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Home / Equine Research Bank / Vet Surg / Laparoscopic resection of an exostosis of the os pubis in a ...
Veterinary surgery : VS2019; 49(3); 614-620; doi: 10.1111/vsu.13349

Laparoscopic resection of an exostosis of the os pubis in a horse.

Abstract: To report the diagnostic findings and laparoscopic removal of an exostosis of the os pubis in a horse. Methods: Case report. Methods: One 12-year-old Black Forest draught gelding. Methods: History included recurrent colic before and during urination and poor performance. Findings at rectal examination included a pointed osseous prominence adjacent to the symphysis of the pecten ossis pubis. Cystoscopy revealed that this prominence caused a protrusion of the bladder wall into the lumen. Standing laparoscopy and laparoscopy under general anesthesia were performed. Results: After a failed attempt at standing laparoscopy, the horse was anesthetized, and the exostosis of the os pubis was removed laparoscopically without complications. No recurrence of clinical signs associated with the exostosis was detected 12 months postoperatively. Conclusions: Minimally invasive surgical resection of an exostosis of the os pubis was achieved under general anesthesia with appropriately designed instruments. This treatment alleviated symptoms associated with the exostosis, including potential injury of the urinary bladder wall.
© 2019 The American College of Veterinary Surgeons.
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Publication Date: 2019-11-18 PubMed ID: 31738458DOI: 10.1111/vsu.13349Google Scholar: Lookup
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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 involved the successful treatment of a horse suffering from recurrent colic and poor performance – caused by an abnormal bony growth (exostosis) on the os pubis – through the minimally invasive surgical procedure of laparoscopy done under general anesthesia.

Background

  • The study concerns a 12-year-old Black Forest draught Gelding horse, presenting recurrent colic and decreased performance. The horse showed discomfort prior to and during urination.
  • The problem was identified as an exostosis, an abnormal bone protrusion on the os pubis. This growth was causing a protrusion of the bladder wall into the bladder lumen, likely creating the discomfort witnessed during urinations and the recurrent colic episodes.

Research Methodology

  • The horse initially underwent a standing laparoscopy, a diagnostic procedure where a thin tube with a camera on the end is inserted through a small incision to examine the abdominal organs. This initial approach, however, proved unsuccessful.
  • Therefore, the researchers resolved to use general anesthesia and perform the laparoscopy with the horse lying down.

Results

  • The exostosis of the os pubis was successfully removed using laparoscopic technique under general anesthesia.
  • Post-surgery, the horse did not present any complications and the recurrence of clinical signs associated with the exostosis were absent even, 12 months after the operation.

Conclusion

  • The research concluded that minimally invasive surgical resection of an exostosis on the os pubis can successfully be done with general anesthesia in horses.
  • Refreshing implication of the study is that laparoscopic resection of an exostosis not only can effectively alleviate the anguish symptoms but also prevent potential injury to the urinary bladder wall.

Cite This Article

APA
Delcazo M, Geburek F, Köhler K, Röcken M, Theiss F. (2019). Laparoscopic resection of an exostosis of the os pubis in a horse. Vet Surg, 49(3), 614-620. https://doi.org/10.1111/vsu.13349

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 49
Issue: 3
Pages: 614-620

Researcher Affiliations

Delcazo, Mario
  • Department for Surgery, Clinic for Horses, Justus-Liebig-University, Giessen, Germany.
Geburek, Florian
  • Clinic for Horses, University of Veterinary Medicine Hannover, Foundation.
Köhler, Kernt
  • Institute for Pathology, Justus-Liebig-University, Giessen, Germany.
Röcken, Michael
  • Department for Surgery, Clinic for Horses, Justus-Liebig-University, Giessen, Germany.
Theiss, Felix
  • Department for Surgery, Clinic for Horses, Justus-Liebig-University, Giessen, Germany.

MeSH Terms

  • Animals
  • Exostoses / surgery
  • Exostoses / veterinary
  • Horse Diseases / surgery
  • Horses
  • Humans
  • Male
  • Pubic Bone / pathology
  • Pubic Bone / surgery

References

This article includes 23 references
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