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1.
OBJECTIVE: To compare the outcome of horses with nephrosplenic entrapment of the large colon (NSELC) treated surgically or medically by rolling, administration of phenylephrine hydrochloride (or both), and exercise. DESIGN: Retrospective study. ANIMALS: 11 medically treated horses and 8 surgically treated horses with NSELC. PROCEDURE: Medical records of horses with nephrosplenic entrapment between 1992 and 2002 were reviewed. Medically treated horses were included if diagnosis and outcome of treatment of nephrosplenic entrapment were confirmed via transrectal examination and ultrasonographic examination. Surgically treated horses were included if the diagnosis was confirmed by exploratory laparotomy. Horses in which the large colon was entrapped between the spleen and body wall were not included. RESULTS: Significant differences in mean age, heart rate, and duration of colic prior to treatment were not detected between horses treated surgically or medically. Ten medically treated horses recovered without complications, and 1 died. In the surgically treated group, 6 of 8 horses recovered without complications and 2 died. Mortality rate did not differ between treatments. Duration of hospitalization for medically treated horses was significantly shorter and the cost significantly less than for surgically treated horses. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that medical treatment of horses with NSELC via administration of phenylephrine hydro-chloride, rolling during general anesthesia, or both appears to be as effective as and less expensive than surgical treatment.  相似文献   

2.
Nephrosplenic entrapment is a commonly diagnosed cause of acute colic that may be corrected using surgical or non-surgical methods and has a good prognosis for survival. Intravenous administration of phenylephrine at doses ranging from 20–60 μg/kg given over 5–15 min often followed by forced exercise, various rolling techniques under general anaesthesia, or a combination of therapies has been reported. Correction of the entrapment via exploratory celiotomy may be challenging in certain cases and is hampered by marked splenic enlargement. The case report by Loomes and Anderson (2019) in this issue described a novel method of reducing the size of the spleen by direct intra-splenic injection of phenylephrine, in a case non-responsive to intravenous phenylephrine administration, which facilitated surgical correction of the nephrosplenic entrapment.  相似文献   

3.
This study aimed to describe and evaluate a laparoscopic technique to promote nephrosplenic space ablation in horses using a homologous pericardium implant, preserved in 98% glycerin and fixed using laparoscopic polydioxanone staples. In this experimental study, six Arabian horses without previous related abdominal diseases were used. The surgical procedures were performed in the standing position under sedation with alpha-2 agonists and opioids, associated with local infiltration of the local anesthetic in the portal sites. The horses were restrained in a stock, and the left flanks were clipped and aseptically prepared. Three portals were created on the left flank, and the homologous pericardium implant, measuring 10 × 5 cm, was introduced into the abdominal cavity covering the nephrosplenic space, positioned between the dorsal border of the spleen and perirenal fascia, fixed with polydioxanone staples using a laparoscopic stapler. Physical examination and blood and peritoneal fluid sample collection were performed on days 0, 1, 3, 7, 14, 30, and 60 of the postoperative period, and an exploratory laparoscopy was performed on day 60 to assess the effectiveness of the technique and eventual complications. There were no difficulties or significant complications during the surgical procedure, and the total average time to perform was 49.83 minutes (±10.19). In the postoperative period, there was a significant increase (P < .05) in the plasma fibrinogen concentration on days 7 and 14 compared with the preoperative moment. The total nucleated cell count in the peritoneal fluid increased (P < .05) on days 1, 3, 7, 14, and 30. After 60 days of the surgical procedure, the physical examination and laboratory data were within the normal range. Exploratory laparoscopy performed on day 60 revealed complete occlusion of the nephrosplenic space, and it was not possible to differentiate the pericardium implant from the scar tissue, not even in the histological evaluation performed on the collected samples. In two horses, omentum adhesion was observed in the region where the implant was fixed, and in two others, a synechia was observed between the implant area and mesocolon without association with clinical complications. The animals were followed up for 36 months at surgery, and no colic signs were observed along this period. It was concluded that the technique of ablation of the nephrosplenic space, using homologous pericardium preserved in 98% glycerin, fixed by polydioxanone staples by laparoscopy, was simple to perform, effective, and free of clinical complications during the period of evaluation, and its use may be indicated as a surgical option in clinical cases of horses with recurrent nephrosplenic entrapment.  相似文献   

