Page 208 - Manual of Equine Field Surgery

204 MALE UROGENITAL SURGERIES

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Figure 36-4 Intraoperative view before a longitudi- Figure 36-6 Intraoperative view after closure during

nal incision ( dotted line) is created between the hori- a circumcision procedure.

zontal incisions to complete the removal of a squamous

cell carcinoma lesion during circumcision.

POSTOPERATIVE CARE

• Postoperative Care

(

-, Exercise Restridions: Exercise is limited to
' handwalking or small-paddock turnout for 2
\

i weeks. Light daily exercise is important to mini-

mize edema formation. Stallions should be iso-

lated from mares for 3 to 4 weeks.

Medications: Phenylbutazone is administered at

4.4 mg/kg BID for the initial 24 hours and 2.2

mg/kg Bl D for an additional 3 days. Antibiotic

therapy is given preoperatively and for 3 to 5 days

Figure 36-5 Multiple-layer closure after circumci- postoperatively. Horses should receive a tetanus

.
sion. toxoid booster if it has been longer than 6 months

since the previous vaccination.

should be released at this point and the area Suture Removal: Sutures used are absorbable

checked carefully before closure. Simple superfi- but can be removed 12 days postoperatively.

cial resections can be closed in one layer with an

interrupted pattern that apposes the remaining

epithelium. Resection of larger amounts of

prepuce or resections with greater depth need to EXPECTED OUTCOME

be closed in layers using short runs of continuous

suture patterns with absorbable suture in the The most common reason for circumcision is

deeper layers and an interrupted pattern in the removal of squamous cell carcinoma lesions

epithelium' (Figures 36-5 and 36-6). Care should involving the prepuce. If the extent of neoplasia is

be taken to maintain alignment during closure. limited and confined to the preputial tissues and