Standing surgical repair of cystorrhexis in two mares.

The research paper presents a study of two surgical methods used to observe and repair bladder tears in two mares, which were as a result of childbirth. The surgical procedures were performed while the mares were standing, which eliminated the need for general anesthesia.

Methods Used

• The researchers used two different surgical techniques for the purpose of this study. Both procedures were done with the aim of observing and repairing bladder tears associated with parturition in mares.
• The first technique involved an incision through the vaginal floor into the peritoneal cavity, just behind the cervix, and the prolapse of the bladder into the vagina.
• The second technique involved creating a 3-cm incision through the urethra, about 5 cm ahead of the urethral orifice, and then digitally exploring the tear. They then used finger traction to flip the bladder inside out through the urethral incision.

Repair of Bladder Defects

• In both methods, the researchers fixed the bladder defects in two layers. This was done using a 2-0 polyglycolic acid in a simple, continuous pattern.
• After the repair, the bladder was repositioned and then the vaginal and urethral incisions were closed in single layers. They used absorbable suture material for this process.

Benefits of the Approach

• The researchers found that doing the surgical procedure with the mare in a standing position eliminated the need for general anesthesia. This is a huge advantage, as the risks and medical cost associated with general anesthesia are eliminated.
• Furthermore, they noted that this approach allowed for excellent observation and repair of bladder tears in adult mares. This implies that it could be a preferred method of performing such procedures in the future, due to its evident benefits.