4.
OBJECTIVE: To describe surgical technique and outcome after laparoscopic closure of the nephrosplenic space for treatment of recurrent left dorsal displacement of the left colon (LDDLC) in standing horses. STUDY DESIGN: Retrospective study. ANIMALS: Forty-four horses with LDDLC. METHODS: Laparoscopic portals were located in the left flank region. After administration of etilefrin intravenously to contract the spleen, the dorsal splenic margin was sutured to the nephrosplenic ligament to obliterate the nephrosplenic space. Horses were re-examined (< or = 3 years) for history of recurrence. In addition, medical records of 4,852 horses treated for colic over 16 years were evaluated to establish incidence of LDDLC and recurrence after treatment. RESULTS: Splenic contraction facilitated suture placement and closure of the nephrosplenic space was achieved without complications. LDDLC recurrence did not occur although 5 horses had subsequent episodes of colic; 4 horses had displacement of the ascending colon between the spleen and body wall. Review of medical records revealed an incidence of LDDLC of 6% and recurrence of 21% in a population of horses with signs of colic. CONCLUSION: Laparoscopic closure of the nephrosplenic space, facilitated by etilefrin-induced splenic contraction can be efficiently performed in standing horses. CLINICAL RELEVANCE: Laparoscopic ablation of the nephrosplenic space should be considered in horses that are predisposed to recurrent LDDLC.  相似文献   

5.
Gastric impaction associated with large colon volvulus (LCV) was identified in seven horses. Right dorsal displacement of the large colon and suspected nephrosplenic entrapment was identified in 2 of the 7 horses as well as LCV with concurrent gastric impaction. All horses underwent surgery for LCV and none survived. Five horses died or were subjected to euthanasia intraoperatively or in recovery. One horse was subjected to euthanasia post operatively due to persistent gastric reflux, following resolution of the gastric impaction. One horse was subjected to euthanasia post operatively due to a suspected gastric rupture, which was confirmed on post mortem examination. It is hypothesised that a large mass in the cranial abdomen, such as a gastric impaction may disrupt the normal anatomical large colon alignment or may cause colonic motility or microbiota alterations, and thus increase the risk of large colon displacement and volvulus.  相似文献   

6.
OBJECTIVE: To evaluate outcome after laparoscopic closure of the nephrosplenic space in horses that had previous nephrosplenic entrapment of ascending colon (left dorsal displacement of the left colon; LDDLC). STUDY DESIGN: Retrospective study. SAMPLE POPULATION: Horses that had previous LDDLC. METHODS: Medical records of horses that had LDDLC and subsequent laparoscopic nephrosplenic space closure between 2002 and 2004 were retrieved. Follow-up information was obtained by telephone interview of owners. Preoperative versus postoperative comparisons were: incidence of LDDLC, incidence of colic signs, and incidence of ventral celiotomy. Data were analyzed using a chi2-square test with significance set at P<.05. RESULTS: Ten horses met the inclusion criteria. Mean follow-up was 22 months. No horses had recurrence of LDDLC; however, 3 horses had colic signs subsequently that required surgical intervention. Over the follow-up period there was a significant decrease in the total incidence of colic and ventral celiotomy. Technique modifications included use of different cannula site locations, use of polyglyconate suture material for nephrosplenic space closure, and development of a custom cannula. CONCLUSIONS: Laparoscopic nephrosplenic space closure prevented recurrence of LDDLC, and significantly lowered the overall incidence of colic and ventral celiotomy. The custom-designed cannula provided good access to the operative site and no complications were encountered with use of polyglyconate suture material for nephrosplenic space closure. CLINICAL RELEVANCE: Closure of the nephrosplenic space will prevent LDDLC; however, other surgical lesions can occur.  相似文献   

