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Standing abdominal surgery.
Abstract: Safe, effective surgery can be performed in the standing, conscious horse using a combination of mechanical and chemical restraint. Clear indications for performing standing abdominal surgery exist, but many procedures are best performed under general anesthesia. The preferred approach involves a modified grid incision of the left paralumbar fossa. Flank celiotomy allows the surgeon to thoroughly explore the abdominal cavity, but few structures can be exteriorized, and visibility of abdominal contents is poor. Indications for standing abdominal surgery include diagnosis of abdominal masses, drainage and biopsy techniques, correction of left dorsal displacement of the large colon, and evaluation of rectal injuries, and performing loop colostomy techniques, laparoscopy, removal of retained testicles, correction of uterine torsions, surgical embryo transfer, ovariectomy in normal mares, and some experimental procedures. Standing surgical techniques are most useful and appropriate for surgical exploration, to correct uterine torsions, and to perform loop colostomy and surgical embryo transfer techniques. Perioperative antimicrobial and antiinflammatory therapy is recommended. Mild discomfort and ventral incisional swelling after surgery are expected.
Publication Date: 1991-12-01 PubMed ID: 1820230DOI: 10.1016/s0749-0739(17)30490-xGoogle Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Review
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 focuses on the utilization of standing abdominal surgery for conscious horses, citing the effectiveness and safety of the method when coupled with adequate mechanical and chemical restraint. The paper then delves into the specific procedures best suited to this approach and additionally emphasizes the necessity for antimicrobial and anti-inflammatory treatment during the perioperative stage.
Key Techniques and Indications
The report starts by outlining a preferable method in the practice – a modified grid incision of the left paralumbar fossa. This undertaking:
- Permits the vet to examine the abdomen comprehensively
- Offers limited opportunity for exteriorizing structures
- Proffers meager visibility of abdominal contents
The article then cites clear indicators for the application of standing abdominal surgery:
- Diagnosing abdominal masses
- Drainage and biopsy procedures
- Rectifying the left dorsal displacement of the large colon
- Evaluating rectal injuries
- Implementing loop colostomy techniques
- Performing laparoscopies
- Removing retained testicles
- Adjusting uterine torsions
- Performing surgical embryo transfers
- Performing ovariectomy in mares under normal conditions
- Applying the technique to certain experimental procedures
The standing surgical techniques are highlighted as particularly useful for surgical exploration, rectification of uterine torsions, an implementation of loop colostomy, and surgical embryo transfer procedures.
Perioperative Therapy
The abstract strongly suggests using perioperative antimicrobial and anti-inflammatory therapy. Although the specific details of such treatments aren’t thoroughly explored in the article, the benefits are inferred to include:
- Prevention of potential post-surgical infection
- Reduction in inflammation resulting from surgical trauma
Post-Surgery Expectations
The content concludes by laying out some post-surgery expectations. These include:
- Mild discomfort
- Swelling at the site of the incision
These are not presented as red flags but as natural reactions to surgery, indicating that the animal is on the road to recovery.
Cite This Article
APA
Ross MW.
(1991).
Standing abdominal surgery.
Vet Clin North Am Equine Pract, 7(3), 627-639.
https://doi.org/10.1016/s0749-0739(17)30490-x Publication
Researcher Affiliations
- Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, New Bolton Center, Kennett Square.
MeSH Terms
- Abdomen / surgery
- Animals
- Horses / surgery
- Restraint, Physical / veterinary
References
This article includes 15 references
Citations
This article has been cited 1 times.- Chiesa OA, Cullison R, Anderson DE, Moulton K, Galuppo LD, von Bredow J. Development of a technique for serial bilateral renal biopsy in steers. Can J Vet Res 2006 Apr;70(2):87-93.
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