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Standing abdominal surgery.

M W Ross1

  • 1Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, New Bolton Center, Kennett Square.

The Veterinary Clinics of North America. Equine Practice
|December 1, 1991
PubMed
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Standing abdominal surgery in horses is safe and effective for specific procedures like exploration and uterine torsion correction, utilizing restraint techniques. General anesthesia is preferred for more complex cases, with specific incision methods recommended.

Area of Science:

  • Equine Surgery
  • Veterinary Medicine
  • Surgical Techniques

Background:

  • Standing abdominal surgery in horses can be performed safely and effectively using mechanical and chemical restraint.
  • While specific indications exist, many abdominal procedures are better suited for general anesthesia.
  • The left paralumbar fossa, utilizing a modified grid incision, is the preferred surgical approach.

Purpose of the Study:

  • To outline the indications and techniques for standing abdominal surgery in horses.
  • To differentiate procedures best suited for standing surgery versus general anesthesia.
  • To highlight the utility of standing techniques for exploration, uterine torsion correction, loop colostomy, and embryo transfer.

Main Methods:

  • Review of standing surgical techniques for equine abdominal procedures.

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  • Discussion of patient restraint (mechanical and chemical) and surgical site preparation.
  • Description of preferred surgical approaches, including modified grid incision and flank celiotomy.

    • Main Results:

    • Standing surgery is indicated for diagnosing abdominal masses, drainage/biopsy, correcting left dorsal displacement of the large colon, evaluating rectal injuries, loop colostomy, laparoscopy, retained testicle removal, uterine torsion correction, surgical embryo transfer, ovariectomy, and experimental procedures.
    • Flank celiotomy allows thorough exploration but limits exteriorization and visibility.
    • Standing techniques are particularly useful for surgical exploration, uterine torsion correction, loop colostomy, and surgical embryo transfer.

    Conclusions:

    • Standing abdominal surgery is a viable option for select equine procedures when appropriate indications and techniques are employed.
    • Perioperative antimicrobial and anti-inflammatory therapy are recommended for optimal outcomes.
    • Mild postoperative discomfort and ventral incisional swelling are expected sequelae.