Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.
Abstract: To describe a resection technique of the alar folds in the standing horse. Methods: Retrospective case study. Methods: Eight Standardbred racing trotters. Methods: Horses in which alar fold collapse had been diagnosed between 2017 and 2018 were included in this study. All horses underwent alar fold resection under standing sedation and regional anesthesia with a bipolar electrosurgical open sealer/divider device (LigaSure). Intraoperative and postoperative complications were recorded. A Wilcoxon signed-rank test was used to compare differences in median prize money earning pre-surgery and post-surgery (P < .05). Results: The surgical procedure was short (20-30 min), with minimal (1/8) to no (7/8) bleeding and was well tolerated in all cases. Complete resection of the alar folds along with 3 to 5 cm of the ventral conchal cartilage was achieved. No complications were observed post-surgery with satisfactory second intention healing, allowing return to training/racing within 3 to 6 weeks post-surgery in all cases. Median earnings post-surgery increased (P = .03) compared with pre-surgery. Conclusions: Alar fold resection with bipolar electrosurgical energy offered a good alternative to the traditional surgical approaches performed under general anesthesia. The surgery significantly improved race earnings and performance while avoiding the risk associated with general anesthesia and offered a short and complication-free rehabilitation period. Conclusions: This study describes a surgical technique offering a novel approach to resection of the alar folds in the standing horse.
© 2020 The Authors. Veterinary Surgery published by Wiley Periodicals, Inc. on behalf of American College of Veterinary Surgeons.
Publication Date: 2020-02-06 PubMed ID: 32027042PubMed Central: PMC7155021DOI: 10.1111/vsu.13383Google Scholar: Lookup
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- Journal Article
Summary
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The research article describes a novel surgical technique for the resection of alar folds in standing horses, demonstrating its effectiveness in reducing complications and in improving the performance and earnings of racing horses post-surgery.
Research Objective
- The main objective of the research was to detail a new technique for the resection (surgical removal) of alar folds in horses, a procedure traditionally performed under general anesthesia.
Research Methods
- An investigation was conducted involving eight Standardbred racing trotters, all diagnosed with alar fold collapse between 2017 and 2018.
- All horses underwent a resection procedure under standing sedation and regional anesthesia, employing a LigaSure bipolar electrosurgical open sealer/divider device.
- The research team took note of all intraoperative and postoperative complications.
- A statistical technique (Wilcoxon signed-rank test) was employed to examine the differences between median prize money earnings before and after the surgery.
Find Results
- The surgical procedure, which took only 20-30 minutes with minimal to no bleeding, was well tolerated by all subjects.
- The procedure allowed for complete removal of the alar folds and 3-5 cm of the ventral conchal cartilage (a part of the nasal structure of horses).
- No complications occurred post-surgery and the second-intention healing was satisfactory, thus granting the horses the ability to return to racing/training 3-6 weeks after the procedure.
- There was a significant increase in median earnings post-surgery as compared to before, suggesting an improvement in racing performance.
Research Conclusions
- The technique of alar fold resection with bipolar electrosurgical energy offered an effective alternative to traditional surgical approaches requiring general anesthesia.
- Not only did the surgery improve race earnings and athletic performance, but it also minimized the risk of general anesthesia and ensured a short, complication-free rehabilitation period.
- The study introduced a novel surgical technique for the resection of alar folds in the standing horse, presenting a potential new avenue for equine surgical practice.
Cite This Article
APA
Kallmyr A, Giving EM, Moen LO, Øverlie M, Holm T, David F.
(2020).
Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.
Vet Surg, 49(3), 521-528.
https://doi.org/10.1111/vsu.13383 Publication
Researcher Affiliations
- Bjerke Dyrehospital-En Rikstotoklinikk, Oslo, Norway.
- Romerike Hesteklinikk AS, Kjeller, Norway.
- Romerike Hesteklinikk AS, Kjeller, Norway.
- Bjerke Dyrehospital-En Rikstotoklinikk, Oslo, Norway.
- Evidensia Lørenskog Dyreklinikk, Lørenskog, Norway.
- Equine Veterinary Medical Center, a member of Qatar Foundation, Doha, Qatar.
- College of Health & Life Science, Hamad Bin Khalifa University, Doha, Qatar.
MeSH Terms
- Airway Obstruction / surgery
- Airway Obstruction / veterinary
- Animals
- Electrocoagulation / instrumentation
- Female
- Hemostasis, Surgical / instrumentation
- Hemostasis, Surgical / methods
- Horse Diseases / surgery
- Horses
- Male
- Nasal Cartilages / surgery
- Postoperative Complications / veterinary
- Retrospective Studies
- Surgical Instruments / veterinary
- Vocal Cord Paralysis / surgery
- Vocal Cord Paralysis / veterinary
Conflict of Interest Statement
The authors declare no conflicts of interest.
References
This article includes 18 references
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