Surgical treatment of acquired inguinal hernia in the horse: A review of 51 cases

Velden, M.A. van der

doi:10.1111/j.2042-3306.1988.tb01491.x

Cited by 51 publications

(35 citation statements)

References 6 publications

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“…Inguinal hernias carry a much better prognosis, as seen in both this and previous studies. Short-term survival has been reported to be 75% (15,16). In the present study, short-term survival was 85% and intestinal resection oc.…”

Section: Discussionsupporting

confidence: 48%

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Boom¹,

Velden

2001

Veterinary Quarterly

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SUMMARYA retrospective study was carried out of 224 horses operated for strangulating small intestine obstructions. Fiftyfour horses were euthanized and 5 horses died during surgery which means that 165 (73%) were allowed to recover. Of these, 53 horses were euthanized or died in the clinic and 112 (50%) were discharged from the hospital. Of 90 horses available for follow-up 1 year postoperatively, 76 (84%) were still alive. The most important causes of death or reasons for euthanasia in the direct post-operative period were post-operative paralytic ileus, (adhesive) peritonitis and intra-abdominal haemorrhage. After discharge from the hospital the reasons were (adhesive) peritonitis and (recurrent) colic. Of the horses which survived for at least 1 year, 16% sometimes suffered from colic, 12% experienced problems with incisional woundhealing and 4% suffered from jugular vein thrombosis. All were in good or reasonable condition and 88% performed at (approximately) the same level as before the operation. The type of surgical intervention (i.e. enterotomy, enterectomy) did not significantly influence the outcome of surgery, whereas the type of anastomosis did. End-to-end jejunojejunostomy had a better prognosis than side-toside jejunocaecostomy.It was concluded that strangulating obstructions of the small intestine still carry a poor to guarded prognosis.Mortality was highest in the direct peri-operative period.Once discharged from hospital, prognosis can be considered to be fair to good. Attempts to improve outcome should be directed at a better handling of the ileal stump during surgery and at the prevention of post-operative ileus and the formation of adhesions.

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Section: Discussionsupporting

confidence: 48%

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Boom¹,

Velden

2001

Veterinary Quarterly

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“…Some small intestinal strangulations might benefit from early referral through easier correction. For example, a 92% survival has been reported in horses treated by closed manual reduction of an inguinal hernia , compared with a short‐term survival rate of 56–85.1% for those treated by surgery . Presumably closed manual reduction is possible early in the disease course whereas surgery is required for hernias of sufficient duration to incur ischaemic damage .…”

Section: Role Of Early Referral In Survivalmentioning

confidence: 99%

Fifty years of colic surgery

Freeman

2018

Equine Veterinary Journal

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Colic surgery is one of few treatments in which a veterinarian can use a skill to save an animal's life from a deadly disease within a short timeframe. Unfortunately, such success is not achieved without considerable risk for surgical failure, which is responsible for most complications in the immediate post-operative period. The last 50 years have witnessed considerable improvements in colic surgery, although a ranking of the most important ones might not meet with universal agreement. Teamwork plays a critical role in the final outcome, starting and finishing with the referring veterinarian and owner. These individuals are responsible for promptly transferring the horse to a surgical facility and then dealing with aftercare and delayed complications. The surgeon is responsible for the intervening steps, including the decision on the need for surgery, and works with the anaesthesiologist to help a metabolically challenged patient to tolerate surgery and anaesthesia. Although early referral and improved diagnostic procedures can have a positive influence on survival, perceived improvements in surgery and anaesthesia need to be reviewed with some circumspection. Although more rigorous definitions and statistical analyses used in recent studies can invalidate comparisons with older studies, complication rates appear to be on the rise, despite putative improvements in dealing with them. This trend tends to diminish the value of colic surgery through increasing costs, overreliance on post-operative pharmacological management, growing pessimism, high rates of intraoperative euthanasia, and possibly reduced long-term survival. Future efforts should address these concerns, mostly through emphasis on prompt referral, good surgical technique and reducing the cost of colic surgery to an affordable level that saves more lives.

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“…Omental prolapse occurred in 2 equids in this study, indicating that the abdominal cavity is not reliably sealed with the described method. Fatality rates between 28%‐52% have been reported after surgical correction of postcastration small intestinal evisceration . The reported prevalence of small intestinal evisceration after castration ranges between 0% and 4.8% .…”

Section: Discussionmentioning

confidence: 99%

Complications associated with closed castration using the Henderson equine castration instrument in 300 standing equids

et al. 2018

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Objective: To describe a closed castration technique in standing equids, report associated complications, and identify potential risk factors. Study design: Prospective cohort study of 300 standing equids that were castrated with the Henderson Equine Castrating Instrument. Methods: Thirteen participating veterinarians recorded intraoperative difficulties and postoperative complications. Descriptive statistics, univariate analyses with Fisher's exact tests, and logistic regressions were used to evaluate intraoperative difficulties and postoperative complications and to assess risk factors for postoperative complications. Results: Data were collected on 300 equids (269 horses, 23 ponies, and 8 donkeys). Intraoperative difficulties were experienced in 39 of 300 (13%) procedures. Postoperative complications were reported in 69 of 300 (23%) equids, including excessive swelling (29, 9.67%), surgical site infection (SSI; 27, 9%), severe hemorrhage (3, 1%), and prolapse of the omentum (2, 0.64%). Donkeys were at increased risk of severe hemorrhage (2/8, 25%, P = .0019). Equids that were castrated in a hospital setting (83/300, 27.66%) more frequently developed excessive swelling (P = .0034, odds ratio [OR] = 3.20) and SSI (P = .0047, OR = 3.18) compared with equids that were castrated in a field setting (217/300, 72.33%). Prolonging antimicrobial prophylaxis or age of the equid at the time of castration had no effect on the prevalence of excessive swelling or SSI. Conclusion: The method of castration evaluated here resulted in a similar prevalence of postoperative complications to that previously reported for castrations in standing horses but fewer SSI. Clinical significance: The described method provides a viable option for castrating horses and ponies, but is not recommended in donkeys.

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Surgical treatment of acquired inguinal hernia in the horse: A review of 51 cases

Cited by 51 publications

References 6 publications

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Fifty years of colic surgery

Complications associated with closed castration using the Henderson equine castration instrument in 300 standing equids

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