Prevalence of complications associated with use of the Henderson equine castrating instrument.

Animals Horse Diseases / etiology Horses / surgery Male Orchiectomy / instrumentation Postoperative Complications / veterinary Retrospective Studies Surgical Instruments / adverse effects
Henderson castration horse

Journal

Equine veterinary journal
ISSN: 2042-3306
Titre abrégé: Equine Vet J
Pays: United States
ID NLM: 0173320

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 07 12 2017
accepted: 18 06 2018
pubmed: 22 6 2018
medline: 4 4 2019
entrez: 22 6 2018
Statut: ppublish

Résumé

Castration is one of the most common surgical procedures performed in the horse. Complication rate and types of complications associated with use of the Henderson equine castrating instrument have not been determined. To determine the complication rate and type of complications encountered when using the Henderson equine castrating instrument in equine ambulatory practice. Retrospective case series. Medical records of horses undergoing routine castration using the Henderson drill were identified and evaluated for the occurrence of complications. The relationship between potential risk factors and complications was examined using basic descriptive statistics and quantified by means of logistic regression. Of 252 horses in the study population, 27 (10.7%) developed a complication after surgery; 25 of which were nonlife-threatening and responded to medical management. Two complications, one each of wound botulism and evisceration, resulted in euthanasia. Age at the time of castration was significantly associated with the occurrence of (P = 0.005, Wilcoxon rank sum test) complications. Compared to younger horses, the odds of having a complication were significantly greater (OR 2.99, 95% CI 1.27-7.0; P = 0.01) for horses of 4 years of age or more. The retrospective nature of this study. There is also a lack of direct comparison between different castration methods. The Henderson equine castrating instrument is an acceptable alternative to traditional emasculators. Its use is associated with a low rate of complications (8.3%) in young horses (≤3 years of age) compared to older horses (21.3%) and a very low rate of serious complications (0.8%) in all ages of horses.

Sections du résumé

BACKGROUND BACKGROUND
Castration is one of the most common surgical procedures performed in the horse. Complication rate and types of complications associated with use of the Henderson equine castrating instrument have not been determined.
OBJECTIVE OBJECTIVE
To determine the complication rate and type of complications encountered when using the Henderson equine castrating instrument in equine ambulatory practice.
STUDY DESIGN METHODS
Retrospective case series.
METHODS METHODS
Medical records of horses undergoing routine castration using the Henderson drill were identified and evaluated for the occurrence of complications. The relationship between potential risk factors and complications was examined using basic descriptive statistics and quantified by means of logistic regression.
RESULTS RESULTS
Of 252 horses in the study population, 27 (10.7%) developed a complication after surgery; 25 of which were nonlife-threatening and responded to medical management. Two complications, one each of wound botulism and evisceration, resulted in euthanasia. Age at the time of castration was significantly associated with the occurrence of (P = 0.005, Wilcoxon rank sum test) complications. Compared to younger horses, the odds of having a complication were significantly greater (OR 2.99, 95% CI 1.27-7.0; P = 0.01) for horses of 4 years of age or more.
MAIN LIMITATIONS CONCLUSIONS
The retrospective nature of this study. There is also a lack of direct comparison between different castration methods.
CONCLUSIONS CONCLUSIONS
The Henderson equine castrating instrument is an acceptable alternative to traditional emasculators. Its use is associated with a low rate of complications (8.3%) in young horses (≤3 years of age) compared to older horses (21.3%) and a very low rate of serious complications (0.8%) in all ages of horses.

Identifiants

DOI: 10.1111/evj.12982 PMID: 29926934
pubmed: 29926934
doi: 10.1111/evj.12982
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

163-166

Informations de copyright

© 2018 EVJ Ltd.

Auteurs

S Hinton (S)

Department of Clinical Studies, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
ORCID: 0000-0001-7903-9706

O Schroeder (O)

Northwest Equine Veterinary Associates, Black Diamond, Washington, USA.

H W Aceto (HW)

Department of Clinical Studies, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

S Berkowitz (S)

Unionville Equine Associates, Oxford, Pennsylvania, USA.

D Levine (D)

Department of Clinical Studies, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Prevalence of complications associated with...
questionsmedicales.fr › Maladies de l'animal › Maladies des chevaux › Prevalence of complications associated with...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Perissodactyla › Equidae › Equus caballus › Prevalence of complications associated with...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie urogénitale › Procédures de chirurgie urologique › Procédures de chirurgie urologique masculine › Orchidectomie › Prevalence of complications associated with...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Prevalence of complications associated with...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Prevalence of complications associated with...
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Instruments chirurgicaux › Prevalence of complications associated with...