7.
This case report describes the successful use of intra-splenic administration of phenylephrine (PE) in a surgical case of nephrosplenic entrapment (NSE) to induce splenic contraction after intravenous phenylephrine administration failed to elicit a response.  相似文献   

8.
AIM: To review the outcome of cases of left dorsal displacement of the large colon (LDDLC) treated with phenylephrine HCl and mild exercise. METHODS: Physical parameters, laboratory data, ultrasonographic findings and outcome were analysed in a retrospective study of 12 horses with a confirmed diagnosis of LDDLC which were treated with phenylephrine HCl and mild exercise. RESULTS: Administration of phenylephrine HCl and mild exercise resulted in the resolution of LDDLC in 11 of 12 treated horses. One horse failed to resolve the entrapment and required surgical correction. CONCLUSION: Administration of phenylephrine HCl appears to be an effective treatment for horses with confirmed diagnosis of LDDLC presented with mild to moderate colonic distention.  相似文献   

9.
We assessed whether rolling damage by grazing horses could be reduced by constructing areas assigned for rolling. A group of horses were enclosed in a paddock with and without rolling areas made of dry soil, sand, and straw. Their behavior was recorded for 1 week in the paddock without any treatment (control paddock). Then the horses were moved to another paddock with the rolling areas (rolling paddock). After a 3-week familiarization period, horses were observed for 1 week. In the rolling paddock, the frequency and time spent rolling were significantly greater in rolling areas than in nonrolling areas. Horses significantly preferred the soil rolling area than sand and straw (P < .05). Although rolling was considered the most relevant body care behavioral element, the effects of the substrate in rolling areas on other body care behavioral activities, such as mutual and self-grooming, also were investigated. The frequency and duration of mutual grooming and the duration of self-grooming decreased significantly in the rolling paddock compared with the control paddock (P < .05). Hence, offering a rolling area encourages horses to roll in these areas and keeps the pasture in good condition; therefore, grazing time can be increased, with less reliance on supplementary feed.  相似文献   

10.
The objective of this study was to determine the prevalence of intraoperative electrolyte disturbances and risk factors associated with perianesthetic death in horses undergoing colic surgery. The files of 120 horses meeting the inclusion criteria were reviewed. Data retrieved from the medical records, including demographic data and the occurrence of electrolyte disturbances and other intraoperative complications, were analyzed with a two step-approach by univariate and multivariate logistic regression models. Hypocalcemia was the most represented electrolyte disturbance (52.5%), followed by hypokalemia (30.0%) that was associated with intraoperative administration of salbutamol (P = .045). Perianesthetic death occurred in 46 horses, accounting for an overall mortality rate of 38.3%. Risk factors associated with death were anesthetic duration (P = .001), body weight (P = .020), presence of gastric reflux before anesthesia (P = .021), and intraoperative tachycardia (P = .043) and acidosis (P = .025). The mortality in the study population was comparable to previously reported findings. Based on the study findings, it is advisable to optimize hemodynamics prior to anesthesia, in order to prevent intraoperative tachycardia that is associated with increased risk of death. Heavier horses and those with gastric reflux may have a higher risk of fatalities, and intraoperative salbutamol administration may contribute to hypokalemia.  相似文献   

11.
Thoroughbred mares treated for signs of placentitis are potentially costly to farms and owners. Although these treatments often are effective, the resulting foal may require expensive aftercare. The current study investigated the future racing performance of foals from mares treated for clinical and subclinical signs of placentitis compared with matched control mares that had no signs of placentitis producing foals on the same farms. In total, 190 horses born from mares with suspected placentitis met the criteria for analysis and were matched with 190 horses born on the same farm. Mare data and percentage of stakes winners in each group were analyzed with Student t test. Analysis between pairs of horses was done using a paired t test for number of starts, wins, places, shows, and amount earned. Significance was set at a P value of <.05. Mares with suspected placentitis were slightly older than control mares, had slightly shorter lengths of gestation, and had a longer interval to subsequent pregnancy than control mares (P < .05). Horses out of suspected placentitis mares that were racing as 2 year olds in the study had no difference in starts, wins, places, shows, and percentages of black-type race winners; however, this group earned more than their matched control pairs (P < .05). Older horses (3 year olds) out of suspected placentitis mares had no differences in number of starts, wins, places, shows or amount earned; however, the matched control older horses had more black-type race winners (P < .05). The information from this study may aid owners when making decisions about treatment options.  相似文献   

