FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Vet Surg / Clinical findings, surgical techniques, prognostic factors f...
Veterinary surgery : VS2023; doi: 10.1111/vsu.14023

Clinical findings, surgical techniques, prognostic factors for short-term survival and long-term outcome in horses with acquired inguinal hernias: Ninety-eight cases (2005-2020).

Abstract: To report findings, outcome and determine variables associated with survival in horses with acquired inguinal hernia (AIH). Methods: Retrospective study. Methods: A total of 98 cases in 97 horses. Methods: The medical records (2005-2020) of horses diagnosed with AIH were reviewed. Retrieved data included signalment, history, clinical variables, surgical aspects, postoperative complications, and short- and long-term outcomes. Logistic regression analyses were used to determine factors associated with short-term survival (p < .05). Results: Manual reduction was attempted in a third of the cases (32/98, 33%) and emergency surgery to reduce the hernia was performed in 64 of 98 (65%) cases. Concurrent small intestinal (SI) volvulus was identified in 26 (26/98, 27%) cases. Castration was the most common technique used to prevent recurrence (64/94, 68%). Overall AIH recurrence rate was 11% (11/98). A total of 59 (59/98, 60%) cases survived to hospital discharge and 49 of 52 (94%) cases were still alive after 12 months. Cases admitted within 10 h of colic signs had increased odds of survival (72%) compared to those admitted after 10 h (26%; p < .001). Draft breeds (p = .021), high heart rate on admission (p = .001) and concurrent SI volvulus (p = .048) were associated with reduced survival to hospital discharge. Conclusions: Horses with AIH had a higher risk of concurrent SI volvulus and lower survival than reported. Draft breeds, high heart rate on admission and concurrent SI volvulus were associated with reduced short-term survival. Conclusions: The results of this study should help in prognostication for horses with AIH.
© 2023 The American College of Veterinary Surgeons.
Get Full Text
Publication Date: 2023-08-31 PubMed ID: 37650370DOI: 10.1111/vsu.14023Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research study analyses the clinical findings, surgical procedures and their impacts on short and long-term survival rates of horses diagnosed with Acquired Inguinal Hernia (AIH). The study concludes that horses with AIH have a higher risk of simultaneous Small Intestine (SI) volvulus and lower survival rates, and also identifies Draft breeds, high heart rate on admission, and co-occurrence of SI volvulus as factors leading to reduced short-term survival.

Methodology

  • The researchers carried out a retrospective study, examining the medical records of horses diagnosed with AIH between 2005 and 2020.
  • A total of 98 cases were studied, with data concerning the horses’ medical history, clinical variables, surgical procedures attempted, postoperative complications, and short and long-term outcomes retrieved for analysis.
  • The aim was to identify the factors associated with short-term survival in these cases, using Logistic regression analyses for this purpose.

Results

  • In 33% of the cases, manual reduction surgery was attempted, whereas in 65% of the cases, emergency surgery was undertaken to reduce the hernia.
  • Concurrent SI volvulus was discovered in 27% of the cases.
  • Castration was found to be the most frequently used technique to prevent recurrence of AIH, employed in 68% of the cases studied. The overall recurrence rate of AIH, nonetheless, was 11%.
  • About 60% of the cases survived until hospital discharge and 94% of these were still alive after 12 months.
  • It was observed that horses admitted within 10 hours of colic signs had a 72% chance of survival, in contrast to a 26% survival rate in horses admitted after 10 hours.
  • Negative influencing factors on survival to hospital discharge included being of a Draft breed, exhibiting a high heart rate on admission, and having concurrent SI volvulus.

Conclusions

  • The study concluded that horses diagnosed with AIH had higher chances of simultaneous SI volvulus and displayed lower survival rates than reported previously.
  • The breed of the horse (specifically Draft breeds), the horse’s heart rate on admission, and the occurrence of SI volvulus alongside the hernia were identified as factors contributing to reduced short-term survival.
  • The findings of this study should aid in prognostication for horses diagnosed with AIH, helping in planning and implementing appropriate treatments.

