Combination of end-to-end jejuno-ileal anastomosis and side-to-side incomplete ileocecal bypass (hybrid jejuno-ileo-cecal anastomosis) following subtotal ileal resection in seven horses

Return of showjumping horses to sporting activity after colic surgery

BACKGROUND

The return to performance after colic surgery is crucial for competition horses. While studies have investigated racehorse performance following colic surgery by analysing racing participation and earnings, this approach does not apply to showjumping horses, leaving a gap in the literature regarding their objective performance evaluation.

OBJECTIVES

To assess the short- and long-term survival and return to performance in showjumping horses after colic surgery.

STUDY DESIGN

Retrospective case series.

METHODS

Medical records of horses with acute colic requiring surgical treatment were analysed, and data for showjumping horses (Group 1) were retrieved. Telephone follow-ups were conducted and national competition databases were used to collect pre- and postoperative showjumping competition entries for Group 1 and for randomly selected horses (Group 2) participating in the same competitions as a comparison group.

RESULTS

Of 253 horses undergoing colic surgery, 96 were recorded as showjumpers. The median long-term survival was 2.73 (0.01-6.14) years. Among these horses, 59 were competing at the time of surgery, and of these, 46 (78%) returned to competition and 41 (89.1%) competed at the same or higher level, while 5 (10.9%) competed at a lower level. At a 2-year follow-up, 63.6% of the showjumping horses that underwent colic surgery were alive. No significant differences were observed in the level of competition and career length between horses, which underwent colic surgery, and the randomly selected comparison group.

MAIN LIMITATIONS

Small sample size and a single-centre design.

CONCLUSIONS

Showjumping horses can make a successful return to competition after colic surgery, with the majority performing at the same or higher level as before the procedure.

Colic Surgery: Recent Updates

The following article provides an overview of the last 5 years of research and innovation within the field of equine colic surgery, focusing on new techniques, new or recently described lesions, prevention of lesion recurrence or postoperative complications, and updates in prognoses. Early surgical intervention is an important factor in horse survival.

Ex vivo evaluation of a technique for equine jejunocecal anastomosis using radiofrequency thermofusion and a Cushing oversew

OBJECTIVE

To describe a technique for a side-to-side jejunocecal anastomosis in horses using radiofrequency thermofusion (TF) of the intestines supported by a Cushing oversew and to compare this anastomosis to handsewn and stapled techniques.

STUDY DESIGN

Ex vivo study.

SAMPLE POPULATION

Intestinal tracts from 24 slaughtered horses.

METHODS

A radiofrequency device was used to perform a jejunocecal anastomosis (Group RFA). The construction time and bursting pressure of this construct were compared with those of a hand-sewn double layer (Group HS) and stapled anastomoses (Group ST) without oversew of the staple line. Histology was also performed for the TF anastomoses to evaluate the extent of the thermal damage.

RESULTS

The median (range) construction time (min) for the TF (15.8 [14.4-16.8]) was not significantly different from that for the HS (25.5 [24.2-26.3]) and ST (10.8 [9.7-12.5]) groups (p = .07). The construction time for ST was shorter than that for HS group (p < .001). The average (standard deviation) bursting pressure (mmHg) for HS (153.1 +/- 17.5) was higher than that for RFA (76 +/- 15) and ST groups (48 +/- 13; p < .001). The bursting pressure of the RFA was higher than that of the ST anastomoses (p = .001). The thermal damage caused by the device was within the suture oversew in the deeper layers, whereas it extended a few mm beyond the suture line in the serosa.

CONCLUSION

Radiofrequency assisted anastomoses provide similar construction times to current techniques and have a higher bursting pressure than ST anastomoses.

CLINICAL SIGNIFICANCE

Radiofrequency-assisted anastomoses with a suture oversew demonstrated comparable bursting pressures to ST anastomoses. The use of the radiofrequency device on the intestine is extra label and causes serosal tissue damage, which may increase the risk of adhesions.