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your experience with Colic surgery outcome

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  • your experience with Colic surgery outcome

    I recently had a horse colic and it was looking like a displacement needing surgery. I declined the surgery though, I am too afraid of all that could go wrong with, and I did not want to put this particular horse through surgery. Pretty much a miracle my horse is back to 100% now. But it left me wondering what others experiences with colic surgery were.

    Thank you in advance!
    Last edited by Fharoah; Mar. 7, 2015, 10:25 PM.

  • #2
    I had a major colic surgery done on a TB gelding years ago. 22 feet of jejunum (part of small intestine) was removed. Without the surgery (5+ hours on the table and $5k+ out of my bank account), he would not have survived. No complications, and he lived another 8+ years before succumbing to an aneurysm. I'd do it again if the circumstances warranted.
    Patience pays.

    Comment

    • Original Poster

      #3
      Originally posted by Melissa.Van Doren View Post
      I had a major colic surgery done on a TB gelding years ago. 22 feet of jejunum (part of small intestine) was removed. Without the surgery (5+ hours on the table and $5k+ out of my bank account), he would not have survived. No complications, and he lived another 8+ years before succumbing to an aneurysm. I'd do it again if the circumstances warranted.
      I was quoated 12k for the initial surgery and the horse wasn't insured. When you say 22 feet of jejunum was removed do they actually shorten the jejunum? Also what kind of prognoses did you get when you made your decision?

      Comment


      • #4
        My mare was insured when she underwent colic surgery. The insurance was a blessing and a curse as it was nice to have the coverage, but it also meant that when the vet/surgeon thought she needed to go to surgery, I had no choice. In the end, I suspect that she would have been fine had we treated her medically and not opened her up -- there was no displacement or twist or anything, just lots and lots of gas. Back then, about 17 years ago, the "minimum" quoted was $5K and I think that's about where we ended up for the first round.

        But she came home and all was well, until she spiked a fever and I had to take her back to the clinic -- an infection in the incision. Treating that exhausted the insurance coverage (I think I had a $7,500 limit back then) and she ended up with a hernia at the incision site.

        After that, recovery went well, and she did eventually return to work. I could have had the hernia repaired but did not really want to put her under the knife again unless I really needed to, and it honestly didn't seem to bother her. Just gave her the "pointy belly" look that we got used to.

        My current horses are not insured. I would not do surgery on any of them. They are all older and honestly, the investment ($12K now - yikes!) just wouldn't make sense with all the other issues they all have (not one of them is 100% sound). I do think it can be a successful surgery and don't fear it for that reason, but can't see putting an older, unsound horse (like mine now) through it just to make ME feel better, which is what it would be for. Now, I'm shopping for a younger, going horse that I can actually ride, and would have to weigh the pros and cons much differently in that case. But that one likely will be insured!

        Comment


        • #5
          Originally posted by Fharoah View Post
          I was quoated 12k for the initial surgery and the horse wasn't insured. When you say 22 feet of jejunum was removed do they actually shorten the jejunum? Also what kind of prognoses did you get when you made your decision?
          My gelding wasn't insured.

          Taking 22' out shortened it by 22'. A couple more feet and he would not have been able to properly digest food, so he was "lucky".

          He was throwing himself on the ground at home and laid on my trailer floor for the 2.5 hour trip to the university hospital (Purdue - I was living in NE Indiana at the time). We were barely able to keep him on his feet long enough to get a catheter in and get him on the table. It was obvious surgery was his only option. I was quoted a minimum of $4k to open him up and see what was happening. As the exploration went on, I was updated every hour as to what was going on, with an option to continue or stop. It took a couple hours to discover the extent of the problem. Once we knew what had happened, the prognosis was 50/50 for a complete recovery and return to normal work. I loved the horse - a terrific athlete and larger-than-life personality- and had owned him for 10 years at that point. For me, there was no question of not trying to save him. I know I am fortunate to have the financial resources to make those kinds of decisions for my animals. I would never think badly of someone who had to make a different decision based on finances, as long as the horse was treated fairly (pain control, with euthanasia if it became clear there was no recovery possible).
          Last edited by Melissa.Van Doren; Mar. 8, 2015, 01:34 PM. Reason: typo
          Patience pays.

          Comment

          • Original Poster

            #6
            Originally posted by Melissa.Van Doren View Post
            My gelding wasn't insured.

