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Veterinary surgery : VS2022; 51(5); 853-858; doi: 10.1111/vsu.13809

Standing laparoscopy combined with a conventional inguinal approach to treat extended septic funiculitis in 12 horses.

Abstract: To describe a 2-step surgical procedure combining standing laparoscopy with a conventional inguinal approach to treat deep intra-abdominal funiculitis (extended septic funiculitis) after castration. Methods: Retrospective case series. Methods: Twelve client-owned horses. Methods: Medical records of horses treated for extended septic funiculitis with the 2-step surgical procedure were reviewed. Data collected included the initial castration technique, number of surgical interventions for septic funiculitis prior to presentation, clinical signs, diagnostic and surgical procedure, and short-term and long-term survival. Results: Complete resection of the infected spermatic cord was achieved without intraoperative complications. Intra-abdominal adhesions were documented in 6 horses, involving the ascending colon (4 cases) and descending colon (2 cases). Postoperatively, minor incisional swelling (2/12) and emphysema (3/12) at the laparoscopic portals were observed. All horses survived to discharge. At 3 months, wounds had completely healed without complications. No recurrence of signs was recorded at long-term follow up (4-36 months after discharge). Conclusions: In cases of extended septic funiculitis, complete resection of the infected spermatic cord can be safely performed using a laparoscopic-assisted surgical approach, reducing postoperative complications and risk of recurrence of infection.
© 2022 American College of Veterinary Surgeons.
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Publication Date: 2022-04-18 PubMed ID: 35436003DOI: 10.1111/vsu.13809Google 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 describes a two-step surgical procedure to treat deep intra-abdominal funiculitis in horses combining a standing laparoscopy and conventional inguinal approach. The study’s findings indicate that the surgical method safely performs complete resection of the infected spermatic cord, minimizes postoperative complications, and reduces the risk of infection recurrence.

Explanation of Research

The paper is an analysis of a surgical method combining laparoscopy while the horse is standing with a traditional inguinal approach, designed to address deep intra-abdominal funiculitis (also known as extended septic funiculitis) that may occur after a horse is castrated. Considered a retrospective case series method, the authors review medical records of client-owned horses previously treated using this approach.

  • The medical histories of twelve horses that had been subjected to the two-step surgery were examined in detail
  • Collected information included the initial castration technique, the number of surgical attempts made to control the septic funiculitis before the horses were presented, clinical symptoms, data related to the diagnostic and surgical process, and both short- and long-term survival outcomes

Results of Research

The study yielded a range of noteworthy results:

  • The complete resection, or removal, of the infected part of the spermatic cord was achieved for all horses without any intraoperative complications
  • In six out of twelve horses, intra-abdominal adhesions were documented. Four cases involved the ascending colon and two involved the descending colon
  • Postoperative observations noted minor swelling at the incision in two out of twelve horses, and the presence of emphysema at the laparoscopic portal in three out of twelve horses
  • All horses survived to be discharged after the surgery and after three months, all surgical wounds had completely healed without any complications
  • No recurrence of symptomatic signs was recorded at long-term follow-ups, which ranged from four to thirty-six months after the horses were discharged

Conclusions

The authors conclude that using this laparoscopic-assisted surgical technique can be very effective in cases of extended septic funiculitis. It allows a safe and complete resection of the infected spermatic cord, simultaneously reducing postoperative complications and the possibility of the infection recurring. This approach presents a potentially significant advancement in the treatment and management of this condition in horses.

Cite This Article

APA
Comino F, Röcken M, Gorvy D. (2022). Standing laparoscopy combined with a conventional inguinal approach to treat extended septic funiculitis in 12 horses. Vet Surg, 51(5), 853-858. https://doi.org/10.1111/vsu.13809

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 51
Issue: 5
Pages: 853-858

Researcher Affiliations

Comino, Francesco
  • SLU University Animal Hospital (UDS), Equine Hospital, Uppsala, Sweden.
Röcken, Michael
  • Clinic for horses, Department of Equine Surgery and Orthopaedics, Faculty of Veterinary Medicine, Justus-Liebig-University, Giessen, Germany.
Gorvy, Dylan
  • SLU University Animal Hospital (UDS), Equine Hospital, Uppsala, Sweden.