Cite This Article

APA
François I, Lepage OM, Schramme MC, Salciccia A, Detilleux J, Grulke S. (2023). Clinical findings, surgical techniques, prognostic factors for short-term survival and long-term outcome in horses with acquired inguinal hernias: Ninety-eight cases (2005-2020). Vet Surg. https://doi.org/10.1111/vsu.14023

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English

Researcher Affiliations

François, Isé
  • Center for Equine Health, Veterinary School of Lyon, VetAgro Sup, University of Lyon, Marcy l'Etoile, France.
Lepage, Olivier M
  • Center for Equine Health, Veterinary School of Lyon, VetAgro Sup, University of Lyon, Marcy l'Etoile, France.
Schramme, Michael C
  • Center for Equine Health, Veterinary School of Lyon, VetAgro Sup, University of Lyon, Marcy l'Etoile, France.
Salciccia, Alexandra
  • Clinical Department of Equids, University of Liège, Liège, Belgium.
Detilleux, Johann
  • Clinical Department of Equids, University of Liège, Liège, Belgium.
Grulke, Sigrid
  • Clinical Department of Equids, University of Liège, Liège, Belgium.

References

This article includes 21 references
  1. Freeman DE. Jejunum and ileum. In: Auer JA, Stick JA, Kümmerle JM, Prange T, eds. Equine Surgery. 5th ed. Elsevier; 2019:536-575.
  2. van der Velden MA, Stolk PW. Different types of inguinal herniation in two stallions and a gelding. Vet Q 1990;12:46-50.
  3. Bickers RJ, Lewis RD, Hays T, Noble JK. Acquired inguinal hernia in a gelding. Equine Pract 1998;20:28-29.
  4. Umstead JA, Nyack B, Padmore CL. Inguinal ring herniation in a female Shetland pony. Comp Cont Educ Pract 1986;8:164-167.
  5. . Testis SJ. In: Auer JA, Stick JA, Kümmerle JM, Prange T, eds. Equine Surgery. 5th ed. Elsevier; 2019:994-1034.
  6. Wilderjans H, Meulyzer M, Simon O. Standing laparoscopic peritoneal flap hernioplasty technique for preventing recurrence of acquired strangulating inguinal herniation in stallions. Vet Surg 2012;41:292-299.
  7. Baranková K, de Bont MP, Simon O. Non-surgical manual reduction of indirect inguinal hernias in 89 adult stallions. Equine Vet Educ 2022;34:385-392.
  8. Schneider RK, Milne DW, Kohn CW. Acquired inguinal hernia in the horse: a review of 27 cases. J Am Vet Med Assoc 1982;180:317-320.
  9. Gluntz X, Battail GA, Jacot S. Hernie inguinale chez le cheval adulte: Etude de 29 cas (1993-1997). Prat Vet Equine 1998;30:241-251.
  10. Muñoz E, Argüelles D, Areste L, San Miguel L, Prades M. Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds. Vet Rec 2008;162:303-306.
  11. Weaver AD. Acquired incarcerated inguinal hernia: a review of 13 horses. Can Vet J 1987;28:195-199.
  12. Fischer AT Jr, Vachon AM, Klein SR. Laparoscopic inguinal herniorrhaphy in two stallions. J Am Vet Med Assoc 1995;207:1599-1601.
  13. Mariën T. Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis. Equine Vet J 2001;33:91-96.
  14. Rossignol F, Perrin R, Boening KJ. Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap. Vet Surg 2007;36:557-562.
  15. Rossignol F, Mespoulhes-Rivière C, Vitte A, Lechartier A, Boening KJ. Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions. Vet Surg 2014;43:6-11.
  16. Wilderjans H, Meulyzer M. Laparoscopic closure of the vaginal rings in the standing horse using a tacked intraperitoneal slitted mesh (TISM) technique. Equine Vet J 2022;54:359-367.
  17. van der Velden MA. Surgical treatment of acquired inguinal hernia in the horse: a review of 51 cases. Equine Vet J 1988;20:173-177.
  18. Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 1: short-term survival following a single laparotomy. Equine Vet J 2005;37:296-302.
  19. Wilderjans H, Simon O, Boussauw B. Strangulating hernia in 63 horses-results of manual closed non-surgical reduction followed by a delayed laparoscopic closure of the vaginal ring. In: Schramme M, Tremaine H, Walmsley J, Houlton J, eds. Proceedings of the 16th ECVS Annual Meeting; 2007:92-97.
  20. Kovac M, Aliev R, Ippolitova T, Tambur Z. Equine acquired inguinal herniation-diagnosis and treatment in 62 cases. Veterinarski Glasnik 2018;72:22-34.
  21. Moll HD, Juzwiak JS, Santschi EM, Slone DE. Small-intestinal volvulus as a complication of acquired inguinal hernia in two horses. J Am Vet Med Assoc 1991;198:1413-1414.

Citations

This article has been cited 0 times.
Subscribe to our newsletter
Join 99,344 horse owners like you who receive our email updates on horse health and nutrition.