            Taking 22' out shortened it by 22'. A couple more feet and he would not have been able to properly digest food, so he was "lucky".

            He was throwing himself on the ground at home and laid on my trailer floor for the 2.5 hour trip to the university hospital (Purdue - I was living in NE Indiana at the time). We were barely able to keep him on his feet long enough to get a catheter in and get him on the table. It was obvious surgery was his only option. I was quoted a minimum of $4k to open him up and see what was happening. As the exploration went on, I was updated every hour as to what was going on, with an option to continue or stop. It took a couple hours to discover the extent of the problem. Once we knew what had happened, the prognosis was 50/50 for a complete recovery and return to normal work. I loved the horse - a terrific athlete and larger-than-life personality- and had owned him for 10 years at that point. For me, there was no question of not trying to save him. I know I am fortunate to have the financial resources to make those kinds of decisions for my animals. I would never think badly of someone who had to make a different decision based on finances, as long as the horse was treated fairly (pain control, with euthanasia if it became clear there was no recovery possible).
            I would have charged the 12K the surgeon just did not seem very optimistic based on the initial rectal exam and this horse had already been through a different surgery a year and a half earlier I was not sure I wanted to put him through colic surgery. Saying no was actually very hard for me I loved this horse and he has always been priceless to me. But by some miracle he okay now, I just hope it never happens again its not an easy decision to make.

            Comment


            • #7
              The only colic surgery I ever put a horse through cost roughy $6,500 (horse was not insured) after all was said and done. He recovered well and is still alive today, I think he's somewhere around the age of twenty. He would not have survived without the surgery. I think it was so cheap (compared to what others have paid for colic surgeries) because there was no re-sectioning needed. He was on the table about five hours and his gut was very badly twisted.

              I am glad I went ahead and did it, the horse has never had a complication since and has lived a good life, but I can't fault anyone who opts not to put a horse through that kind of ordeal and I honestly can't say whether or not I'd do it again. It is hard to see them so confused and in so much pain the first few days after the procedure, and the odds are still stacked against them at that point. I definitely questioned myself during that time, I'm still not sure if I did it for me or the horse, but luckily it worked out.

              That horse was an amazing patient too, the vets said that helped him out tremendously.

              "Pat the horse; kick yourself" - Carl Hester

              Comment


              • #8
                $12K for colic surgery is cheap nowadays. I've seen bills run $20-30K due to complications (which happens more than you might think) and some don't make it at that point. My mare is too old to insure now but no I would not have colic surgery due to the cost (despite how much I love her).

                i have seen plenty of successful outcomes but every horse/circumstance is different.
                "When a horse greets you with a nicker & regards you with a large & liquid eye, the question of where you want to be & what you want to do has been answered." CANTER New England

                Comment


                • #9
                  6 years ago my GP horse had colic surgery for a double torsion and displacement. The clinic was a 5 hour haul through 2 mountain passes, so we sutured in a naso-gastric tube, topped him up on Banamine and painkillers, and hit the highway. $17,000 and 5 weeks later he was discharged to return home. It took a year to put the muscle back on, but he returned to active competition at the GP level. He's now 20, sound and happy, and bucking in the spring sunshine. Even with this terrific outcome I'm not at all sure I'd do it again, it was terrible to watch him suffer in the ICU for weeks (we visited regularly), and rehab was no fun for any of us.

                  Comment

                  • Original Poster

                    #10
                    Originally posted by dbliron1 View Post
                    6 years ago my GP horse had colic surgery for a double torsion and displacement. The clinic was a 5 hour haul through 2 mountain passes, so we sutured in a naso-gastric tube, topped him up on Banamine and painkillers, and hit the highway. $17,000 and 5 weeks later he was discharged to return home. It took a year to put the muscle back on, but he returned to active competition at the GP level. He's now 20, sound and happy, and bucking in the spring sunshine. Even with this terrific outcome I'm not at all sure I'd do it again, it was terrible to watch him suffer in the ICU for weeks (we visited regularly), and rehab was no fun for any of us.
                    I have actually spent 17K on a surgery over a year ago (including CT and follow ups) so I know how they add up. I was worried he would die on the table, my fears of all that could go wrong is what held me back, but I am also week when it comes to saying good bye to my best friend. When the vet left at midnight after the last dose of banamine I feared I would be calling her back in an hour. But I with him all night and never went down again. My worst fear is if this ever happens again. I have seen colic surgeries go both ways. I greatly appreciate hearing your experiences.

