Distance Education Programs Equine Surgery

Equine Surgery with Dr Nick Kannegieter

Introduction
Timetable for Modules
Content of Modules
Reading List
Technical Requirements for Online Study
Register for this Course

Introduction

This course is designed to assist practitioners to become more familiar with conditions that may have a surgical resolution. There will be a strong emphasis on diagnostic techniques, in particular, clinical evaluation, radiology and endoscopy. A wide range of subjects will be discussed, however the information provided will be aimed at being very practical, and will focus on issues that are regularly encountered by veterinarians in equine practice. For example, there will be in depth discussion on topics such as penetrating wounds of the lower limbs, sarcoids, splint bone fractures and degenerative joint disease, as well as information on how to deal with major problems, such as long bone fractures and surgical colics. It will be useful both for those vets who have access to surgical facilities and wish to advance their skills as well as to those vets who may do relatively little surgery, and may refer most major cases, but who wish to learn more about equine disease, surgical options and management.

The course will also encourage participants to obtain a better understanding of common equine problems by enabling them to review in detail any topic that is of interest or concern. There will be an overview of each subject which will provide the core information, and which will be supported by detailed reports and in depth information, as well as literature reviews, with the participant able to access each level as required.

The course will be presented primarily on CD ROM, which will enable the inclusion of a large number of images and short videos of clinical findings, radiographs, surgical techniques etc., as well as enabling participants to easily and rapidly locate information and navigate through various aspects of the course.

Participants will also be encouraged to prepare case reports that, hopefully, will be suitable for presentation or publication. There will be two workshops during the year which will aim to enhance diagnostic and decision making abilities, as well as improving technical skills. The location of these workshops can be influenced by the group, so some interesting venues may be suggested.

It is not anticipated that every participant in this course will rush out and become an equine surgeon. Rather it is hoped that the skills learnt will greatly enhance your understanding of equine diseases, improve the management of commonly and less commonly encountered problems, make you more aware of surgical options and enable you to provide a higher quality of service to your clients.

Key Benefits

By the end of this course you can expect to:

Gain a thorough knowledge of a wide range of problems commonly encountered in horses.
Learn how to deal with these problems from a practitioner's perspective, as well as the surgical aspect.
Greatly increase your diagnostic abilities, particularly when it comes to clinical and radiographic assessment of cases.
Learn how to treat many commonly encountered problems.
Learn how to critically review and research new information.

Timetable for Modules

Modules	You will receive modules in:	Modules due to be returned to Post Graduate Foundation for assessment
Module 1	1^st week of February	End of February
Module 2	1^st week of March	End of March
Module 3	1^st week of April	End of April
Module 4	1^st week of May	End of May
Module 5	1^st week of June	End of June
Module 6	1^st week of July	End of July
Module 7	1^st week of August	End of August
Module 8	1^st week of September	End of September
Module 9	1^st week of October	End of October
Module 10	1^st week of November	End of November

Remember, 30 November is the last day for the PGF to receive Distance Education material for assessment.

