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Complete Resection as Treatment of Septic Common Digital Extensor Tendosynovitis
Bayer 1228.jpg Picture: © Bayer Animal Health
Seven horses with wounds that resulted in septic tendosynovitis of the CDET sheath were treated by complete surgical resection of the affected tendon and ablation of the tendon sheath in a prospective clinical study - with surprising good results.

5 of these animals had previous surgery that was unsuccessful. Time from initial injury to complete resection was 1-22 weeks.

In 6 horses, the wound was closed primarily using a closed suction (4 horses), penrose (1), or passive open drainage system (1). In 1 horse, the surgical wound healed by second intention.

All horses had postoperative bandaging, antibiotic administration, and physiotherapy.

The wounds healed primarily in 6 horses and by second intention in 1 horse. Follow-up (mean, 26.4 months; range, 18-38 months) was available for 6 horses; all returned to their athletic performance level without lameness or gait abnormality.

Thus complete resection of the CDET was an effective surgical technique for management of chronic septic tendosynovitis. Horses with infection of the CDET and its sheath may be returned to long-term soundness without gait abnormality after radical resection.


Source: Booth, Todd M., Abbot, John, Clements, Antony, Singer, Ellen R. & Clegg, Peter D. (2004):
Treatment of Septic Common Digital Extensor Tenosynovitis by Complete Resection in Seven Horses. In: Veterinary Surgery 33 (2), 107-111.




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EQUINE

Two regimens of lidocaine infusion in horses undergoing laparotomy for colicmembers
Various lidocaine protocols are described for horses undergoing Colic surgery. This interesting prospective, randomized clinical study compares the effects of administering or not administering a loading intravenous (IV) bolus of lidocaine prior to its constant rate infusion (CRI). Effects investigated during isoflurane anaesthesia were end-tidal isoflurane concentration (Fe′ISO), cardiovascular function, anaesthetic stability and the quality of recovery.
Thirty-six client-owned horses were enrolled.

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