Does anyone know what procedure this 3D CT reconstruction shows and any guesses why we might perform that technique? #recequinespecialists #recequine #equinesurgeons #equinemedicine #horsevets #equinesurgery #equinevets #sydneyequestrian #horsesofsydney #equinesportsmedicineandrehabilitation
Some video of the skilled guys from TSS sensitive freight delicately unloading the CT image generator
Warning! Video with surgical content!!
Enterolith removal...
This video is from a Miniature horse referred into the hospital with persistent colic signs which had not resolved with initial treatment. Abdominal radiographs were taken which showed a large round mass in the lower portion of the abdomen.
Dr Chris O’Sullivan performed surgery and not one, but two enteroliths were located (one had been hiding behind the other on the x-ray - sneaky!), one in the transverse colon and one in the right dorsal colon. Relative to the size of the horse (approx. 130kg), these enteroliths were HUGE and it quickly became apparent that they would be very challenging to remove both due to their size and awkward location within the gut. An incision was made in the gut wall to allow removal of feed material which had impacted behind the enterolith. The enterolith in the transverse colon was manipulated into the right dorsal colon and both were removed through a second incision.
The video shows the moment the second and larger enterolith was removed (you can see the first one on the tray in the background) and it’s fair to say there was a huge sigh of relief all around! After a few days of intensive care, this cheeky little chappie was discharged and made a full recovery.
Colic surgery - warning, surgical video!
Dumping the colon! In some surgical colic cases we have to remove faecal material from the colon. Whilst there's no pretty way to do this, minimizing contamination of the gut and abdominal cavity is the top priority. The colon is exteriorised and placed on a colon tray and whilst the surgeon remains sterile, their assistant creates an enterotomy (incision through the gut wall) and then inserts a hosepipe (yep, a hosepipe) into the colon to hose out the faecal material. Another person regularly rinses the exposed gut with sterile saline to reduce contamination. It's messy and smelly but a very necessary part of some colic surgeries. This horse had ingested a couple of kilograms of gravel (there's no accounting for taste!!) which had accumulated in his large colon leading to a partial displacement. He's now a few days post-op and doing great. Nice work Dr Lang!
What's happening here?
WARNING - GRAPHIC VIDEO WITH SURGICAL CONTENT!
What do you think is happening here? Answers tomorrow!