Content of Modules

Module	Contents
1	Principles Historical aspects and wonder treatments Patient management and medication i) Pre-operative ii) Intra-operative positioning, blood pressure, etc ii) Post-operative - Immediate - Long term Diagnosis Complications - Wound infection - Factors involved - Management - Colic - Myositis - Laminitis - Nosocomial infection - Caecal impaction - GIT ulceration - Pleuropneumonia Sterilisation and skin preparation Sutures and staples Surgical technique and instruments - Tissue handling - Lavage Restraint and analgesia Drains Costs Insurance
2	Management of Wounds Lacerations - Debridement - Drainage - Repair - suture materials - Casting - Wound closure - Primary - Delayed - Second intention - Tension relief Wound healing - Practical aspects - Clinical factors affecting Sequestration Skin grafts Penetrating injuries of: - Joints - Tendon sheath - Thoracic cavity - Abdomen
3	Upper Respiratory Tract: Part 1 (conditions affecting performance) Diagnostic techniques - Endoscopy of URT - Radiography Principles of URT surgery - Client expectations - Expected outcomes Specific diseases - Laryngeal hemiplegia - Dorsal displacement of the soft palate - Epiglotic entrapment - Arytenoid chondritis - Granuloma - Cysts (epiglottic and pharyngeal) - Epiglottic hypoplasia - Nasal passage and septum abnormalities - Trachea - Cleft palate
4	Upper Respiratory Tract: Part 2 (space occupying lesions), and Feet Upper Respiratory Tract - Ethmoid haematoma - Sinus infection and sinusitis - Gutteral pouches - Teeth - Infections - Congentinatal abnormalities - Age related defects - Acquired abnormalities - Sinus cysts - surgical techniques Feet - Radiography - Pedal osteitis - Solar margin fractures - Coffin joint DJD - Navicular disease and Navicular bone fractures - Wing fractures / secondary ossification centres pedal bone - Pedal bone rotation/laminitis - Fractured sidebone, excessive sidebone - Fractures extensor process P3 - Keratoma - Pedal bone fractures - Cysts - Hoof wall and coronary band injuries
5	Joints Clinical signs of joint disease Degenerative joint disease Diagnostic techniques - Clinical evaluation - Nerve blocks - Radiography Principles of medication - NSAID's - HA - PSGAG's - Cortisone - Others Principles of surgery - Lavage - Arthroscopy Septic arthritis - Clinical signs - Management - Medical - Surgical OCD - Manifestations - Management
6	Diseases of Specific Joints Coffin joint Pastern - DJD, ringbone - OCD - Chip fractures dorsal and palmar/plantar - Cysts Fetlock - Regional and intra-articular anaesthesia - Radiography - Degenerative joint disease - Chronic capsulitis/synovitis - Dorsal P1 fractures - Palmar and plantar P1 fractures - Chronic proliferative synovitis - Sesamoid fractures - Sesamoiditis - OCD Carpus - Degenerative joint disease - Chip and Slab Fractures - Medial Intercarpal Ligament Damage - Bone cysts and carpal bone collapse - Accessory carpal bone fractures - Proximal MC3 fractures Elbow Shoulder - OCD - Fractures Hock - Bone Spavin - Fractures - OCD Stifle - OCD - Bone cysts Hip
7	Alimentary Surgery Mouth and head - Salivary glands - Lip lacerations - Sialoliths - Salivary duct fistula Oesophagus - Choke - Perforation - Fistula Stomach - Pyloric stenosis SI - Lesions - Assessing viability Ileum - Intussusception - Hypertrophy - Tapeworms Caecum - LI - Small colon - Rectum - Prolapse - Tears - Perirectal abscess - Atresia Colic - indications for surgery - Diagnosis - Pre-operative preparation and expectation - Laparotomy techniques and closure - Analgesia pre and post op - Post operative care and assessment - Post-operative complications - Post operative hernia and repair
8	Orthopaedic Surgery Fractures - Emergency support and transport - P1, P2, P3 - Sesamoids - Condylar - Elbow - Long bones - Transfixation pins - Fractured splints - Removal - Plating - Head fractures - Mandibular and maxillary - Orbital - Arthrodesis - Fetlock - Pastern - Hock - Carpus Principles of internal fixation - 4.5 - 5.5 - 6.5 - Plates, etc Bone grafts Complications of orthopaedic surgery Angular limb deviation - Periosteal elevation - Transphyseal bridging - Corrective osteotomy
9	Soft Tissue and General Surgery Eyes - Corneal ulcers and lacerations - Ocular and Periorbital tumours - Ablation - Nasolacrimal duct Tendons and ligaments - Check ligament - Club feet - Stringhalt - Fibrotic myopathy - Annular ligament constriction - Tendon lacerations - Contractures Skin - Sarcoids - Wounds - Melanoma - Cosmetic and reconstructive surgery - Calcinosis circumscripta - Dentigerous cysts - Fistulous withers - Foreign bodies Windsucking and crib biting
10	Urogenital Surgeries Bladder - Tears - Calculi Kidneys and ureters - Ectopic ureter Urethra - Calculi Female reproductive - Ovarian - Tumours - Perineal tears and fistula - Uterus - Neoplasia - Pneumo and urovagina Male Reproductive - Castration - Standing - Recumbent - Complications - Hernias - Penis - Neoplasia - Paraphimosis - Testis - Neoplasia - Teratoma - Cryptorchids

Reading List

The following texts are recommended reading:

1. Clinical Radiology of the Horse, Butler et al

2. Equine Surgery, Auer and Stick

3. Techniques in Large Animal Surgery, Turner and McIlwraith

4. Advanced Techniques in Equine Surgery, McIlwraith and Turner

5. Adams Lameness in Horses, Stashak

No specific journals are recommended, however participants will review relevant articles from a wide range of journals.

Publications can be purchased from:
www.amazon.com
OR
PVP Publications,
PO Box 112, Seaforth NSW 2092 and
67 Peacock Street, Seaforth NSW 2092
Tel & Fax: (02) 9948 4605

Technical requirements for online study

Technical requirements for online study WebCT is a software program developed in Canada which provides a platform and a set of web course teaching tools for online learning. As an introduction to the online learning environment The Post Graduate Foundation in Veterinary Science is using this platform to give you access to your course online. This medium will allow you to access your course and participate in online discussions with other participants and your tutor via a computer, a modem and a web browser, such as Netscape or Internet Explorer.

To optimise your use of WebCT for online learning we recommend the following specifications: http://www.pgf.edu.au/disted/index.cfm#technical

Register for this Course

Before you register, have you:

Read your Online Course Requirements?
Read the General Information page?
Read the How Much Does it Cost page?
Become a Member of the Post Graduate Foundation?