Category Archives: Medical

Standing Colic Surgery!






I stumbled upon a video of a Standing Colic Surgery.

Huh?

I had never heard of that.

Standing colic surgery had to be less expensive than knocked out and on a table surgery… and it had to be less invasive as well as more tolerable and easier to recover.

If standing colic surgery was a good idea and available, why aren’t more surgeons using it?

For me, if standing colic surgery was an option, more horses would be saved in the field… …Ultrasound to find the mass, numb the horse, hold on and dig in with a wing and a prayer because most of the time, that is all you’ve got with colic.

A HUNCH A WING AND A PRAYER VIDEO OF STANDING COLIC SURGERY

This is the (what I’ve called) the “A hunch a wing and a prayer” video of standing colic surgery that I stumbled upon earlier today – which made me think about this topic.

What I loved about it was the Cowboy “Get in there and get it done” mentality.

What I didn’t like was that it seemed thrown together and not well thought out.

But, it worked!  And, the horse survived.

Note for those of you who don’t watch the video – the vet stuck her hands in there and massaged the mass away.  She opened the horse, stuck her whole hand in there, found the culprit and squeezed it until it broke apart and headed down stream.

I was amazed and cheering!

You, go, gurl!  If my horse had a horrible mass that wouldn’t move and my vet decided to cut her open then and there to make the bad thing go away – Yahoo!  The less time suffering, the less time recovering.

Warning:  If you are not good at watching surgery, don’t look at this.  However, it isn’t very gory…  But, there is blood.

Click image to watch the standing colic surgery.

Click image to watch the standing colic surgery.

THE PROS

–The horse is standing… You don’t have to worry about injury during the wake-up period.

–Faster recovery after surgery, could go home sooner.

–Should be less expensive than table surgery

–Could work in the field.

–Could work in an Emergency when you only have a hunch a wing and a prayer.

THE CONS

Well, I didn’t find too many articles to research this… but the one I did find was not too keen on standing colic surgery for a few reasons:

–When a horse is on a tilted table, all of his organs slide away from the incision point.

–During a table surgery, the horse is asleep and the team bloats his abdomen so the incision points are easily created – like cutting into a melon instead of soft, pliable tissue.

–The muscles of the abdomen are difficult to stitch closed.  Having a smaller incision is good.

–When the horse is on the table, surgeons can look around for the mass – if they hadn’t been able to pinpoint it earlier.

AN ARTICLE ABOUT LAPAROSCOPIC STANDING COLIC SURGERY

In this article, the DRs speak about using a laparoscopy tool for standing colic surgery.

Hmmmm.  I’m sure is better than using one’s hand and stitching with a hook and thread (like in the above video).

But, it took 4 hours!

As you could see by the video – cutting, inserting hand, massaging mass and sewing – took about 8 minutes.  Give or take.

Here is the article:

Click image to go to the original article.

Click image to go to the original article.

 

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ANY VETS OUT THERE?  PLEASE LET ME KNOW WHAT YOU THINK!

HORSE AND MAN is a blog in growth… if you like this, please pass it around!

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Your purchase with Riding Warehouse through this portal benefits the Bucket Fund!

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Trio donated to help the Bucket Fund! Brand new with tags. All three and shipping $99!

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THE FOUNDER WARRIOR WAS OUT AGAIN… GOOD NEWS AND UNCERTAIN NEWS.






The wonderful Founder Warrior took it upon herself to make the 5 hour commute (rt) again today to tend to Tess.

Mama Tess has continued to abscess on her left front and we wanted to open up that toe area so it could all drain faster.

The odd thing that I must say here is that previously when Tess abscessed, she was totally lame and very painful… but, since she  has been using the Theraplate, her abscess incidents seem to be less painful.  I don’t know why.  But, she walks around with her abscesses now whereas before, she was not willing to move.  I don’t know if the centrifugal draws the abscesses out sooner?  I really have no idea how it may be helping but I know for sure that she is less painful during the abscess process since she has been on the Theraplate.  (No affiliation)

This is her 'good' right foot.  It has grown tremendous sole thanks to the Theraplate and the Hoof Supplement from Equion.

This is her ‘good’ right foot. It has grown tremendous sole thanks to the Theraplate and the Hoof Supplement from Enzion.

