Minimally Invasive Surgical Techniques

Fischer, Andrew T.; Hardy, Joanne; Léveillé, Renée; Rijkenhuizen, A. B. M.; Auer, Jörg A

doi:10.1016/b1-41-600123-9/50016-4

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…Aorto-iliac thrombosis in the horse has been reported to have a prevalence of up to 1.5% in the flat-racing Thoroughbred population of South Africa (Azzie 1969), with no more comprehensive or new data available. The condition is repeatedly described in veterinary texts (Reef and McGuirk 1996;Young 2004;Fischer et al 2012), although little has been added to the understanding of the aetiopathogenesis of the disease in the last 20 years. Thoroughbred racehorses are over represented, presumably due to high-intensity exercise exacerbating clinical signs coupled with the close observation of these animals (Maxie and Physick-Sheard 1985).…”

Section: Discussionmentioning

confidence: 99%

Internal aorto‐iliac thrombosis in a Thoroughbred: Unsuccessful surgical thrombectomy, a proposed aetiopathogenesis and spontaneous partial regression

Lloyd

Vallance

Denton

et al. 2017

Equine Veterinary Education

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Summary A 4‐year‐old Thoroughbred gelding with severe left hindlimb lameness and colic‐like signs lasting 30–60 min post‐exercise was diagnosed with unilateral internal aorto‐iliac thrombosis. The thrombus was identified using transrectal ultrasonography in the terminal aorta and was initially thought to extend into the left external iliac artery. However, attempted thrombectomy via a left femoral arteriotomy performed under general anaesthesia using thrombectomy and angioplasty catheters was unsuccessful, as the thrombus was located in the left internal iliac artery. Transrectal ultrasound evaluation was repeated monthly for 12 months post‐operatively during which time the gelding remained asymptomatic at rest. As removal of thrombi in the external but not internal iliac artery may be possible, correct diagnosis of the location of the thrombus is critical in preventing unnecessary attempts at surgical correction. The aetiology remains unknown, but altered haemodynamics within the abdominal aorta with mechanical stresses during intense exercise are proposed as a cause of thrombus formation. The sequential monitoring of this case also conflicts the assumption that thrombi in this location propagate over time as partial regression was observed 6 months after referral and 9 months after onset of clinical signs.

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Section: Discussionmentioning

confidence: 99%

Internal aorto‐iliac thrombosis in a Thoroughbred: Unsuccessful surgical thrombectomy, a proposed aetiopathogenesis and spontaneous partial regression

Lloyd

Vallance

Denton

et al. 2017

Equine Veterinary Education

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“…However, the digital sensors within new cameras are now much more sensitive and require less powerful light sources (Imani ; Fischer Jr et al . ). A 50 W xenon light source coupled with recent single chip camera provides excellent visualisation for all equine laparoscopy in my hands.…”

Section: Diagnostic Laparoscopymentioning

confidence: 97%

Drip, drip, drip

Coomer¹

2013

Equine Veterinary Education

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“…RECENT laparoscopic techniques have been bettering in equine practice, both in quantity and in quality (Fisher and others 2012). Furthermore, new instrumentation has been developed that has simplified some of the basic techniques.…”

Section: Figurementioning

confidence: 99%

Intra and postoperative assessment of re‐sterilised Ligasure Atlas for orchidectomies in horses: clinical study

et al. 2012

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Horses (n=35) underwent orchidectomy in a single institution with a re-sterilised LSA as sole means of haemostasis. During the surgery, the gross quality of the seal, the stickiness of the forceps to the tissues, bleeding/oozing from the stump and the need for a subsequent application in already severed spermatic cord were assessed for haemostasis quality. After surgery, physical parameters (appearance of the mucous membranes, quality of the peripheral pulse, heart rate, respiratory rate, rectal temperature and blood dripping from the incisions), haematology or packed cell volume and total protein were monitored to assess signs of bleeding or any other condition. For cleanliness and asepsis assessment, signs of surgical infection were recorded. Complications during surgery were mild degree of sticking of the LSA forceps to the tissues and dulling of the blade. There was no need to reapply LSA a second time except in one horse. This means a haemostasis complication rate of 2.85 per cent of the horses. No postoperative bleeding was detected. Only two horses with fever had associated signs of surgical site infection. This means an infection rate of 5.71 per cent of the horses.

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Minimally Invasive Surgical Techniques

Cited by 4 publications

References 27 publications

Internal aorto‐iliac thrombosis in a Thoroughbred: Unsuccessful surgical thrombectomy, a proposed aetiopathogenesis and spontaneous partial regression

Internal aorto‐iliac thrombosis in a Thoroughbred: Unsuccessful surgical thrombectomy, a proposed aetiopathogenesis and spontaneous partial regression

Drip, drip, drip

Intra and postoperative assessment of re‐sterilised Ligasure Atlas for orchidectomies in horses: clinical study

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