Summary Surgical technique plays an important role in preventing ventral midline incisional complications. The aim of this study was to compare the clinical and ultrasonographic outcome of three suture techniques for closure of the linea alba. In this prospective case series (n = 43), horses operated for acute abdominal intestinal disease through a midline incision were randomised in three groups: closure with a conventional continuous technique (Group 1), a small stitches continuous technique (Group 2) and the UX‐technique (shoe‐lace configuration, Group 3). Age, sex, body weight, type and duration of surgery were recorded and the suture to wound length ratio was calculated. Clinical evaluation of the wound (wound discharge) was performed daily during hospitalisation. At 7 weeks post‐operatively the linea alba was evaluated clinically and ultrasonographically. The linea alba width was measured halfway along the length of the incision. One horse in Group 1 had acute incisional dehiscence, but there were no further significant differences between the groups in the short term. Seven weeks post‐operatively two horses had complete herniation in Group 1 and one horse had partial herniation in Group 2. In the UX group no herniation occurred. The incidence of herniation was not significantly different between the groups. On ultrasound at 7 weeks the linea alba width was significantly smaller in Group 2 (P = 0.00029) and Group 3 (P = 0.0018) compared with Group 1, even with exclusion of the acute incisional dehiscence and two herniated horses. Limitations were the small group size and relatively low incidence of incisional complications for statistical analysis. It was concluded that the use of small stitches and the UX‐technique resulted in a smaller linea alba width compared with the conventional continuous suture technique and might therefore be preferred for closure of the linea alba in equine colic surgery.

Summary Background Throughout the ages, human subjects have selected horse breeds for their locomotor capacities. Concurrently, tissue properties may have diversified because of specific requirements of different disciplines. Objectives The aim of this study was to compare the biomechanical properties of tendons with different functions between equine breeds traditionally selected for racing or sport. Study design This study used ex vivo tendons and compared the mechanical properties of the common digital extensor tendon (CDET) and superficial digital flexor tendon (SDFT) between racehorses (Thoroughbred [TB]) and sports horses (Friesian Horse [FH], Warmblood [WB]). Methods The SDFT and CDET of FH (n = 12), WBs (n = 12) and TBs (n = 8) aged 3–12 years were harvested. The cross sectional area (cm2), maximal load (N), ultimate strain (%), ultimate stress (MPa) and elastic modulus (MPa) were determined and tested for significant differences between the breeds (P<0.05). Results The SDFT from WB horses had a significantly lower elastic modulus than TB horses and failed at a higher strain and load than both FHs and TBs. The mechanical properties of the CDET did not differ between breeds. In agreement with previous studies, the CDET failed at a higher stress and had a higher elastic modulus than the SDFT and, for the WB group of horses only, failed at a significantly lower strain. Interestingly, the mode of failure differed between breeds, particularly with respect to the FHs. Main limitations The exercise history of horses used in this study was unknown and the age‐range was relatively large; both these factors may have influenced the absolute properties reported in this study. Conclusions This study shows for the first time that mechanical properties of the SDFT differ between breeds. These properties are likely to be related to selection for high‐speed vs. an extravagant elastic gait and may be an important indicator of performance ability. The Summary is available in Spanish – see Supporting Information

No abstract

Objective: To determine the variability in length, width, and thickness of the equine linea alba (LA) and the effect of a standing vs dorsal recumbent position on these measurements. Study design: Descriptive anatomical comparative study. Animals: Standing horses (N = 75; in 30 horses, measurements were obtained in dorsal recumbency first and repeated after horses were standing). Methods: Linea alba length was measured in standing position from xiphoid to umbilicus, and transverse ultrasonographic images were obtained at five reference points to measure LA width and thickness. In 30 horses, measurements were obtained in dorsal recumbency first and repeated after horses were standing. Results: There was wide variation in LA width and thickness between standing horses, with gradual increase from xiphoid (range, 0.14-0.64 cm) to umbilicus (range, 0.2-2.97 cm). Linea alba length in standing position was 51.09 ± 6.219 cm. Width was independent of the size of the horse; thickness and length were correlated at some reference points to height (r = 0.346-585, P < .05) and weight (r = 0.324-0.642, P < .05). Different LA shapes could be identified. In dorsal recumbency, the LA was smaller in width at all reference points (15%-23%, P < .05) and shorter (20%, P < .001) compared with standing. Conclusion: In addition to the wide variability in LA measurements and shapes between horses, there was a significant decrease in LA width and length when horses changed from standing to dorsal recumbency. Clinical significance: The difference in LA length and width between dorsal recumbency and when standing could increase tension on sutures after laparotomy and should be taken into account when surgeons are closing the abdomen.