Closed Inguinal Castration technique in horses compared with Field
Castrations using post-operative Serum Amyloid A analysis.
Abstract
Introduction: A closed inguinal castration technique was compared with
field castrations based on the post-operative (p.o.) inflammatory marker
Serum Amyloid A (SAA). Third day p.o. SAA, which has been related to
trauma, has been reported after field castrations in four different
studies in literature between 500 mg/l and 700 mg/l. These values were
compared with SAA values measured on day three after routine castration
using a closed inguinal approach applied under general anaesthesia under
strict aseptic conditions. Materials and Methods: 51 Male horses were
presented for routine castration. Serum was collected pre-operatively
and on day 3 post operatively. Castration was performed using a closed
inguinal approach in dorsal recumbence under general anaesthesia. The
vaginal process was retrieved by blunt dissection over an inguinal skin
incision. The closed proximal vaginal process was crushed by a Sand
emasculator and ligated at this site. Vaginal Process with content was
cut off 10 mm distal to the ligated site. Skin incisions were closed
intra cutaneously. Antibiotics or anti-inflammatory drugs were not
applied. Results: 48 horses tested negative (SAA< 3mg/l)
pre-operatively. Two ponies and one standardbred showed pre-operative
5mg/l, 7mg/l and 75mg/l respectively. Mean SAA value of all 51 horses,
three days post operatively, measured 94mg/l. 27 Horses showed no
elevation in SAA (<3mg/l). Only 8 horses showed SAA values
>100mg/l, of which 4 horses > 500mg/l,
(514mg/l, 747mg/l, 1110 mg/l and 1160 mg/l) possibly related to
additional trauma. Excluding these 4 cases results in a mean SAA value
of 27mg/l. Conclusion: Castrations, using a closed inguinal approach, in
which proper surgical standards can be maintained, proved to be far less
traumatic than field castrations.