Surgical management of perineal lacerations and rectovestibular fistulae in the mare: a retrospective study of 47 cases

The case records of 47 mares with third-degree perineal lacerations or rectovestibular fistulae were examined to evaluate their fertility following surgical repair. Of 32 mares bred, 24 became pregnant, suggesting that surgical repair is indicated in any mare with sufficient genetic potential. Perineal trauma after surgical repair was recorded in 3 of 20 mares at subsequent parturition.     

Retained foetal membranes in dairy herds in the Huntly District

Extract

During the period from April 1, 1964 to February 28, 1966, veterinary surgeons of the Huntly District Veterinary Club conducted an investigation into the incidence, the cause, subsequent fertility and treatment of dairy cows with retained foetal membranes.     

Ascending placentitis in the mare: A review

Ascending placentitis is a condition that occurs late in pregnancy when bacteria enter the sterile uterus from the lower reproductive tract. It leads to abortion or the birth of premature and weakened foals. Early detection and treatment of this condition is vital for ensuring the production of a viable foal.Mares with ascending placentitis often present in late term pregnancy with signs of premature udder development and premature lactation. There may be a vulvar discharge. Early detection of placental problems is possible using trans-abdominal or trans-rectal ultrasonography. Hormones such as progesterone and relaxin may be measured as indicators of foetal stress and placental failure. Postpartum foetal membranes may be thickened and contain a fibronecrotic exudate. The region most affected is the cervical star. Definitive diagnosis of ascending placentitis is by histopathological examination of the chorioallantoic membrane.Ideal treatment strategies are aimed at curing the infection and prolonging the pregnancy to as close to term as possible and consist of anti-microbials, anti-inflammatories and hormonal support.Swabs are taken from affected mares to determine antibiotic sensitivity and to aid in treatment of foals born from these mares which are at risk of becoming septic. If detected early enough, the chances of producing a viable foal are greatly increased.     

The effect of uterine torsion on mare and foal survival: a retrospective study, 1985--2005

REASONS FOR PERFORMING STUDY: Anecdotal speculation suggests that prognosis for survival of mares and foals following correction of uterine torsion has improved over the past 30 years. OBJECTIVES: To determine statistically the outcome of uterine torsion according to duration of clinical signs, stage of gestation, parity, physical examination findings, method of correction, prognosis for survival and reproductive health of the mare, and prospects for the foal within the neonatal period. METHODS: This retrospective study combined cases from 4 equine referral hospitals. RESULTS: The stage of gestation at which uterine torsion occurred was a risk factor for survival of mare and foal. Overall mare survival was 53/63 (84%); when uterine torsion occurred at < 320 days gestation, 36/37 (97%) of mares survived compared to 17/26 (65%) survival rate when uterine torsion occurred at > or = 320 days gestation. Overall foal survival was 54% (29/54). When uterine torsion occurred at < 320 days gestation, 21/29 (72%) foals survived compared to 8/25 (32%) when uterine torsion occurred at > or = 320 days gestation. Thirty mares were discharged from the hospital carrying a viable fetus following uterine torsion correction and 25/30 (83%) of these mares delivered live foals that survived beyond the neonatal period. CONCLUSIONS: Prognosis for survival for mares and foals following uterine torsion is good and improves if torsion occurs < 320 days compared to > or = 320 days gestation. CLINICAL RELEVANCE: Gestational timing of uterine torsion should be considered when advising clients about the prognosis for survival of the mare and foal. The prognosis for a mare delivering a live foal is good if the mare is discharged from the hospital following uterine torsion correction with a viable fetus.     

Fetal maceration and retention of fetal bones in a mare

A 19-year-old Quarter Horse mare was evaluated because of bloody vaginal discharge that was apparent immediately following breeding. On transrectal ultrasonography, it was evident that the uterus was filled with fluid containing echogenic particles; linear hyperechoic structures were also visible. Endoscopy was performed, which revealed a number of bones adhered to the cranial wall and floor of the right uterine horn as well as purulent fluid in both uterine horns. Bacterial endometritis and fetal maceration were diagnosed. The mare was treated with antibiotics, and the fetal bones were manually removed from the uterus. Fetal maceration with intrauterine retention of bones is rare in mares. Use of hysteroscopy supplements ultrasonography in the diagnosis of uncommon conditions of the uterus. Macerated bones may be adhered to the endometrium, thereby requiring manual removal.     

A study of Klebsiella pneumoniae infection in the uterus of the mare.

Two experiments incorporating 13 mares were conducted for the purpose of producing and monitoring intrauterine infection with Klebsiella pneumoniae. In the pilot study, the infection was produced with strains of K pneumoniae type 68 and type 10 isolated from the genital tract of stallions with a history of breeding problems. In the principal study, K pneumoniae type 68 was used to produce the infection. Tampons and guarded culture swabs were used to obtain uterine samples in the pilot study. In comparing the efficacies of isolation of K pneumoniae with the tampons and isolation with standard guarded culture swab, the tampon proved to be a more reliable means with which to isolate K pneumoniae and was used in the principal study. In both studies, inoculated mares became infected and remained infected at least until the postinoculation estrous cycle was initiated or was completed. Some of the inoculated mares remained infected through more than one estrous cycle. The numbers of K pneumoniae decreased in the uterus of mares after completing the estrous cycle after inoculation. Klebsiella pneumoniae was not demonstrable in frozen tissue sections of uterine biopsy specimens stained by fluorescent antibody technique. Postinoculation sera antibody titers to K pneumoniae, as determined, using the capsule swelling technique, were no higher than 1:8.     

