Complications of Surgery of the Equine Foot

Leise, Britta S.

doi:10.1002/9781119190332.ch47

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…Certain surgeries are associated with an increased risk of both intra- and postoperative hemorrhage. As mentioned above, these include surgeries involving the head and paranasal sinuses, reproductive tract and spleen, as well as the foot, and various foreign-body and tumor removal surgeries [ 21 , 22 , 23 , 24 , 25 , 26 ]. Intraoperative hemorrhage is deemed to be a surgical complication if it is unexpected and/or severe enough to warrant blood transfusion [ 27 ].…”

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

“…For example, where paranasal sinus surgeries are performed under general anesthesia, the horse can be positioned in reverse Trendelenberg (elevating the region being operated on relative to the heart, to reduce perfusion and, therefore, reduce hemorrhage) to reduce blood loss [ 27 ]. Depending on the surgical site, tourniquets can be applied if blood loss from the distal limb is anticipated [ 24 ]. Good anatomical knowledge of the intended surgical site is essential to identify and isolate major blood vessels in order to avoid iatrogenic damage to such vital structures which could result in hemorrhage, as well as employing best surgical practice in line with Halsted’s principles, which are the seven pillars of excellent surgical technique, including gentle tissue handling, meticulous hemostasis, obliteration of dead space, asepsis, preservation of blood supply, gentle tissue handling and accurate apposition of tissues [ 28 ].…”

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

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Blood Transfusion in Equids—A Practical Approach and Review

Jamieson

Baillie²,

Johnson³

2022

Animals

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Transfusion medicine is a crucial part of equine intensive and critical care. Blood transfusions can save lives in both acute and chronic cases of anemia, hemorrhage, and hemolysis. It is vital to have a comprehensive theoretical and practical understanding of the techniques, implications, risks, and complications. This review covers the physiology and pathophysiology of conditions requiring transfusion, as well as step by step guidance for practitioners of all experience levels. This review is designed to serve as a practical reference for those who are treating horses in either the field or hospital setting. It aims to provide both theoretical background and easy to locate formulae with guidance that is easy to refer to in a critical situation. When risks and benefits are well understood, these techniques can be confidently employed in critical situations to improve outcomes and save lives.

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Section: Disorders Requiring Transfusionmentioning

confidence: 99%

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

Blood Transfusion in Equids—A Practical Approach and Review

Jamieson

Baillie²,

Johnson³

2022

Animals

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Les complications associées aux chirurgies de pied

Gangl

2022

NPV équine

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Les chirurgies du pied sont fréquentes en pratique équine, et couvrent tout le spectre d’un simple débridement d’abcès de pied jusqu’aux techniques d’ostéosynthèse. Les complications les plus souvent rencontrées sont l’hémorragie, l’infection, et les problèmes de cicatrisation telles que la déhiscence, la formation d’un tissu de granulation excessif et la déformation de la boîte cornée. L’hémorragie n’impacte qu’exceptionnellement le pronostic vital, mais diminue la visibilité du champ chirurgical. Les infections persistantes et surinfections sont fréquentes, le pied se trouvant à proximité du sol. Les problèmes de cicatrisation s’expliquent souvent par une mobilité trop importante. Ces complications peuvent être évitées ou gérées par des moyens assez simples comme un garrot, une préparation méticuleuse du pied, une bonne hygiène, et une immobilisation par un plâtre de pied et des ferrures. En revanche, la négligence de ces mesures peut entraîner des défauts persistants et des boiteries chroniques, et mener à l’échec de la chirurgie.

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Hoof wall masses removal in 30 standing sedated horses: Surgical technique, postoperative complications and long‐term outcome

Ross,

White,

Hibner‐Szaltys

et al. 2024

Veterinary Surgery

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ObjectiveTo describe the surgical technique for removal of hoof wall masses in horses under standing sedation (SS) and local anesthesia (LA), and to report complications and long‐term outcome following surgery.Study designObservational retrospective study.AnimalsClient‐owned horses (n = 30).MethodsHorses undergoing keratoma removal under SS and LA in a single equine hospital between August 2016 and July 2023 were included in the study. Signalment, affected foot, history of lameness and/or foot abscesses, degree of lameness on admission, imaging findings (radiography and magnetic resonance imaging [MRI] when available), location of the mass, surgical technique, remedial farriery, postoperative care, complications and outcome were recorded. Long‐term follow‐up information was obtained by telephone questionnaire.ResultsA total of 30 horses met the inclusion criteria. Duration of lameness ranged from 1 to 289 days (mean 90 days). The degree of lameness varied from absent to grade 4/5 (AAEP) (mean grade 3/5). All horses underwent preoperative radiographic examination and 14/30 underwent MRI. All horses underwent partial hoof wall resection. The surgery was performed safely in all cases. Postoperative complications included marked lameness in the early postoperative period in 3/30 horses and exuberant granulation tissue formation in 2/30 horses. Long‐term (>6 months) follow‐up information was available for 28 horses, and 26/28 horses returned to previous levels of exercise. Recurrence was suspected in 1/30 horses.ConclusionsThe complication rate was lower than previously reported for keratoma removal under general anesthesia (GA).Clinical significanceRemoval of hoof wall masses under SS and LA can be considered as an alternative to removal under GA.

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Complications of Surgery of the Equine Foot

Cited by 3 publications

References 39 publications

Blood Transfusion in Equids—A Practical Approach and Review

Blood Transfusion in Equids—A Practical Approach and Review

Les complications associées aux chirurgies de pied

Hoof wall masses removal in 30 standing sedated horses: Surgical technique, postoperative complications and long‐term outcome

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