Better Options, Better Outcomes COLIC: An EMC series


The EMC surgical team during a colic surgery


Although many colics are mild in nature, others can imperil your horse’s life and career and can re- quire surgery. Today, be- cause of advancements and innovations in the diagno- sis and treatment of colic, the chances of survival and return to normal activity following colic surgery have never been better.


Colic signs should al- ways be taken seriously,


and although early symptomatic treatment will resolve many mild cases, if a horse fails to respond, it should be con- sidered an emergency. The biggest controllable determi- nant for a successful surgical outcome is minimizing the duration of clinical signs before surgical intervention.


Early correction of twisted intestines can obviate the need for costly resections (removal of sections of intestines). Also, timely intervention can limit the collateral damage to the intestine which can lead to serious disruptions in propul- sive motility requiring lengthy hospital stays, increased cost and complications such as adhesions.


We are much better today at utilizing ultrasound and hematologic parameters to identify the cause and severity of the crisis which enables us to give a good estimate of cost and expected recovery before going to surgery. Innovations involving stapling equipment, intestinal viability assessment and bypass procedures offer more intra-operative options


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The Marion duPont Scott Equine Medical Center (EMC) is a premier, full-service equine health facility offering cutting edge diagnostics and advanced specialty services by appointment as well as 24/7 emergency services.


emc.vetmed.vt.edu • 703-771-6800 • 17690 Waterford Road, Leesburg, VA 20176 www.equiery.com | 800-244-9580 OCTOBER 2017 | THE EQUIERY | 61


and surgical efficiency, de- creasing surgical time and improving prognosis.


With careful attention to post-operative pain management, control of in- flammation, antibiotics, nutrition and exceptional nursing care, we not only improve patient comfort, but reduce devastating complications such as infection, diarrhea and laminitis. Also protection


Aftercare and monitoring is critical after surgery


of the surgical incision with a belly bandage has reduced the likelihood of incisional complications and hernias which have delayed the return to exercise in the past.


Colic has long been a dreaded condition that strikes fear in horse owners. Today, with innovations in diagnosis and advancements in surgical procedures, in concert with the critical supportive care component, the potential for a suc- cessful outcome following colic surgery is greatly enhanced.


–M. Norris Adams – of Equine Lameness and Surgery t


DVM Diplomate ACVS, Diplomate ACVSMR, Clinical Assistant Professor o


For more information on colic treatment or surgery, contact Kathy Ashland at 703-771-6875


K


911156-171017


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