Effect of a ventral midline colopexy on large colon volvulus recurrence and days to next live foal in Thoroughbred broodmares.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-05-07 DOI:10.1111/vsu.14269

Alexandra S Warren, Laura A Werner, Lori A Thombs, Dwayne H Rodgerson, Michael A Spirito, Cole B Sandow, Megan J McCracken

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引用次数: 0

Abstract

Objective: To report the impact of ventral midline colopexy on colic, recurrence of large colon volvulus (LCV) and time to next live foal.

Study design: Retrospective case control study.

Animals: A total of 188 Thoroughbred broodmares surgically treated for LCV (2016-2020).

Methods: Horses treated for LCV were grouped based on whether they received a colopexy (CP) or did not (NCP). All broodmares that underwent a second LCV surgery were subsequently categorized into two groups: those that received a colopexy (RCP) and those that did not (NRCP). Differences in the number of horses with large colon compromise, postoperative complications, days until discharge, survival, re-presentation for colic, LCV recurrence and days to next live foal were compared between the CP and NCP groups and between the RCP and NRCP groups.

Results: The OR for re-presenting for colic when a colopexy was not performed was 3.13 (95% CI: 1.03-9.48, p-value .046) and 9.74 (95% CI: 1.28-74.90, p-value .0054) for recurrent LCV compared to when a colopexy was performed at the initial surgery. At the subsequent surgery, the OR for re-presentation for colic when a colopexy was not performed was 7.0 (95% CI: 1.23-39.78, p-value .034) and 14.0 (95% CI: 1.52-129.22, p-value .009) for recurrent LCV. Days to next live foal was not significantly different between groups.

Conclusion: Ventral midline colopexy reduced the risk of repeat LCV and colic with no effect on foaling.

Clinical significance: These results support the use of the ventral midline colopexy in broodmares. Further research is needed on effects on foaling.

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腹侧中线结肠切除术对纯种马大结肠扭转复发及下一个活马驹存活天数的影响。

目的：报道腹侧中线结肠固定术对结肠绞痛、大结肠扭转（LCV）复发及下一次活驹时间的影响。研究设计：回顾性病例对照研究。动物：共188匹纯种母马手术治疗LCV（2016-2020）。方法：根据治疗LCV的马是否接受colopexy （CP）或未接受colopexy （NCP）进行分组。所有接受第二次LCV手术的母鸽随后被分为两组：接受colopify （RCP）和未接受colopify （NRCP）的母马。比较CP组和NCP组以及RCP组和NRCP组之间大结肠受损马的数量、术后并发症、出院天数、存活率、绞痛复发、LCV复发和下一个活驹天数的差异。结果：与初次手术时行结肠固定术相比，未行结肠固定术时复发性LCV的OR为3.13 （95% CI: 1.03-9.48， p值0.046）和9.74 （95% CI: 1.28-74.90， p值0.0054）。在随后的手术中，未行结肠固定术时再次出现绞痛的OR为7.0 (95% CI: 1.23-39.78， p值0.034)，复发性LCV的OR为14.0 （95% CI: 1.52-129.22， p值0.009）。两组间活马驹产仔天数差异不显著。结论：腹侧中线结肠固定术可降低重复LCV和绞痛的风险，对分娩无影响。临床意义：这些结果支持在母马中使用腹中线结肠固定术。对产驹的影响还需进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.