                    Comment


                    • #11
                      my guy had colic surgery 2 years ago, for a displacement. $7,500 at the clinic, another 1,500 or so for the fluids etc, that we tried at home. he's fine now, no complications, knock on wood!
                      Different Times Equestrian Ventures at Hidden Spring Ranch
                      www.DifferentTimesEquestrianVentures.com

                      Comment


                      • #12
                        My mare underwent surgery in Dec 2012 for a large colon displacement to the left. "simple" surgery; she was discharged after 3 days and $5k. Recovered very well, and was back to dressage work fairly quickly.

                        In July of 2013 she displaced again, this time to the right, around the cecum. I said yes again, same initial results. Since that surgery, she has not been quite the same - nothing I can put a finger on, but after a couple vet evaluations, we sort of think there is scar tissue or something like that going on. She is rideable, but just doesn't feel the same.

                        She has had two minor colic events, resolved at the barn, and most recently a bout of enteritis. The last was also resolved at the barn, but was a big deal from a medical perspective (lots of iv fluids, 3 antibiotics). Had she shown any material signs of pain I would have put her down, but she just looked mildly yukky and wasn't eating. No elevated heart rate, only a slight fever for a day or so.

                        Her issues seem to be on about a 6-7 month schedule. I have been told by two vets that she is a high risk for another displacement. She is done w/ surgery of any kind, and I have instructions re that both with the vet and barn owner. She is 13. It sucks.
                        We don't get less brave; we get a bigger sense of self-preservation........

                        Comment

                        • Original Poster

                          #13
                          Originally posted by 2tempe View Post
                          My mare underwent surgery in Dec 2012 for a large colon displacement to the left. "simple" surgery; she was discharged after 3 days and $5k. Recovered very well, and was back to dressage work fairly quickly.

                          In July of 2013 she displaced again, this time to the right, around the cecum. I said yes again, same initial results. Since that surgery, she has not been quite the same - nothing I can put a finger on, but after a couple vet evaluations, we sort of think there is scar tissue or something like that going on. She is rideable, but just doesn't feel the same.

                          She has had two minor colic events, resolved at the barn, and most recently a bout of enteritis. The last was also resolved at the barn, but was a big deal from a medical perspective (lots of iv fluids, 3 antibiotics). Had she shown any material signs of pain I would have put her down, but she just looked mildly yukky and wasn't eating. No elevated heart rate, only a slight fever for a day or so.

                          Her issues seem to be on about a 6-7 month schedule. I have been told by two vets that she is a high risk for another displacement. She is done w/ surgery of any kind, and I have instructions re that both with the vet and barn owner. She is 13. It sucks.
                          Recurrence is my worse fear. I am actually treating mine for ulcers as a precautionary measure but am still worried. I am sorry your going through this with your mare.

                          Comment


                          • #14
                            My horse had surgery for a displacement in 2012. He was not insured and the surgery/ aftercare cost about $7500 (plus another $500 in vet bills with my regular vet). The surgery went well, but he was extremely miserable for the first couple of weeks and like 2tempe, I felt like he was not quite the same horse. He had been eventing at Prelim and I did get him around a couple of HTs but he just did not seem to enjoy it the way he had in the past and I stopped competing him and just hacked him lightly. He had one colic about 90 days post surgery that resolved on its own and then a second colic about two years post surgery that was obviously surgical and I opted to put him down as soon as the vet could get there.

                            At this point I don't think I would do it again even if it were free.

                            Comment


                            • #15
                              My horse had surgery for large and small colon torsions in 2007. She was insured, and I believe the total came out to about $8000 (including vet bills with my regular vet). She was in the clinic for 5 days before being discharged, and started back in work 3 months later. I got very, very lucky that we caught the colic early and that she was a model patient after the surgery... but she's gone on to do much more than she was doing prior to surgery and has never had a recurrence (knock on wood)!

                              Based on that experience, I would do it again, but I recognize that her case was a best-possible scenario.
                              http://www.youtube.com/user/supershorty628
                              Proudly blogging for The Chronicle of the Horse!