12.
Endurance racing is one long-distance event among the equine sporting activities associated with severe injuries and metabolic derangements that impede the health status of horses participating in the event. Therefore, this study evaluated the physical parameters and risk factors associated with the elimination of Arabian and crossed Arabian endurance horses during a 120-km race. Fifty-three Arabian and crossed Arabian endurance horses aged 6 to 15 years old participated in an endurance race of 120 km. All the horses were examined and found fit according to Fédération Équestre Internationale (FEI) regulations. After the endurance race 14 Arabian endurance horses completed the race successfully while 31 Arabian and crossed Arabian were eliminated. Their speed and heart rates were significantly higher (P < .0001). There were significant differences in skin recoil (P < .0395), color of mucous membrane (P < .0189), intestinal motility (P < .0124), and capillary refill time (P < .0082). There also were significant differences in age (P < .0018), breed (P < .0119), and equine establishments (P < .0205) among the eliminated horses and the Arabian and crossed Arabian endurance horses that successfully completed the race. In conclusion, the physical parameters and risk factors were significantly associated with the elimination of Arabian and crossed Arabian endurance horses. Therefore, close monitoring of the physical parameters and risk factors are essential in order to improve the performance of Arabian and crossed Arabian horses, and further studies are required on other associated parameters.  相似文献   

13.
BackgroundTransvenous electrical cardioversion (TVEC) is 1 of the main treatment options for atrial fibrillation (AF) in horses. Large‐scale studies on factors affecting success and prognosis have primarily been performed in Standardbred populations.Hypothesis/ObjectivesTo determine factors affecting cardioversion success, cardioversion difficulty and recurrence in a predominant Warmblood study sample.AnimalsTVEC records of 199 horses.MethodsRetrospective study of TVEC procedures of horses admitted for AF without severe echocardiographic abnormalities. Horse and procedural factors for success and cumulative amount of energy (≤ 600 J vs > 600 J) were determined using multivariable logistic regression. A survival analysis was performed to determine risk factors for recurrence.ResultsTwo hundred and thirty‐one TVEC procedures were included, with a 94.4% success rate and 31.9% recurrence rate (51/160). Mitral regurgitation (OR 0.151, 95% CI 0.032‐0.715, P = .02) and AF cycle length (OR 1.05, 95% CI 1.01‐1.09, P = .02) were independent determinants for success. Catheter type (OR 0.154, 95% CI 0.074‐0.322, P < .001), previous AF episode (OR 3.10, 95% CI 1.20‐8.01, P = .02), tricuspid regurgitation (OR 2.54, 95% CI 1.25‐5.13, P = .01), and body weight (OR 1.009, 95% CI 1.003‐1.015, P = .004) were significantly correlated with cumulative amount of energy delivered. Significant risk factors for recurrence after a first AF episode were sex (stallion; HR 3.05, 95% CI 1.34‐6.95, P = .008), mitral regurgitation (HR 1.91, 95% CI 1.08‐3.38, P = .03), and AF duration (HR 1.001, 95% CI 1.0001‐1.0026, P = .04).Conclusions and Clinical ImportanceBoth horse and procedural factors should be considered when assessing treatment options and prognosis in horses with AF.  相似文献   

14.
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15.

Background

There are no studies evaluating a large population of adult horses treated for botulism. Reported survival rates in outbreak situations are low; however, many horses in outbreaks do not receive treatment.

Hypothesis/Objectives

That adult horses treated at a veterinary hospital would have improved survival compared to outbreak situations. Additional aims included identification of predictors of nonsurvival.