MeSH Terms

  • Animals
  • Horse Diseases / etiology
  • Horse Diseases / surgery
  • Horses
  • Laparoscopy / methods
  • Laparoscopy / veterinary
  • Male
  • Orchiectomy / methods
  • Orchiectomy / veterinary
  • Postoperative Complications / veterinary
  • Retrospective Studies
  • Spermatic Cord

References

This article includes 18 references
  1. Rosanowski SM, Maceoin F, Graham RJTY, Riggs CM. Open standing castration in thoroughbred racehorses in Hong Kong: prevalence and severity of complications 30 days post-castration.. Equine Vet J 2018;50:327-332.
  2. Robert MP, Chapuis RJJ, Fourmestraux CD, Geffroy OJ. Complications and risk factors of castration with primary wound closure: retrospective study in 159 horses.. Can Vet J 2017;58:466-471.
  3. Kilcoyne I, Watson JL, Kass PH, Spier SJ. Incidence, management, and outcome of complications of castration in equids: 324 cases (1998-2008).. J Am Vet Med Assoc 2013;242:820-825.
  4. Kilcoyne I. Castration complication a review of castration techniques and how to manage complications.. Vet Clin North Am Equine Pract 2021;37(2):259-273.
    doi: 10.1016/j.cveq.2021.04.002google scholar: lookup
  5. Hodgson C, Pinchbeck G. A prospective multicentre survey of complications associated with equine castration to facilitate clinical audit.. Equine Vet J 2019;51:435-439.
  6. Owens CD, Hughes KJ, Hilbert BJ, Heller J. Survey of equine castration techniques, preferences and outcomes among Australian veterinarians.. Aust Vet J 2018;96(1-2):39-45.
  7. Getman LM. Review of castration complications: strategies for treatment in the field.. AAEP Proc 2009;55:374-378.
  8. Racine J, Vidondo B, Ramseyer A, Koch C. Complications associated with closed castration using the Henderson equine castration instrument in 300 standing equids.. Vet Surg 2019;48:21-28.
  9. Mason BJ, Newton JR, Payne RJ, Pilsworth RC. Costs and complications of equine castration: a UK practice-based study comparing “standing nonsutured” and “recumbent sutured” technique.. Equine Vet J 2005;37(5):468-472.
  10. Moll HD, Pelzer KD, Pleasant RS, Modransky PD. A survey of equine castration complications.. J Equine Vet Sci 1995;15:522-526.
  11. Testis SJ. In: Auer JA, Stick JA, eds. Equine Surgery.. 5th ed. Elsevier; 2019:994-1029.
  12. Arnold CE, Chaffin MK. Abdominal abscesses in adult horses: 61 cases (1993-2008).. J Am Vet Med Assoc 2012;241:1659-1665.
  13. Conze P, Beineke A, Mietze A, Geburek F. Diagnosis and surgical treatment of a chronic Staphylococcus aureus infection (botryomycosis) as a long-term complication after castration-a case report.. Pfedeheikunde 2015;31:11-19.
  14. Claffey EF, Brust K, Hackett RP, Fubini S. Surgical management of post castration spermatic cord stump infection in horses: a retrospective study of 23 cases.. Vet Surg 2018;47:1016-1020.
  15. Caramello V, Giusto G, Rosso A, Garbieri A. A deep post-castration funiculitis resolved with marsupialization in one horse.. LXX SISVET Congress, Palermo 2016.
    doi: 10.13140/rg.2.1.2121.1767google scholar: lookup
  16. Roecken M, Barske K. Laparoscopic-assisted surgery for treatment of “extended” septic funiculitis in the horse.. Vet Surg 2016;45:12-33.
  17. Röcken M, Scharner D, Gerlach K, Ferguson J. Laparoskopischer Nachweis und Verteilungsmuster intraabdominaler Adhäsionen beim chronisch rezidivierenden, nicht voroperierten Koliker [laparoscopic evaluation of type and incidence of abdominal adhesions in horses with chronic colic and experiences with laparoscopic adhesiolysis].. Pferdeheilkunde 2002;18:574-578.
  18. Giusto G, Cerullo A, Gandini M. Surgical colic caused by fibrous bands and adhesions in absence of previous abdominal surgery: 9 cases (2012-2019).. Equine Vet Edu 2021.
    doi: 10.1111/eve.13487google scholar: lookup

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