Results of this pilot study indicate that the implant was compatible with placement in the MFC of normal horses. Implant design allowed bone ingrowth within the titanium base and provision of a synthetic articular surface.
Summary
A 14‐year‐old Arabian gelding presented for evaluation of macroscopic haematuria. Routine cystoscopy was performed under standing sedation during which the horse collapsed with apparent seizure activity. General anaesthesia was induced and the horse recovered neurologically normal. Four days later, during a perineal urethrotomy procedure, the horse experienced a similar collapse with seizure‐like activity. General anaesthesia was again induced and cystoscopy performed through the urethrotomy incision. A ventral bladder mass was visualised and sampled. Cytology confirmed a neoplastic process and the horse was subjected to euthanasia. Histopathology confirmed transitional cell carcinoma. Air embolism was the suspected cause of loss of consciousness and seizure activity in both instances.
Objective
To assess outcomes and behavior changes associated with bilateral laparoscopic ovariectomies.
Study design
Retrospective study.
Sample population
Fifty‐one equids.
Methods
Medical records were evaluated from equid bilateral laparoscopic ovariectomies from January 2012 to October 2018 with a potential of 6 months follow‐up. Follow‐up information obtained by telephone interviews included behavior before and after surgery. Likelihood ratio chi‐square tests and odds ratios (OR) with 95% CI were calculated where applicable, with statistical significance at p < .05.
Results
Bilateral ovariectomy was performed in 51 cases, with elective (no pathologic ovaries) ovariectomies performed in 41/51 cases. Occasional estrus‐like behavior was observed postoperatively in 14/51 (27%) mares, but the behavior was mild and manageable in all cases. There was no age effect on outcome in all bilateral (p = .56) or elective only (p = .36) cases. In 37/41 (90%) elective cases, improvement was observed in the reason for presentation. Some response to altrenogest administration for behavior modification was observed preoperatively in 12/18 (67%) elective cases. Response to altrenogest was not associated with (p = .31) or able to predict a beneficial response to surgery (OR = 5.5; 95% CI = 0.38–78.57; p = .21).
Conclusion
Response to altrenogest in elective cases may not predict behavioral outcome with ovariectomy. Occasional estrus‐like behavior in mares postoperatively was not problematic for any owners. Bilateral ovariectomy is a viable treatment option for owners seeking to alleviate undesirable behavior in mares.
Clinical significance
This study should aid veterinarians and horse owners in case selection for bilateral ovariectomy.
Summary
A 14‐year‐old Quarter Horse mare presented for a mass within the vestibule and vagina resulting in external compression and incomplete occlusion at the external urethral opening with subsequent difficulty urinating. Examination revealed an approximately 15 × 10 cm lobulated mass within the vestibule and caudal vagina attached via a broad base dorsally. Histopathology of the mass identified a low‐grade leiomyosarcoma. Complete resection was not possible, and surgical debulking of the mass was performed during standing sedation using a vessel‐sealing and dividing device. The mare was discharged 3 days post‐operatively without any complications. Recheck examinations performed at 1 month and 8 months’ post‐surgery revealed excellent healing of the surgical site and no apparent tumour regrowth.
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