Repair of third degree perineal laceration by a modified Goetz technique in twenty mares

O'Rielly, J L; Maclean, A. A.; Lowis, T. C.

doi:10.1111/j.2042-3292.1998.tb00837.x

Cited by 6 publications

(15 citation statements)

References 5 publications

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“…In this article, we report successful reconstruction of the rectovestibular shelf in 18 of 20 (90%) mares by using the URM. This result compares favorably to previously described single‐stage repair methods (12/16 [75%] in O'Rielly et al and 14/17 [82%] in Belknap and Nickels). Comparable results have been reported by others but have been based on small numbers of mares (9/10 [90%] in Stickel et al) and (7/7 [100%] in Kazemi et al).…”

Section: Discussionsupporting

confidence: 81%

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Single‐stage reconstruction of third‐degree perineal lacerations in horses under general anesthesia: Utrecht repair method

et al. 2019

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Objective To describe perioperative management, surgical procedure, and outcome in mares with third‐degree perineal lacerations (TDPL) treated with a single‐stage repair, the Utrecht repair method (URM). Study design Retrospective study. Animals Twenty mares with TDPL. Methods Medical records of mares with TDPL reconstructed with a URM were reviewed for perioperative management; surgical outcome; and postoperative fertility, athletic performance, and complications. Results Mares ranged in age from 3.5 to 11 years. Long‐term follow‐up was available for 13 mares. Mean duration of follow‐up was 9 years (median, 9.5; range, 2–215 months (17.9 years)). Standardized perioperative fasting and postoperative refeeding protocols were used. Only five mares received supportive gastric medication. Reconstruction of the rectovestibular shelf was successful in 18 of 20 mares. Two of 20 mares developed a small rectovestibular fistula after the initial repair, which was successfully repaired with a second surgery. Other postoperative complications were observed in 13 mares and consisted of mild postanesthetic myositis, facial nerve paralysis, esophageal obstruction, rectal obstipation, partial perineal dehiscence, and rectal or vestibular wind‐sucking. Six of seven mares that were subsequently bred became pregnant. One mare was successfully used for embryo recovery, and five of six mares foaled without recurrence of a TDPL. Nine of 13 mares were used for riding at various levels. Conclusion The alternative single‐stage reconstruction for TDPL was successful in 18 of 20 mares after a single surgery. No major complications related directly to the technique were noted. Clinical significance The URM is a valid alternative surgical technique for repairing TDPL in mares.

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Section: Discussionsupporting

confidence: 81%

“…Lacerations of the perineal region occur commonly in mares at the time of foaling . These lacerations are generally divided into three different types, depending on the perineal tissues involved . Simple, first‐degree lacerations involve the skin and vestibular mucosa of the dorsal commissure only.…”

Section: Introductionmentioning

confidence: 99%

Single‐stage reconstruction of third‐degree perineal lacerations in horses under general anesthesia: Utrecht repair method

et al. 2019

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“…0 absorbable suture using a Connell or Lembert pattern. [2][3][4] This suture pattern is continued caudally to reconstruct the cranial half of the defect and then tied but not cut. Using No.…”

Section: Modified Goetz Techniquementioning

confidence: 98%

“…2,4,6,7 Third-degree lacerations recur in 5% to 50% of foaling mares due to the inelasticity of the resultant scar tissue. [2][3][4]6,7 COMPLICATIONS Suture dehiscence and subsequent fistula development are possible. These complications can be avoided by precise dissection, adequate tissue purchases, and reduced tension on apposed tissues.…”

Section: Postoperative Carementioning

confidence: 99%

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Third-Degree Perineal Laceration Repair

Janicek¹

2006

Manual of Equine Field Surgery

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Comparing two surgical techniques for repairing third‐degree perineal lacerations in postpartum broodmares

Sheard¹

2021

Veterinary Record

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The available evidence suggests that repairing a third-degree perineal laceration using a one-stage technique is more likely to result in a successful return to breeding than using a two-stage technique. However, the limitations of the studies assessed in this evidence evaluation mean it is difficult to draw a definitive conclusion. Clinical scenarioA valuable thoroughbred broodmare is presented to your hospital for standing surgical repair of a third-degree perineal laceration -de ned as a common opening forming between the rectum and the vestibule due to tearing of the vestibular wall and disruption of the perineal body, anal sphincter and rectal wall. This injury was caused by a traumatic foaling four weeks ago.Your hospital performs both one-and two-stage repair techniques. One-stage techniques aim to restore the shelf between the rectum and vestibule and a functional perineal body during a single surgery. In two-stage techniques, the rst stage aims to recreate the rectovestibular shelf and the second stage, performed three to four weeks later, aims to appose the rectal mucosa and dorsal perineal body.Your client stresses that a successful return to breeding is the key outcome for this mare. Therefore, you need to know which technique is most likely to lead to conception and the production of a live foal.

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Repair of third degree perineal laceration by a modified Goetz technique in twenty mares

Cited by 6 publications

References 5 publications

Single‐stage reconstruction of third‐degree perineal lacerations in horses under general anesthesia: Utrecht repair method

Single‐stage reconstruction of third‐degree perineal lacerations in horses under general anesthesia: Utrecht repair method

Third-Degree Perineal Laceration Repair

Comparing two surgical techniques for repairing third‐degree perineal lacerations in postpartum broodmares

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