RESUMEN
The electronic patient records of all equine patients of Rossdales Equine Practice between January 1, 2005 and November 1, 2013 were reviewed to determine the number of cases of supporting limb laminitis (SLL) in a large equine practice and referral hospital setting in the UK and to discuss the implications for future epidemiological studies. The clinical notes were searched electronically for a combination of 'laminitis AND (contralateral OR supporting ORâ overload OR weight bearing)'. The prevalence of SLL within each identified denominator population and the corresponding 95% CI were calculated. SLL developed in nine horses, one donkey and one pony. Thoroughbreds were the most commonly affected breed (72.7â per cent, CI 46.4 to 99.1 per cent), aged 2-14â years (median six years), and only mares (n=9) and stallions (n=2) were represented. SLL was not restricted to horses that were non-weightbearing lame, it developed within 4-100â days after injury (median 14.5â days) and occurred most commonly in a forelimb (54.6 per cent, CI 25.1 to 84.0 per cent). During the same time frame, a total of 65,327 horses were registered with Rossdales Equine Practice, resulting in an overall practice prevalence of SLL of 0.02 per cent (CI 0.01 to 0.03 per cent). Future epidemiological studies to investigate risk factors for SLL prevention will, therefore, be a logistical challenge.
Asunto(s)
Enfermedades del Pie/veterinaria , Enfermedades de los Caballos/epidemiología , Hospitales Veterinarios/estadística & datos numéricos , Inflamación/veterinaria , Derivación y Consulta/estadística & datos numéricos , Animales , Estudios Epidemiológicos , Enfermedades del Pie/epidemiología , Predicción , Caballos , Inflamación/epidemiología , Prevalencia , Reino Unido/epidemiología , Soporte de PesoRESUMEN
REASONS FOR PERFORMING STUDY: If untreated, caecal impaction may progress to rupture of the caecum and reports of long-term outcome for horses undergoing surgery for caecal impaction are required. OBJECTIVES: To describe short- and long-term complication rates for horses undergoing surgery for caecal impaction in an otherwise life-threatening gastrointestinal condition. METHODS: Case records were reviewed for horses undergoing surgery for caecal impaction. Horses were included in the study if an abnormally large, fluid-distended or feed-impacted caecum was the primary diagnosis at surgery and excluded if the caecum had already ruptured upon opening the abdomen, necessitating euthanasia. Short-term follow-up data were obtained from clinical records; and included complications, repeat celiotomy and survival to discharge. Long-term survival was defined as survival for >1 year post operatively. Long-term follow-up data were obtained through telephone interviews with owners and referring veterinary surgeons. Survival, occurrence of post operative colic and subsequent use of the horse were recorded. RESULTS: Twenty horses underwent surgery for caecal impaction: 16 horses underwent caecal bypass (typhlotomy and removal of caecal contents, ileal transection followed by ileocolostomy); 3 underwent typhlotomy alone; and one horse underwent typhlotomy followed by a second procedure where caecal bypass was performed. Five horses (25%) were admitted for colic evaluation with primary caecal impactions, in 10/20 (50%) of cases the impaction was secondary to previous orthopaedic surgery and in 5/20 (25%) caecal impaction was identified at repeat celiotomy following a previous colic surgery. Sixty-five percent (13/20) of horses survived to discharge; 11/13 (85%) of horses discharged survived long term; 100% (3/3) horses that received typhlotomy alone were discharged and survived long term. CONCLUSIONS: The prognosis following caecal impaction surgery is fair, if the horse survives to discharge then prognosis for long-term survival is good. POTENTIAL RELEVANCE: Surgery for caecal impaction carries a fair prognosis for a potentially life threatening disease, in particular where caecal dysfunction is suspected.
Asunto(s)
Ciego/patología , Impactación Fecal/veterinaria , Enfermedades de los Caballos/cirugía , Animales , Ciego/cirugía , Impactación Fecal/cirugía , Femenino , Estudios de Seguimiento , Caballos , Masculino , Estudios Retrospectivos , Resultado del TratamientoAsunto(s)
Enfermedades del Pie/veterinaria , Glucocorticoides/efectos adversos , Enfermedades de los Caballos/inducido químicamente , Animales , Relación Dosis-Respuesta a Droga , Vías de Administración de Medicamentos/veterinaria , Enfermedades del Pie/inducido químicamente , Glucocorticoides/uso terapéutico , Caballos , Cojera Animal , Factores de Riesgo , Resultado del Tratamiento , Triamcinolona/efectos adversos , Triamcinolona/uso terapéuticoAsunto(s)
Caballos/anatomía & histología , Animales , Cruzamiento , Enfermedades de los Caballos/epidemiología , Enfermedades de los Caballos/patología , Enfermedades de los Caballos/fisiopatología , Caballos/genética , Caballos/fisiología , Incidencia , Cojera Animal/epidemiología , Cojera Animal/patología , Cojera Animal/fisiopatología , Fenómenos Fisiológicos Musculoesqueléticos , Sistema Musculoesquelético/anatomía & histología , Fenotipo , Valor Predictivo de las PruebasRESUMEN
Three horses with an apparent neurological disorder resulting from nettle rash showed signs of ataxia, distress and muscle weakness, and two of them had urticaria. In each case the condition resolved within four hours, with no long term problems or recurrence.
Asunto(s)
Enfermedades del Sistema Nervioso Central/veterinaria , Dermatitis por Contacto/veterinaria , Enfermedades de los Caballos/etiología , Plantas Tóxicas , Urticaria/veterinaria , Animales , Ataxia/etiología , Ataxia/veterinaria , Conducta Animal , Enfermedades del Sistema Nervioso Central/etiología , Dermatitis por Contacto/etiología , Femenino , Caballos , Masculino , Urticaria/etiologíaRESUMEN
This paper describes the use of a linear stapling device as an aid to unilateral ovariectomy in nine mares with granulosa thecal cell tumours. The intraoperative and postoperative complications are described and follow up details on each case are presented.