Dystocia in the cat: A retrospective study of 155 cases

In a retrospective study of 155 cases of feline dystocia, 67-1 per cent were of maternal origin, mainly caused by uterine inertia, while 29-7 per cent were of fetal origin, mainly resulting from malpresentations/malorientations and deformities. Its breed incidence was somewhat higher in Persian cats than in other breeds and considerably lower in Norwegian forest cats. Litter size was not related to the risk of developing dystocia. Ninety-seven cats (62.5 per cent) were treated with calcium and, or, oxytocin. Medical treatment was successful in only 29 cases (29.9 per cent). Caesarean sections were performed on 123 (79.4 per cent) of the cats that were brought to the hospital because of dystocia. In 55 cases (35.5 per cent) a caesarean section was performed without prior attempts at medical treatment.     

Dystocia in the bitch: A retrospective study of 182 cases

In a retrospective study of 182 cases of canine dystocia, no relationship was found between either breed or age and occurrence of dystocia. However, medium-sized breeds (between 12.7 and 20.5 kg bodyweight) were slightly over represented. Of the bitches that had whelped previously, 42 per cent had experienced dystocia. The dystocia was of maternal origin in 75.3 per cent of the cases, mainly due to uterine inertia, while 24.7 per cent were of fetal origin, mainly resulting from malpresentations/malorientations. The most common reason for dystocia was primary, complete uterine inertia (48.9 per cent) and 40 per cent of the bitches with this problem had small litters of one or two pups. The most common treatment was calcium and, or, oxytocin injection followed by a caesarean section. Digital manipulation including forceps delivery and, or, medical treatment was successful in only 27.6 per cent of the cases. Of the bitches studied, 65.7 per cent had a caesarean section. Pup deaths occurred in 52.2 per cent of the litters. Among bitches that had been treated within one to four-and-a-half hours after the beginning of second stage labour, 5.8 per cent of the pups died, whereas the corresponding value for bitches that had been treated between five and 24 hours after the beginning of second stage labour was 13.7 per cent. The total frequency of pup deaths was 22.3 per cent. These findings show that early diagnosis and prompt treatment are crucial in reducing the pup death rate in cases of dystocia.     

Splenic abscessation in the horse: A retrospective study of 12 cases

This paper summarises the clinical findings of 12 cases of splenic abscessation in horses presented to Texas A&M University Veterinary Medical Teaching Hospital from 1993 to 2015. The objective of this study was to describe the signalment, clinical and laboratory findings, diagnostics, treatment and outcome of horses affected with splenic abscessation. Only horses in which a splenic abscess was confirmed by microbiological or cytological confirmation from a percutaneous, surgical, or necropsy sample were included in this study. No apparent breed or sex predilection was identified. The mean age of presentation was 9 years, with a range of 1–21 years of age. The most common presenting clinical signs were nonspecific signs including fever, anorexia and lethargy. A variety of bacterial organisms were identified and treatment with antimicrobial agents or surgical exploration was attempted in several of the cases. None of the cases survived to discharge from the hospital.     

Tarsal injuries in the cat: A retrospective study of 21 cases

A retrospective study of 21 surgically treated feline tarsal injuries showed that the degree of soft tissue trauma was the main parameter influencing the long term outcome. Generally, tarsal fractures could be successfully reconstructed and managed by internal fixation. Simple rupture of a collateral ligament could be sutured or treated with a suture prosthesis, resulting in a good long term result. Intertarsal instabilities were successfully treated by the application of miniplates resulting in stable ankyloses. Talocrural luxations evaluated in this study had a poor long term outcome. Further research is needed to show if alternative postoperative management involving early mobilisation and physiotherapy might improve the outcome of talocrural luxations with severely damaged soft tissues.     

A matched case-control study of factors associated with retention of fetal membranes in dairy ewes in Southern Greece

We defined retention of fetal membranes (RFM) in dairy ewes as failure to expel the placenta within 6h after lambing the last lamb and designed a matched case-control study to identify factors that affect the risk of retention. For each ewe with RFM, the next ewe in the flock that lambed and expelled the placenta in <6h after lambing the last lamb was selected as control. Data analyzed included 92 pairs of ewes from 25 flocks comprising a total of 7275 ewes (median flocksize 270 ewes). Factors investigated for associations with RFM were induction of lambing, obstetrical assistance because of dystocia, parity, the number of liveborn lambs, the occurrence of stillbirth(s), the mean weight of the litter on the third day post-lambing and the occurrence of neonatal death in the litter. Conditional logistic regression indicated (1) that the risk of RFM increased linearly with increasing number of liveborn lambs and (2) that the risk of retention was 4-fold higher in ewes that received assistance at lambing than those that lambed normally.     

Chelated mineral supplementation in the barren mare: A preliminary trial

Twenty-four Thoroughbred mares with breeding histories of having been barren for at least the previous 12 months were evaluated in a double-blind feeding trial to determine the effects of chelated mineral supplementation upon subsequent breeding performance. At the start of the trial (Day 0), mares were split into three dietary treatment groups of eight mares each and fed: (a) control diet with macro- and microminerals fed at NRC recommended levels for maintenance of the mature horse, (b) chelated minerals supplementation and (c) inorganic minerals supplementation at levels equal to Group B. Sixty days after initiation of the trial, there were no differences (P>0.05) between age, endometrial biopsy classification, calculated body weight and body condition score for mares between dietary treatment groups. A breeding performance trial was initiated at this time (Day 60). The number of first cycle and cumulative (i.e. over 3 estrous cycles) conceptions, number of first cycle and cumulative pregnancies and the number of total embryonic losses were not different (P>0.05) between the control and either the chelated mineral or the inorganic mineral groups. There were no harmful effects observed from feeding the chelated minerals 60 days prior to, and during, this breeding trial.