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The Veterinary clinics of North America. Equine practice2025; 41(3); 453-472; doi: 10.1016/j.cveq.2025.08.012

Complications Associated with Equine Diagnostic and Elective procedures.

Abstract: The practice of medicine has always been associated with complications. In fact, in its early stages, these complications contributed to the understanding of certain diseases and advancement of the medical field. In equine practice, virtually every procedure carries an associated risk. In fact, even procedures that would have minimal risk in human medicine may pose significant risk in equine practice owing to the unique nature of the horse. For instance, a simple rectal palpation could result in a rectal tear following an unexpected movement of the patient. Thus, extrapolations of complications of interventions from humans and horses are not ideal.
Publication Date: 2025-11-10 PubMed ID: 41207765DOI: 10.1016/j.cveq.2025.08.012Google Scholar: Lookup
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Summary

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Overview

  • The article discusses the risks and complications associated with diagnostic and elective procedures in horses.
  • It highlights that while complications are known in medical practice, horses present unique challenges that increase the risk of adverse events compared to humans.

Detailed Explanation

Complications in Medical Practice

  • Medical procedures have historically been linked with complications, which often helped advances by revealing disease mechanisms.
  • Understanding complications is essential for improving safety and outcomes in veterinary as well as human medicine.

Unique Risks in Equine Medicine

  • Every medical procedure performed on horses carries inherent risks—both diagnostic (like examinations) and elective (such as planned surgeries).
  • Even seemingly simple or low-risk procedures in humans may carry increased risk in horses due to their anatomy, physiology, and behavior.
  • For example, a routine rectal palpation in a horse can result in a serious complication such as a rectal tear if the horse moves unexpectedly.
  • This risk is not typically observed or as severe in humans due to differences in anatomy and behavior.

Limitation of Human-Based Risk Extrapolation

  • Because of these species-specific differences, it is not reliable to directly apply knowledge about complications from human medicine to equine medicine.
  • Veterinarians must be aware of the unique risks when managing horses and tailor their procedures and protocols accordingly.
  • This highlights the need for specialized understanding and research focused on equine-specific complications to better guide veterinary practice.

Cite This Article

APA
Morales CJ, Costa LRR. (2025). Complications Associated with Equine Diagnostic and Elective procedures. Vet Clin North Am Equine Pract, 41(3), 453-472. https://doi.org/10.1016/j.cveq.2025.08.012

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 41
Issue: 3
Pages: 453-472
PII: S0749-0739(25)00055-0

Researcher Affiliations

Morales, Camilo J
  • William R. Pritchard Veterinary Teaching Hospital, K.L. Maddy Equine Lab, School of Veterinary Medicine, University of California - Davis, 1 Garrod Dr, Davis, CA 95616, USA. Electronic address: cjaramillomorales@ucdavis.edu.
Costa, Lais R R
  • Veterinary Medicine Extension, Department of Population Health & Reproduction, School of Veterinary Medicine, University of California - Davis, 1089 Veterinary Medicine Drive, Davis, CA 95616, USA. Electronic address: lrcosta@ucdavis.edu.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / diagnosis
  • Horse Diseases / etiology
  • Horse Diseases / surgery
  • Postoperative Complications / veterinary
  • Elective Surgical Procedures / veterinary
  • Elective Surgical Procedures / adverse effects

Conflict of Interest Statement

Disclosure The authors have nothing to disclose other than extra-labeled use of certain medications.

Citations

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