Animals

All horses greater than 6 months of age with a final diagnosis of botulism admitted to a veterinary teaching hospital between 1989 and 2013 were included.

Methods

Retrospective study. Historical, admission, and hospitalization data were retrieved from medical records and associations between variables and nonsurvival were identified using logistic regression. Two multivariable models were developed pertaining to (1) information available at admission and (2) clinical findings during hospitalization.

Results

Ninety‐two records met inclusion criteria. Retained variables for the two models indicated that higher rectal temperature (OR, 1.94; CI, 1.19–3.17) and dysphagia (OR, 4.04; CI, 1.01–16.17) observed at admission increased the odds of survival, as did treatment with antitoxin (OR, 121.30; CI, 9.94–1,480.65). Horses with abnormal respiratory effort or inability to stand had decreased odds of survival. Overall survival was 48% but was significantly higher (67%, P = .011) for horses that arrived standing, and even higher (95%, P < .001) for horses that remained able to stand throughout hospitalization. Complications occurred in 62% of horses but were not associated with nonsurvival.

Conclusions and Clinical Importance

Horses that lose the ability to stand have a poor chance of survival. Complications are common in treated horses but do not reduce survival.  相似文献   

16.
Group housing is claimed to possibly provide horses with a species-appropriate movement possibility, and hence, better welfare. Thus, this study analyzed the daily walked distances of 51 horses held in one group in a “HIT Active Stable” (Hinrichs Innovation + Technik) in Northern Germany by using global positioning system (GPS) technology during a 7 ½-month time span. The daily walking distances of the whole group, as well as newcomers, were investigated. The horses traveled an average of 8.43 km/day. Linear mixed models were applied. The observation day had a significant effect on the daily walking distances (P < .01) due to season and the available area per horse. The age as covariate also had a significant effect (P < .01). The breed had no significant effect (P = .96). No significant differences were found in sex (P = .69), which can be explained by the fact that only mares and geldings were investigated, which do not show increasing locomotion caused by sexual behavior as stallions do. On six of the first nine days, new horses moved significantly more compared to the remaining 24 of the 30 observation days directly after individuals’ inclusion. This is probably due to more exploration and rank-fighting behavior. Similar walking distances were seen among the horses on the single observation days because all horses had to travel the same distance to reach resources. Further, it is suspected that not all horses can sufficiently live out their urges to move, especially in winter, when pasture is inaccessible.  相似文献   

17.
In adult horses, pronounced sex differences in behavior exist, and many riders prefer male horses to mares. In the present study, we tested the hypothesis that sex differences in the response of horses to handling emerge before puberty, that is, in sexually immature animals. Warm-blooded yearling horses (6 males and 9 females) were exposed to a stationary human test (exposure to an unfamiliar person for 5 minutes) and a tolerance test (haltering and direct contact with the horse) on 5 consecutive days. The horses' behavior and heart rate were recorded. Male yearling horses displayed significantly less exploratory behavior than females during the stationary human test on days 1 and 2 (P < 0.05). Latency to halter and ease with which horses could be haltered were significantly affected by day (P < 0.05), and a significant interaction of day and sex was detected (P < 0.05; e.g., time for haltering: females, day 1: 23.8 ± 7.8 seconds [±standard error of the mean] and day 5: 21.1 ± 1.7 seconds; males, day 1: 53.6 ± 10.4 seconds and day 5: 19.4 ± 2.2 seconds). Heart rate of the horses in response to the test situations was significantly affected by day (P < 0.01) but not by sex. In conclusion, sex differences in behavior do not only exist in adult horses but are already present in young horses before puberty. When exposed to unfamiliar humans for the first time, male yearling horses display more caution than females.  相似文献   

