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Veterinary surgery : VS2010; 39(5); 627-630; doi: 10.1111/j.1532-950X.2010.00683.x

Surgical treatment of septic jugular thrombophlebitis in nine horses.

Abstract: To report a technique for surgical treatment of septic jugular thrombophlebitis unresponsive to medical treatment. Methods: Case series. Methods: Horses (n=9) with septic jugular thrombophlebitis unresponsive to medical treatment. Methods: Jugular vein thrombectomy was performed under standing sedation and local anesthesia. The contents of the affected portion of vein were removed by multiple incisions in the vein, with the incisions left open to drain and heal by second intention. Results: The technique was curative in all instances, although 2 horses required a 2nd procedure. One horse required ligation of the linguofacial vein to control postsurgical hemorrhage. Conclusions: The technique is an effective surgical treatment for septic jugular thrombophlebitis unresponsive to medical treatment. Conclusions: Jugular vein thrombectomy is a straightforward technique, and has minimal postoperative complications. It allows expedient and cost-effective resolution of medically recalcitrant cases of septic jugular thrombophlebitis.
Publication Date: 2010-04-29 PubMed ID: 20459491DOI: 10.1111/j.1532-950X.2010.00683.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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The research introduces a surgical technique for treating septic jugular thrombophlebitis, a condition that does not respond to regular medical treatments, in horses. The surgical technique, called jugular vein thrombectomy, involves removal of affected vein contents, and has been found effective and cost-efficient.

Objective and Methods

  • The aim of the study is to present a surgical technique, specifically jugular vein thrombectomy, to treat septic jugular thrombophlebitis in horses that is not responsive to medical treatments.
  • The researchers performed a case series study including nine horses that had septic jugular thrombophlebitis unresponsive to medical treatment.
  • In the procedure, the horses were put under standing sedation and local anesthesia. Then, through several incisions in the affected vein, its contents were removed. The incisions were left open afterwards to allow for drainage and healing.

Results

  • The technique was found effective in treating the condition in all tested cases. However, two out of the nine horses required a second procedure for the treatment to be successful.
  • In one instance, there was a need to perform a ligation of the linguofacial vein to control postsurgical bleeding.

Conclusions

  • The technique of jugular vein thrombectomy was concluded to be a viable surgical option for treating septic jugular thrombophlebitis in horses unresponsive to medication.
  • The technique is fairly simple, has minimal postoperative complications and can lead to effective and swift resolution of even the most stubborn cases of septic jugular thrombophlebitis.
  • This technique not only ensures proper treatment of the medical condition but is also cost-effective.

Cite This Article

APA
Russell TM, Kearney C, Pollock PJ. (2010). Surgical treatment of septic jugular thrombophlebitis in nine horses. Vet Surg, 39(5), 627-630. https://doi.org/10.1111/j.1532-950X.2010.00683.x

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 39
Issue: 5
Pages: 627-630

Researcher Affiliations

Russell, Tom M
  • Goulburn Valley Equine Hospital, Congupna, Vic., Australia.
Kearney, Clodagh
    Pollock, Patrick J

      MeSH Terms

      • Animals
      • Catheter-Related Infections / microbiology
      • Catheter-Related Infections / surgery
      • Catheter-Related Infections / veterinary
      • Female
      • Horse Diseases / surgery
      • Horses / surgery
      • Jugular Veins / surgery
      • Male
      • Postoperative Care / veterinary
      • Thrombectomy / methods
      • Thrombectomy / veterinary
      • Thrombophlebitis / microbiology
      • Thrombophlebitis / surgery
      • Thrombophlebitis / veterinary
      • Treatment Outcome

      Citations

      This article has been cited 4 times.
      1. Hardefeldt L, Thomas K, Page S, Norris J, Browning G, El Hage C, Stewart A, Gilkerson J, Muscatello G, Verwilghen D, van Galen G, Bauquier J, Cuming R, Reynolds B, Whittaker C, Wilkes E, Clulow J, Burden C, Begg L. Antimicrobial prescribing guidelines for horses in Australia. Aust Vet J 2025 Dec;103(12):781-889.
        doi: 10.1111/avj.70003pubmed: 40903020google scholar: lookup
      2. Shawaf T. Jugular venous thrombosis as a risk factor for exercise-induced pulmonary hemorrhage in thoroughbred racehorses. Open Vet J 2024 May;14(5):1111-1116.
        doi: 10.5455/OVJ.2024.v14.i5.4pubmed: 38938431google scholar: lookup
      3. Corda A, Columbano N, Secchi V, Scanu A, Parpaglia MLP, Careddu GM, Passino ES. Use of saline contrast ultrasonography in the diagnosis of complete jugular vein occlusion in a horse. Open Vet J 2020 Oct;10(3):308-316.
        doi: 10.4314/ovj.v10i3.9pubmed: 33282702google scholar: lookup
      4. Dias DP, de Lacerda Neto JC. Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management. Can Vet J 2013 Jan;54(1):65-71.
        pubmed: 23814304