                              Comment


                              • #16
                                My heart horse of many years needed colic surgery about five years ago. Was NQR after a hack, I hung around, and he started to show the signs. He ended up at Marion duPont that night with a very bad twist. We started surgery, but about halfway through, we needed to let him go -- Surgeon advised that his odds for making it were looking worse and worse. Cost me $7,500, and that was just for an incomplete surgery with no post-opp care.

                                Have seen a handful of others go through the recovery process after colic surgery.

                                Based on what I've seen and experienced myself, I'm really not sure if I'd go through with it on the ones I have now.

                                Comment


                                • #17
                                  My older little mare went through it about 11 years ago. Displacement, but no twist and no resection needed. She recovered with no complications and went back to competing for a number of years at a higher level than she had been prior. She's now retired in my back yard and knock on wood has never had a recurrence that required a hospital trip. She was not insured, and it cost about $5000 back then. I was lucky that at the time I had a way to cover the cost. I was living across the country from her when I got the call, and said yes in a panic without a thought.

                                  She was miserable for months during the recovery, even though there were no medical complications. Depressed, cooped up, and just kind of lost the fight she had in her. My younger mare is insured, and has been hospitalized multiple times for colic. I'll treat medically, but wouldn't do surgery if it came down to it. I love them both, but having been down the road wouldn't do it again.

                                  Comment


                                  • #18
                                    My 16 year-old Dutch gelding went through colic surgery four years ago this June. His large colon twisted 180 degrees. He went to Michigan State late in the evening and they tried all night to get him through without surgery but it was inevitable. He was insured so I went ahead with the procedure. It was fairly straightforward with no complications. This horse had been having mild colics repeatedly for years and the surgeons believed the twist was caused by a genetic abnormality. They actually hope the surgery has corrected the problem permanently but time will tell.

                                    The surgery cost $5500 and he came home in three days. His recovery was fairly uneventful except that he developed chronic mild laminitis immediately after that got progressively worse over approximately one year. It took a while, but we finally discovered that he had developed a sensitivity to alfalfa. Once we removed it from his diet he recovered very well. To this day, I have to be very careful because he will still go off his feed and develop laminitis if he gets alfalfa.

                                    Overall, it took about a year and a half but he returned to full fitness and I have been able to progress his training beyond where it was pre-surgery. We showed Prix St. Georges last year and he has continued to work well all winter so I hope to show again this summer.

                                    All this being said, if he colics again I will not put him through another surgery. I don’t regret the first one but I just couldn’t make him do it twice due to what it did to him mentally. I was very sick when he colicked so I took him to the hospital and had to leave him – I was running a fever and just couldn’t stay. I didn’t see him again until after his surgery. It was all so upsetting for him that he developed a separation anxiety with me that he has still not overcome. Fortunately, I have my own farm and can keep him at home but if I leave him anywhere he calls for me constantly until I can come back. It’s heartbreaking and he never did that prior to the surgery.

                                    Comment


                                    • #19
                                      Maybe not Nationally, but around here Husband the Farrier, sees a lot of repeat colics that need surgery after the first one. Might not be for a year or even several years, but a LOT of the horses have to go back for a second colic surgery.

                                      I don't have details on those horses, just that it cost PLENTY to just get in the Clinic and goes up from there. Not sure if those folks have insurance or not, some don't for sure, paying the bills for a long time.

                                      I am going to say most of his clientele are English Discipline horses, Dressage, jumping horses, Foxhunters, Park or saddle seat. Lots of Warmbloods, TBs, TBX type horses. He doesn't do much work in Western disciplines or Stock type horses.

                                      He says Clinic developed that the glue-shut incision is because it is so much easier to reopen horse when horse comes back for that second colic surgery. Not sure that is true, but it does make things easier to work on horses in surgery.

                                      Comment


                                      • #20
                                        I watched one horse die on the table, had a friend lose another 3 weeks after a surgery due to a recurrent colic and saw one successful surgery that also ended up with a recurring colic a few years later.

                                        Based on my experience, current life stage and the fact that both of my horses are really just pleasure horses that go to a couple of shows for fun, I don't think I would put either one through a surgery. However, it's a very personal decision and I can certainly see the flip side of the coin and the benefit of trying it all when people have invested a lot in a highly competitive show horse.
                                        Proud Member of the "Tidy Rabbit Tinfoil Hat Wearers" clique and the "I'm in my 30's and Hope to be a Good Rider Someday" clique

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