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The Veterinary clinics of North America. Equine practice1991; 7(3); 603-626; doi: 10.1016/s0749-0739(17)30489-3

Standing surgery of the neck and thorax.

Abstract: Many surgical procedures of the head and neck can be safely performed in the standing horse, with easy access to all aspects of the surgical field. Some procedures, such as tracheotomy, are easier to perform with the horse standing with the head in a more natural position than with the horse under general anesthesia. Procedures of the neck and thorax that require evacuation of purulent and necrotic material from confined spaces, such as occur in horses with esophageal ruptures and extensive intrathoracic abscesses, can be done as standing procedures to avoid the risks of general anesthesia on severely debilitated patients.
Publication Date: 1991-12-01 PubMed ID: 1820229DOI: 10.1016/s0749-0739(17)30489-3Google Scholar: Lookup
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Summary

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The research article discusses the viability of performing surgical procedures on the head, neck, and thoracic region of a horse while it is standing. The study states that certain surgeries might be easier and safer when the horse is in a standing position, particularly for critically ill horses to avoid the risks associated with general anesthesia.

Objective and Scope of the Study

  • The focus of this research was to explore the feasibility and benefits of conducting surgical procedures for horses in a standing position rather than using general anesthesia.
  • The scope includes surgeries on the head, neck, and thoracic region, in particular, operations required to evacuate potentially harmful materials from confined spaces such as those found in cases of esophageal ruptures and intrathoracic abscesses.

Advantages of Standing Surgeries

  • According to this study, executing surgeries in this manner allows for easy access to all parts of the surgical field while the horse keeps its head in a more natural position.
  • Additionally, specific procedures, like a tracheotomy, present less of a challenge to perform on a standing horse. This approach can be especially advantageous when treating severely debilitated horses, as they are susceptible to risks associated with general anesthesia.

Implications for Veterinary Medicine

  • The results of this research could have significant implications for veterinary medicine. This alternative approach to surgeries could increase the success rate and reduce the risk of complications for certain surgical procedures, especially in critically ill horses.
  • Further studies may build upon this foundation to extend its impact to the treatment of smaller animals where general anesthesia also presents potential perils.

Cite This Article

APA
Freeman DE. (1991). Standing surgery of the neck and thorax. Vet Clin North Am Equine Pract, 7(3), 603-626. https://doi.org/10.1016/s0749-0739(17)30489-3

Publication

ISSN: 0749-0739
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 7
Issue: 3
Pages: 603-626

Researcher Affiliations

Freeman, D E
  • University of Pennsylvania School of Veterinary Medicine, New Bolton Center, Kennett Square.

MeSH Terms

  • Animals
  • Horse Diseases / surgery
  • Horses / surgery
  • Neck / surgery
  • Thoracic Diseases / surgery
  • Thoracic Diseases / veterinary

References

This article includes 27 references

Citations

This article has been cited 3 times.
  1. Vaishya R, Kansagra A, Vijay V, Vaish A, Agarwal AK. Management of loose osteochondritis dissecans in an adolescent. J Clin Orthop Trauma 2019 Nov-Dec;10(6):1121-1127.
    doi: 10.1016/j.jcot.2018.11.004pubmed: 31708639google scholar: lookup
  2. Wang Y, Huang J, Rong L, Wu P, Kang M, Zhang X, Lu Q, Fang Y. Impact of age on the survival of pediatric leukemia: an analysis of 15083 children in the SEER database. Oncotarget 2016 Dec 13;7(50):83767-83774.
    doi: 10.18632/oncotarget.11765pubmed: 27590519google scholar: lookup
  3. Erickson BJ, Chalmers PN, Yanke AB, Cole BJ. Surgical management of osteochondritis dissecans of the knee. Curr Rev Musculoskelet Med 2013 Jun;6(2):102-14.
    doi: 10.1007/s12178-013-9156-0pubmed: 23378147google scholar: lookup