XRAYS FIRST, THEN TRIM…

We took Xrays of both fronts before trimming.

All looked good – lots of sole to work with – so we trimmed as much as we could of the excess sole.  WE FOUND THE FROGS on both hooves!  Wahoo!

(We have not been able to trim her much, so the sole that would normally slough off during normal wear and tear, doesn’t.  So, the sole essentially overgrows and disguises the frog.  It becomes almost a hard, glossy surface.  So odd.  The sole no longer looks like a sole.  It looks like a shiny, horn colored surface.)

We also opened up some pockets so the abscesses could drain more quickly.

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After Xrays to make sure how much we could trim, the FW and Mark (local trimmer) and MT prepared for the trim process.

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MT wanted her bowl of goodies that I was holding at her head.

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They went to work, alternating hooves depending upon which one MT wanted to hold up at the time… they were very gentle.

THE GOOD NEWS

The good news was that she didn’t seem to mind having her feet trimmed.  She was a good girl and offered her feet (switching between the two often).

Her Xrays showed continued sole growth.

The right Xray was particularly nice in that the lamina looked almost normal.

The left Xray had nice sole growth but didn’t have as nice of adhesion in the new growth as we’d like.  The lamina was still pulled away from the new hoof wall.  But, she didn’t seem particularly ouchy so we were OK with that for now.

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Since I was at her head, I couldn’t see what they were doing, but I did manage to get this shot of what is starting to look like a regular hoof – at last!

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This was my view…

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Here it today’s Xray of her left. She still has plenty of sole. And, you can see the necrotic tissue and pockets at the toe that we hope to have opened up to drain today. Her new wall is not adhered to the lamina as closely as we would like – but she isn’t very sore on the left so we are crossing our fingers.

THE  UNCERTAIN NEWS

The uncertain news was the front view Xray of the left.  That view has never been taken before so we have nothing to compare.

But, there is irregularity on one side.  We don’t know if this is older show mare wear and tear, or if there is an infection in her bone.  We then Xrayed the right foot and it looked irregular in a different way, yet we know it has no infection.  So, we have no idea.

If there was an infection, I would have to give up.  From what I’ve been told, only surgery can fix that.  And she isn’t a good candidate for surgery because her other foot is compromised and she wouldn’t have enough support to stand on after the surgery.

But, we cross that bridge if we have to.  For now, I choose to believe that since she is not really ouchy on the left, what we are seeing on the Xray is wear from a horse who pronates in that direction and was worked really, really hard when she showed.

 

This area is irregular.  It doesn't look like a big infection circle, but it does look odd.  I am hoping it is bone breakdown from a horse who pronates that direction and had a very strenuous show career... Crossing my fingers.

This area is irregular. It doesn’t look like a big infection circle, but it does look odd. I am hoping it is bone breakdown from a horse who pronates that direction and had a very strenuous show career… Crossing my fingers.

MOVING ONWARD

MT will wear a poultice wrap on her left for the next several days to draw out the abscesses.  As you can see, we put a slipper on over it.  Easy.

Next week, the Founder Warrior is going to bring sterile maggots to the rescue.  They will happily eat away her necrotic tissue and hopefully prevent infection from going anywhere.

This should be interesting, eh?

I get to change that bandage daily.

Yum!

But, I don’t care.  If they are helping my girl, so be it.

Resting.  I so love this girl. She was very good today.

Resting afterwards . I so love this girl. She was very good today.  Very good indeed!

 HORSE AND MAN is a blog in growth… if you like this, please pass it around!

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Our November Bucket Fund mini jenny, Lila.  Can we help her with her eye?  Click image.

Our November Bucket Fund mini jenny, Lila. Can we help her with her eye? Click image.

Your purchase with Riding Warehouse through this portal benefits the Bucket Fund!

Your purchase with Riding Warehouse through this portal benefits the Bucket Fund!


Supporting The Bucket Fund through Amazon Smile
Please choose HORSE AND MAN, INC when you shop via Amazon Smile through this link.


Riding Warehouse
Your purchase with Riding Warehouse through this link helps the Bucket Fund!



HORSE AND MAN is a blog in growth... if you like this, please pass it around!