lines of sutures arranged transversely relative to the rectum’s longitudinal axis.
- The researchers then observed the immediate and long-term outcomes of this new surgical procedure, including the presence of surgical complications and rates of conception following surgery.
Research Findings
- Pneumorectum (the abnormal presence of air in the rectum) was observed in one of the eight cases following the operation, which is significantly less than the complications associated with traditional surgical methods.
- The postoperative conception rate was found to be 62.5%, which shows that the mares were able to conceive successfully post-surgery.
- The mares that conceived delivered normally and did not suffer from new perineal lacerations in the subsequent birthing process, indicating that the surgical repair was strong and resilient.
Conclusion
- Analysis of the results led to the conclusion that this new surgical technique is successful in repairing third-degree perineal lacerations in mares and is more effective in comparison to the traditional methods.
- This study proposes that this simple and practical new surgical technique could be widely adopted and beneficial in the treatment of third-degree perineal lacerations in mares.
Cite This Article
APA
Kaşikçi G, Horoz H, Alkan S, Düzgün O, Aktaş M.
(2005).
A modified surgical technique for repairing third-degree perineal lacerations in mares.
Acta Vet Hung, 53(2), 257-264.
https://doi.org/10.1556/AVet.53.2005.2.11 Publication
Researcher Affiliations
- Department of Obstetrics and Gynaecology, Faculty of Veterinary Medicine, Istanbul University, 34320 Istanbul, Turkey.
MeSH Terms
- Animals
- Dystocia / veterinary
- Female
- Horses / injuries
- Horses / surgery
- Perineum / injuries
- Perineum / surgery
- Pregnancy
- Suture Techniques / veterinary
Citations
This article has been cited 3 times.- Sharshar A, Hammad A, Salem M, El-Sunsafty M. Evaluation of a modified one-stage technique for repair of third-degree perineal laceration and rectovestibular fistula with rectal pull-back technique in 12 mares: a retrospective case series. BMC Vet Res 2025 Sep 17;21(1):538.
- El-Shafaey ES. Reconstruction of third-degree perineal lacerations in female camels (Camelus dromedarius) using a modified Goetz one-stage repair technique. J Vet Med Sci 2021 Feb 25;83(2):195-200.
- Anwar S, Purohit GN. Occurrence and surgical repair of third degree perineal lacerations in adult female camels (Camelus dromedarius) by one-stage (Goetz) technique. Open Vet J 2013;3(2):75-9.
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