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Standing surgery and procedures of the head
1Department of Large Animal Medicine and Surgery, Texas A&M University College of Veterinary Medicine, College Station.
The Veterinary Clinics of North America. Equine Practice
|December 1, 1991
Summary
Standing surgery in horses is feasible for head procedures using appropriate analgesia and restraint. This approach is suitable for traumatic injuries and other conditions, often yielding good cosmetic results due to the head's blood supply.
Area of Science:
- Equine Surgery
- Veterinary Medicine
- Head and Neck Surgery
Background:
- General anesthesia simplifies equine head surgery, but standing procedures are viable.
- Standing surgery requires a combination of analgesia, physical, and chemical restraint.
- Head accessibility allows for numerous standing surgical interventions.
Purpose of the Study:
- To discuss factors influencing standing versus recumbent anesthesia for equine head surgery.
- To outline indications for standing surgical procedures of the equine head.
- To highlight potential complications of untreated head trauma in horses.
Main Methods:
- Review of standing surgical techniques for equine head procedures.
- Discussion of analgesia and restraint protocols for standing surgery.
- Case examples of traumatic head injuries and their management.
Main Results:
- Standing surgery is effective for traumatic injuries like lacerations and fractures, often with cosmetic outcomes.
- Untreated head trauma can lead to deformities, sinusitis, fistulas, and ocular issues.
- Other standing procedures include sinus centesis/trephination, dental work, alar fold stabilization, and cyst removal.
Conclusions:
- Standing surgery is a practical option for many equine head procedures.
- Proper management of head trauma is crucial to prevent long-term complications.
- A range of elective and emergency procedures can be safely performed with the horse standing.