Surgical approaches to the equine abdomen

Factors to consider when deciding on a surgical approach to explore the abdomen of a horse include facilities and equipment available, experience of the surgeon, temperament of the horse and the necessity for cosmesis. An approach performed with the horse standing may be necessary when anaesthesia or recovery from anaesthesia is considered risky or when the owner imposes a financial limitation that does not allow surgery to be performed with the horse anaesthetised. Approaches performed with the horse standing include the flank and colpotomy approaches. Each approach has benefits and risks inherent to it.     

Molecular approaches to equine sarcoids

Sarcoids are the most commonly diagnosed skin tumours in equines. Bovine papillomaviruses (BPVs) are the primary causative agent of sarcoids. There has been intensive research to discover the molecular mechanisms that may contribute to the aetiopathogenesis of this disease and tumour suppressors and proto-oncogenes known to play a role in human neoplastic conditions have been investigated in equine sarcoids. Current approaches include the identification of gene expression profiles, characterising sarcoid and normal skin tissues, and an assessment of epigenetic alterations such as microRNA differential expression and DNA methylation status. This review focuses on selected groups of genes that contribute to the molecular mechanisms of sarcoid formation. These genes have the potential to complement current clinical examinations of equine sarcoid disease in diagnosis, prognosis, therapeutic response and screening.     

Arthroscopic approaches to the palmar aspect of the equine carpus

OBJECTIVE: To identify sites for arthroscopic access to the palmar aspects of the antebrachiocarpal (AC) and middle carpal (MC) joints, and describe visible carpal bone surfaces for each approach. STUDY DESIGN: Prospective experimental study. ANIMALS: Equine carpi: 16 cadavers, 8 live horses. METHODS: A latex model was used to identify possible sites for arthroscopic access to the palmar aspects of the AC and MC joints. Carpi (n = 24) were examined arthroscopically and arthroscopic access sites and visible carpal bone surfaces were described. RESULTS: Arthroscopic approaches and instrument portals were developed for the medial and lateral aspects of the palmar pouches of the AC and MC joints. The palmar surface of the radial carpal bone and radius, and the dorsal articular surfaces of the accessory carpal bone, could be viewed using palmar approaches to the AC joint. The palmar aspect of the radial, third and second carpal bones (medially) and ulnar and fourth carpal bones (laterally) could be observed using a palmar approach to the MC joint. CONCLUSIONS: Arthroscopic access, using separate medial and lateral portals to the AC and MC joints, allowed assessment of portions of the caudodistal radius, the palmar surfaces of the radial, ulnar, second, third and fourth carpal bones, and the dorsal aspect of the accessory carpal bone. CLINICAL RELEVANCE: Arthroscopic approaches to the palmar aspect of the carpus could be used to remove fracture fragments, and to assess the medial palmar intercarpal ligaments.     

A review of approaches to assessing equine welfare

Veterinary surgeons are required to assess an animal's welfare in a range of different circumstances in the course of their daily work. These assessments may relate to the long‐term welfare of an individual animal under their care, or the current welfare of a population of animals that are unfamiliar to them as individuals. The welfare assessment made may subsequently have implications for the treatment that an animal receives or for the decision of whether or not an animal should remain in its current home. Yet welfare assessment is not straightforward. Here we review the challenges that welfare assessment presents and review the tools currently available to meet them. Lastly, we look towards the future of equine welfare assessment, with examples of current research to develop tools and optimise welfare assessment.     

Surgical diseases of the equine cecum

Cecal impaction and cecal perforation, the two most common equine cecal diseases, are thought to develop after slowing or interruption of a single progressive motility pattern, which begins in a pacemaker area near the apex, occurs once every 3 minutes, and propels ingesta from the cecum to the right ventral colon. Rectal examination in horses with cecal impaction is the most useful technique to grade the severity of the condition. Medical treatment is undertaken if the impaction is judged to be mild to moderate. Surgical correction of cecal impaction in severe cases requires a ventral midline celiotomy, and exploration reveals a large ingesta-filled cecum and relatively empty large colon. Currently, the techniques of typhlotomy with manual evacuation of ingesta, combined with a complete bypass of the cecum by use of a jejunocolostomy, is the preferred method of surgical management. The use of a cecocolic anastomosis remains a viable alternative surgical procedure. Cecal perforation (CP), a uniformly fatal disease of horses, most often develops when the subtle signs of cecal impaction are missed or are masked by the administration of nonsteroidal antiinflammatory agents. CP can occur in mares around the time of foaling and, in this form, is not associated with cecal outflow dysfunction. Surgical management of cecocecal or cecocolic intussusception is required and involves resection of the diseased portion of cecum, either with extra- or intraluminal techniques. Both the side-to-side and end-to-side jejunocecal anastomoses are useful and successful techniques for bypass of simple or strangulating lesions of the ileum.     

Introduced ticks and tick-borne diseases: the threat and approaches to eradication.

Exotic tick species and tick-borne diseases are serious threats to live-stock, companion animals, and wildlife in the United States. Recurring introductions of exotic tick species into the United States are a significant indicator of the degree of risk. Successful tick-eradication campaigns, such as the national program that eradicated Boophilus annulatus and B. microplus from the United States, the Cattle Fever Tick Eradication Program of the US Department of Agriculture's Veterinary Services that protects against the re-entry and dissemination of Boophilus ticks from Mexico back into their former haunts in the southern states, and the eradication action that eliminated Rhipicephalus evertsi from a game park in Florida, are sources of useful information that aid in elucidating essential elements of successful eradication programs. Examples of failed eradication programs in places such as Puerto Rico and St. Croix also have heuristic value. Among the varieties of tick species and related infectious agents that threaten the United States, Boophilus ticks and bovine babesiosis, Amblyomma species (especially the tropical bont tick) and heartwater, and equine babesiosis, for which endemic vectors exist, are of special concern. Risk assessments to accumulate, evaluate, and synthesize information needed to appraise risks, consequences, and preparedness are necessary not just to inform federal, state, and local officials, as well as producers and stakeholders, but also to facilitate the creation of emergency response plans.     

Environmental disinfection to control equine infectious diseases.

Cleaning and disinfection are essential to the environmental control of infectious diseases of all animals. By understanding the types of pathogens, environment, and disinfection process, success can be attained in effectively stopping disease outbreaks.     

An updated review: Laboratory investigation of equine renal disease

A variety of laboratory tests are available to assist the clinician in the assessment of kidney health and function. The majority of widely used tests are indicative of altered renal function, not becoming abnormal until function is significantly compromised. These include serum urea and creatinine concentrations, serum electrolyte concentrations, urine specific gravity (USG), fractional electrolyte excretion ratios and symmetric dimethylarginine (SDMA) concentrations. Some of these parameters may also be affected by nonrenal disease. The results of a further group of tests can indicate renal damage, but do not reflect renal function. These include urine tubular enzyme concentrations, urine protein concentrations, urine neutrophil gelatinase-associated lipocalin (NGAL) concentrations and cytological abnormalities.