de la Rebière de Pouyade Geoffroy, Binard Maureen, Deleuze Stéfan, Ponthier Jérôme
Clinical Department of Equids, Surgery and Orthopedics, Faculty of Veterinary Medicine University of Liège, Liège, Belgium.
FARAH Comparative Veterinary Medicine, University of Liège, Liège, Belgium.
Front Vet Sci. 2025 Apr 24;12:1548978. doi: 10.3389/fvets.2025.1548978. eCollection 2025.
Standing caesarian section (C-section) in mares is poorly documented in the literature. It is reportedly straightforward to perform for veterinarians experienced in bovine practice and is more accessible and less expensive than recumbent techniques. The study aimed to create a survey to report the outcomes of in field C-section through a flank laparotomy with the mare standing under sedation.
A survey was developed for field veterinarians practicing standing C-sections. Data were collected regarding the veterinarian's experience and practice type, details about the mare and the reasons for performing the standing C-section in the field, the mare's condition during the procedure, as well as information on asepsis protocols, anesthesia, surgical techniques, medications used, and the follow-up of complications, including the survival outcomes of both the mare and the foal. Complication and survival rates were then used to determine potential risk factors. Fisher's exact tests were used, and significance was set at < 0.05.
35 questionnaires, each addressing one C-section case, completed by a total of 19 veterinarians were considered. The most important factor for performing the surgery was the economic concern. The main postoperative complication of the surgery was infection/dehiscence of the wound (12/34). The mare survival rate at 1 year was 74% (25/34). The foal survival rate at 6 months was 20% (7/35). More live foals were delivered when dystocia lasted less than 2 h.
This survey shows that performing a standing C-section in the field might be a viable technique, both economically and in terms of mare's and foal's survival.
文献中关于母马站立式剖腹产的记载较少。据报道，对于有牛科动物手术经验的兽医来说，这种手术操作简单，而且比侧卧技术更容易实施，成本也更低。本研究旨在开展一项调查，以报告在镇静状态下站立的母马通过侧腹剖腹术进行现场剖腹产的结果。
为实施站立式剖腹产的现场兽医制定了一项调查。收集的数据包括兽医的经验和执业类型、母马的详细信息以及在现场进行站立式剖腹产的原因、手术过程中母马的状况，以及关于无菌操作规范、麻醉、手术技术、使用的药物和并发症随访的信息，包括母马和驹的存活结果。然后使用并发症和存活率来确定潜在的风险因素。采用Fisher精确检验，显著性设定为<0.05。
共考虑了由19名兽医完成的35份问卷，每份问卷涉及1例剖腹产病例。进行手术的最重要因素是经济因素。手术的主要术后并发症是伤口感染/裂开（12/34）。母马1年的存活率为74%（25/34）。驹6个月的存活率为20%（7/35）。难产持续时间少于2小时时，产下的活驹更多。
这项调查表明，在现场进行站立式剖腹产在经济方面以及母马和驹的存活方面可能是一种可行的技术。
