Transendoscopic correction of epiglottic entrapment with a silicone-covered laser guide and diode laser in 29 horses.
Vet Surg
; 49(1): 131-137, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31633204
ABSTRACT
OBJECTIVE:
To describe the use of a silicone-covered laser guide and diode laser for surgical correction of epiglottic entrapment and report postoperative outcomes in horses with epiglottic entrapment. STUDYDESIGN:
Retrospective case series. ANIMALS Thoroughbred and standardbred racehorses (n = 29) with epiglottic entrapment.METHODS:
A silicone-covered laser guide was placed endoscopically to direct the diode laser cutting action during transection of the entrapping subepiglottic membrane and to act as a physical barrier between the membrane and the epiglottic cartilage. Postoperative complications and trainer satisfaction were recorded via use of a follow-up questionnaire. Race records were reviewed to determine return to racing and detect differences in the number of starts, wins, or earnings before and after surgery.RESULTS:
The entrapping membrane was successfully released in all horses. Mild postoperative complications such as swelling of the surgical site (12 horses) and coughing or mild nasal discharge (5 horses) were recorded during the first few days after surgery. Ninety-six percent of trainers were satisfied with the outcome of the procedure; 93% of horses returned to racing.CONCLUSION:
Laser guide-assisted transection of the subepiglottic membrane corrected epiglottic entrapment in standing horses. CLINICALSIGNIFICANCE:
Ease of surgical technique, mild postoperative complications, and a good prognosis to return to racing make this a suitable alternative to the traditional laser procedure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Doenças da Laringe
/
Epiglote
/
Lasers Semicondutores
/
Doenças dos Cavalos
Tipo de estudo:
Observational_studies
/
Qualitative_research
Limite:
Animals
Idioma:
En
Revista:
Vet Surg
Ano de publicação:
2020
Tipo de documento:
Article