Some Problems Associated with Intestinal Surgery in the Horse

Abstract

SUMMARY The paper considers the general principles of intestinal surgery in the horse and illustrates a theatre layout suitable for this purpose. The problems of locating and reducing obstructions of the small and large intestine are discussed, with particular emphasis on incarcerations of the small bowel and the techniques of jejunal and ileal re‐implantation after bowel resection. RÉSUMÉ Cet article expose les principes généraux de la chirurgie intestinale chez le cheval. Les difficultés de localisation et de réduction des obstructions grêles et coliques sont analysées en particulier le cas des incarcérations du grêle et les techniques de ré‐implantations jéjunales et iléales aprés resection d'un segment. ZUSAMMENFASSUNG Diese Arbeit betrachtet die allgemeinen Grundsätze der intestinalen Chirurgie beim Pferd und illustriert die geeignete Anlage eines Operationsraumes für diese Zwecke. Die Probleme des Auffindens und Behebens von Obstruktionen im Dünn‐ und Dickdarm werden diskutiert mit besonderem Gewicht auf den Inkarzerationen des Dünndarms und der Technik von Jejunum‐ und Ileum‐Reimplantation nach Resektion.

Obstruction of the ileum in the horse: A report of 27 clinical cases

“…(1970), Donawick et a1(1971), Huiskamp (1973) and Kersjes and Bras (1973), and to myotomy (Homer and Funk 1971) for the treatment of muscular hypertrophy of the ileum. The author cannot agree with Huiskamp's (1977) conclusion that resection is always necessary in these cases. Although no definite conclusions could be drawn about the exact nature of the obstruction at the ileocaecal junction in the cases reported here, it appeared to be confined to the last few centimetres of the ileum.…”

“…The vast majority of cases were presented as acute obstructive colic which had been in existence for a relatively short time. The (Huiskamp 1977), had occurred from left to right through the epiploic foramen. In every case, a taut loop of small intestine on a long mesentery was found in the right hypochondriac region.…”

A mare with colic caused by an ovarian tumour

“…Factors considered to be associated with the occurrence of incisional hernias are, among others, infection, local trauma of the wound edges, size of the incision, and increased abdominal pressure (1, 3,6). Since the operation was classified as 'clean' (American National Research Council 1964) and antibiotics were administered prophylactically, the risk of incisional infection was minimal.…”

Potential complications in equine colic surgery

“…Seit den Anfängen der Kolikchirurgie, die ganz entscheidend von Prof. Huskamp geprägt wurden, haben viele neue Erkenntnisse die Prognose der Kolikchirurgie verbessert (Huskamp 1977). Dennoch ist gerade bei Eingriffen an den Bauchhöhlenorganen die postoperative Komplikationsrate hoch, so dass die allgemeine Überlebensrate nach einem chirurgischen Eingriff lediglich ca.…”