Enucleation in equids with and without the use of an orbital suture meshwork implant: a retrospective study of 37 cases.
Abstract: This retrospective study on 37 horses was conducted to assess long-term complications, scarring, cosmetic appearance and owner satisfaction of horses that underwent transpalpebral enucleation with (n=26) or without (n=11) non-absorbable sutured meshwork prosthesis between 2006 and 2013. Postoperative complications related to the surgery were wound infection, discharge and dehiscence, and no significant difference between groups was found. In one horse, the meshwork had to be removed in order to treat a chronic fistula. Horses with infection or inflammation before surgery were more likely to encounter postoperative complications, whether or not a meshwork was used. Most owners were satisfied by the surgical technique for scarring, but contrary to the present hypothesis, most horses with a meshwork implant had a poor sunken-in appearance, and 26 per cent of owners would like to attempt other techniques to improve the cosmetic result. Also, a further 44 per cent of owners would prefer a better cosmetic result if the technique does not increase complication risk or cost. Meshwork implant prosthesis after transpalpebral enucleation was safe. However, in order to achieve a better cosmetic result, further improvements of the technique will be required.
British Veterinary Association.
Publication Date: 2015-10-06 PubMed ID: 26442527DOI: 10.1136/vr.103305Google Scholar: Lookup
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- Journal Article
Summary
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The research article is a retrospective study comparing the outcomes of eye removal surgery in horses, specifically comparing procedures done with and without the use of a non-absorbable meshwork prosthesis.
Objective of the Research
- The research was aimed to evaluate the long-term complications, scarring, aesthetic outcomes, and owner satisfaction in horses that underwent a specific type of eye removal surgery, known as transpalpebral enucleation. The research focused on comparing procedures done with and without a non-absorbable sutured meshwork prosthesis during a period from 2006 to 2013.
Findings of the Study
- The study found that postoperative complications related to the surgery were mainly wound infection, discharge and dehiscence (a surgical complication where the wound ruptures along a surgical line). There was no significant difference between the two groups (those with meshwork and those without) in terms of these complications.
- In one of the cases, the inserted meshwork had to be removed to treat a chronic fistula (an abnormal connection between two body parts).
- Horses that had infection or inflammation before the surgery were more likely to encounter postoperative complications, regardless of the use of a meshwork.
Owner Satisfaction and Cosmetic Results
- Most horse owners expressed satisfaction with the surgical technique in terms of scarring.
- Contrary to the initial hypothesis, most horses with a meshwork implant presented a poor cosmetic outcome, described as a sunken-in appearance.
- Approximately 26% of owners expressed a preference for other techniques to improve the cosmetic result. Additionally, around 44% of owners indicated they would prefer a better aesthetic result, provided this would not increase the risk of complications or cost.
Conclusion
- The conclusion of the research is that the use of a meshwork implant prosthesis was safe following eye removal surgery in horses. However, the authors suggest that further improvements to the technique are necessary to achieve better cosmetic results.
Cite This Article
APA
Maninchedda U, Nottrott K, Gangl M.
(2015).
Enucleation in equids with and without the use of an orbital suture meshwork implant: a retrospective study of 37 cases.
Vet Rec, 177(14), 367.
https://doi.org/10.1136/vr.103305 Publication
Researcher Affiliations
- University of Lyon, Lyon F-69003, France Swiss Institute of Equine Medicine, University of Berne and ALP-Haras, Länggasstrasse 124, Berne CH-3001, Switzerland Equine Department, VetAgro Sup, Veterinary Campus of Lyon, 1 Avenue Bourgelat, Marcy l'Etoile F-69280, France.
- University of Lyon, Lyon F-69003, France Equine Department, VetAgro Sup, Veterinary Campus of Lyon, 1 Avenue Bourgelat, Marcy l'Etoile F-69280, France.
- Equine Department, VetAgro Sup, Veterinary Campus of Lyon, 1 Avenue Bourgelat, Marcy l'Etoile F-69280, France.
MeSH Terms
- Animals
- Eye Diseases / surgery
- Eye Diseases / veterinary
- Eye Enucleation / methods
- Eye Enucleation / veterinary
- Female
- Horse Diseases / surgery
- Horses
- Male
- Orbit / surgery
- Patient Satisfaction / statistics & numerical data
- Postoperative Complications / veterinary
- Prostheses and Implants / veterinary
- Retrospective Studies
- Surgical Mesh / veterinary
- Sutures / veterinary
- Treatment Outcome
Citations
This article has been cited 1 times.- Huppes T, Hermans H, Ensink JM. A retrospective analysis of the risk factors for surgical site infections and long-term follow-up after transpalpebral enucleation in horses. BMC Vet Res 2017 Jun 2;13(1):155.
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