18.
In humans, the consumption of soluble fibers reduces glycemic response after a meal. We hypothesized high soluble fiber diets would reduce and delay postprandial glucose and insulin responses in horses. In a 4 × 4 Latin square design experiment, four Quarter Horse geldings were adapted to diets containing orchardgrass hay (ORCH) or ORCH with 1 of 3 treatment ingredients: molassed sugar beet pulp (BEET), almond hulls (HULL), or steam-crimped oats (OATS). Blood was serially sampled for 6 hours after feeding 0.15% body weight (BW) of the treatment ingredient (meal test) or 1.1 g starch/kg BW from oats plus the treatment ingredient (starch test) to evaluate glycemic and insulinemic responses. Glycemic response during the meal test peaked between 60 and 90 min after feeding (P < .05) and tended to be altered by diet (P = .071) and diet × time (P = .076). Serum insulin was affected by diet (P = .008), time (P < .001), and diet × time (P < .001) during the meal test, with concentrations lower in ORCH compared with BEET and OATS (P < .05). In the starch test, glucose was lower (P < .05) in ORCH and HULL compared with BEET and insulin was lower (P = .046) in ORCH compared with BEET. In both tests, horses took longer (P < .05) to consume HULL, likely influencing postprandial responses. Future research integrating the functional properties of feeds with physiological responses will be necessary to elucidate how soluble fiber affects postprandial glucose metabolism in horses.  相似文献   

19.
Methods to reduce the effects of acute stress could benefit the equine industry; therefore, the objective of this experiment was to determine whether aromatherapy would hasten the recovery time in acute-stressed horses. A total of seven horses were used in this experiment, using a crossover design where each horse received each treatment 7 days apart. The heart rates (HRs) and respiratory rates (RRs) were recorded for each horse at rest in stalls; then an air horn was blown twice for 15 seconds. The horses were allowed 60 seconds to calm, and then the stressed HRs and RRs were recorded. Control-treated horses were then exposed to humidified air, whereas aromatherapy-treated horses were exposed to humidified air with a 20% mixture of 100% pure lavender essential oil for 15 minutes. Following the 15-minute control or aromatherapy treatment, the recovery HRs and RRs were recorded (15 minutes). There were no statistical differences (P > .05) between the control and aromatherapy treatment for resting HR 33.7 ± 3.6 versus 34.0 ± 3.1 beats per minute (bpm), or change to increased HR in response to the air horn. However, the change in HR, after treatment, was significantly greater (P < .02) after aromatherapy (−9.25 ± 3.4 bpm) compared with the control treatment (0.29 ± 1.5 bpm). The RR did not differ (P > .05) between the control or aromatherapy treatment groups for the resting RR or change in RR. These results demonstrate that lavender aromatherapy can significantly decrease HR after an acute stress response and signal a shift from the sympathetic nervous control from the parasympathetic system.  相似文献   

20.
The objective of this study was to examine changes in surface temperature of blanketed horses during cold weather. Four mature stock-type horses were used in a 4 × 4 Latin square design. Treatments included 3 different blanket weights (based on g of fiberfill): light weight (LW; 0 g), medium weight (MW; 200 g), heavy weight (HW; 400 g), and a nonblanketed control (CON). Thermographic images were obtained from a standardized lumbar location before blanketing and immediately after cold exposure. During cold exposure, horses were outside with ad libitum access to grass hay and water for 1 hour. Mean temperature was −23°C with a wind chill of −32°C. After 1 hour, horses were brought inside (15°C) and lumbar images immediately recorded. A 30-minute equilibration period was allowed between each sampling period. Analysis of variance was computed using the general linear model procedure of SAS with statistical significance declared at P values ≤ 0.05. There was an overall treatment effect (P = .02) for lumbar temperatures after horses were outside for 1 hour with temperatures measuring 22.3°C, 26.8°C, 30.3°C, and 31.5°C for CON, LW, MW, and HW, respectively. Lumbar temperature was warmer (P ≤ .009) for HW and MW compared with CON and tended to be warmer (P = .10) in LW compared with CON. Change in lumbar temperature decreased significantly (P ≤ .01) in CON compared with all other treatments. In conclusion, wearing a blanket can increase lumbar surface temperature during cold weather with the degree of warmth influenced by blanket weight.  相似文献   

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