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Equine veterinary journal2009; 41(6); 547-551; doi: 10.2746/042516409x415018

Results and complications of a novel technique for primary castration with an inguinal approach in horses.

Abstract: Complications associated with equine castration can have medical and financial consequences. This retrospective study investigated a novel method of castration via an inguinal approach in mature stallions and compared the incidence of complications with other methods. Objective: Castration via an inguinal approach has a low complication rate at the site of surgery compared with other castration techniques. Methods: Mature stallions (n = 238) were castrated under general anaesthesia in dorsal recumbency using an inguinal approach. The vaginal process was incised, the spermatic cord ligated twice and the testis removed. After suturing, the vaginal process and one or 2 layers of fascia, the subcutis and cutis were closed in a simple continuous pattern. Results: Five of 238 (2.1%) horses had post operative haemorrhage and a haematoma in the scrotal region, which required additional treatment. All horses made a full recovery. Five of 238 (2.1%) of the horses had a post operative respiratory infection, which resolved with antibiotic therapy. Sixteen of 238 (8.8%) had transient signs of colic shortly after surgery. Conclusions: This technique of castration with an inguinal approach had a low incidence of complications at the site of surgery compared with other methods. An inguinal approach and leaving the vaginal tunic in situ may cause less soft tissue trauma than a scrotal approach.
Publication Date: 2009-10-07 PubMed ID: 19803049DOI: 10.2746/042516409x415018Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article

Summary

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The research study examines a new method of castration for mature stallions through an inguinal approach and the implications in comparison to other techniques. The investigation concludes that this technique results in a lower rate of complications post-surgery.

Objective of the Research

  • The main aim of the researchers undertaking this study was to investigate a new method of castration in horses and evaluate its potential benefits and complications compared to other established techniques. To this end, they focused on the castration conducted through an inguinal approach, an approach they deemed as innovative, and sought to validate their hypothesis that this method results in fewer complications post-surgery.

Methods of the Research

  • A total of 238 mature stallions were selected for the study. This sample size was large enough to increase the validity of the results and to minimize potential inaccuracies.
  • All horses were castrated under general anesthesia, and the castration was performed with an inguinal approach. During the procedure, the spermatic cord was ligated twice, and the testis was removed. Post castration, the wounds were appropriately sutured and closed following a standardized pattern.

Results of the Study

  • The study found that only 2.1% of the horses suffered from post-operative bleeding and scrotal region hematoma requiring additional treatment. However, all those affected made a full recovery.
  • Another 2.1% encountered a post-operative respiratory infection, which was successfully treated with antibiotics.
  • Lastly, 8.8% displayed transient signs of colic shortly post-surgery.

Conclusion

  • The overall findings from this study suggest that the inguinal approach to castration in horses results in a lower rate of complications compared to other methods.
  • The authors speculate that leaving the vaginal tunic in situ and employing the inguinal approach possibly inflicts less trauma to the soft tissue compared to a scrotal approach. Nonetheless, further investigation might be needed to confirm these observations conclusively.

Cite This Article

APA
Kummer M, Gygax D, Jackson M, Bettschart-Wolfensberger R, Fürst A. (2009). Results and complications of a novel technique for primary castration with an inguinal approach in horses. Equine Vet J, 41(6), 547-551. https://doi.org/10.2746/042516409x415018

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 41
Issue: 6
Pages: 547-551

Researcher Affiliations

Kummer, M
  • Equine Department Vetsuisse, Faculty Zurich, Section Surgery, University of Zurich, Winterthurerstrasse 260, CH-8057 Zurich, Switzerland.
Gygax, D
    Jackson, M
      Bettschart-Wolfensberger, R
        Fürst, A

          MeSH Terms

          • Animals
          • Hematoma / etiology
          • Hemorrhage / etiology
          • Horses
          • Male
          • Orchiectomy / adverse effects
          • Orchiectomy / methods
          • Orchiectomy / veterinary
          • Postoperative Complications / veterinary

          Citations

          This article has been cited 8 times.
          1. Nocera I, Moroni R, Fanelli D, Rota A, Di Franco C, Ungari C, Puccinelli C, Gandini M, Giusto G, Vannozzi I. Cryptorchidism in Equid: A Retrospective Study on Diagnostic Approach, Anaesthesia Management, Surgical Treatment and Outcomes. Animals (Basel) 2025 Oct 9;15(19).
            doi: 10.3390/ani15192923pubmed: 41096518google scholar: lookup
          2. Gandini M, Bertone C, Giusto G. Description and Complications of a New Modified Semi-Closed Castration Technique in Horses. Vet Sci 2025 Jul 31;12(8).
            doi: 10.3390/vetsci12080720pubmed: 40872671google scholar: lookup
          3. Sjöberg I, Horn I, Ljungvall K, Andersen PH, Sternberg-Lewerin S. Influence of antimicrobial prophylaxis in horses undergoing sutured castrations. Vet Surg 2025 Jul;54(5):872-878.
            doi: 10.1111/vsu.14256pubmed: 40159848google scholar: lookup
          4. Ibrahim A, Mahmoud UT, Ali MM, Ragab SMM. Evaluation of the subcapsular technique for primary closure castration in donkeys (Equus asinus). Sci Rep 2021 Jul 7;11(1):14080.
            doi: 10.1038/s41598-021-93585-ypubmed: 34234262google scholar: lookup
          5. Straticò P, Varasano V, Guerri G, Celani G, Palozzo A, Petrizzi L. A Retrospective Study of Cryptorchidectomy in Horses: Diagnosis, Treatment, Outcome and Complications in 70 Cases. Animals (Basel) 2020 Dec 21;10(12).
            doi: 10.3390/ani10122446pubmed: 33371184google scholar: lookup
          6. Adler DMT, Østergaard S, Jørgensen E, Jacobsen S. Bidirectional knotless barbed versus conventional smooth suture for closure of surgical wounds in inguinal castration in horses. BMC Vet Res 2020 Jul 17;16(1):250.
            doi: 10.1186/s12917-020-02449-6pubmed: 32680516google scholar: lookup
          7. Abass M, Picek S, Garzón JFG, Kühnle C, Zaghlou A, Bettschart-Wolfensberger R. Local mepivacaine before castration of horses under medetomidine isoflurane balanced anaesthesia is effective to reduce perioperative nociception and cytokine release. Equine Vet J 2018 Nov;50(6):733-738.
            doi: 10.1111/evj.12947pubmed: 29660154google scholar: lookup
          8. Robert MP, Chapuis RJJ, de Fourmestraux C, Geffroy OJ. Complications and risk factors of castration with primary wound closure: Retrospective study in 159 horses. Can Vet J 2017 May;58(5):466-471.
            pubmed: 28487590