Abdominal Surgery Poses Greatest Risk Of Surgical Site Infection

As with human surgery, there is always a potential for infection during equine surgery, Drs. Kelmer, Paz, Tatz, Dahan, Bdolah-abram and Oreff reviewed 198 post-operative complications related to surgery procedures on 167 horses at the Koret School of Veterinary Medicine in Israel over a 15-month period.

The study reviewed  40 percent abdominal surgeries, 30 percent orthopedic surgery and the rest were general surgeries that had a 9 to 20 percent chance of developing a surgical site infection. The incidence of infection was 16.7 percent during the study period.

The study team noted that post-operative surgical site infections created difficulties with recovery, increased the length of stay in the hospital, increased client coats sand delayed return to work. It addition, surgical site infections caused an increase in equine morbidity and mortality.

Of all the surgeries performed, abdominal procedures had the highest risk of infection with 28 percent. This may be because of the length of the incision or the weight of the intestines on the incisions.

The scientists identified the following as factors that increase the risk for a surgical site infection:

  • Type of surgery.
  • Having a repeat surgery in less than 6 months in the same area or in an area near the original incision. Abdominal procedures are particularly at risk.
  • Weight of the horse. Heavier horses have more weight resting on the incision line in their abdomen.
  • Gender. In the study, only 2.3 percent of stallions developed infections, compared to 16.1 percent of geldings and 24.3 percent of mares; 50 percent of pregnant mares had surgical site complications.
  • Recovery from anesthesia. A horse that has a hard time recovering from anesthesia may increase his risk of infection development by four times.

Abdominal procedure infection rate ranges from 7 to 37 percent; arthroscopic surgery infection rate was less than 1 percent. Overall infection frequency in orthopedic procedures was around 10 percent.

The team found that other factors may amplify infection risk. These include time of day and season when the surgery takes place; the surgeon; and a horse's breed and age. They also note that as this study looked at cases between 2011 and 2013, surgical techniques, bacterial resistance and bacterial populations have changes, so additional studies are needed.

Read more at EquiManagement.

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The Week in Review: Before Feasting Upon Thanksgiving Fare, Chew On This

Last week’s headlines had little to do with on-track action. This coming week though, we awaken from the sport’s annual post-Breeders’ Cup snooze with an eye toward decent Thanksgiving weekend racing and on-the-horizon stakes that could add a touch of intrigue to the tail end of the 2020 season.

But before you feast upon the holiday fare, chew on these side dishes that anchored the last seven days of the news cycle (plus a few other tidbits that didn’t land on the front pages):

Last Tuesday we learned via federal prosecutors that more doping charges could be in the pipeline for existing and new defendants in the alleged years-long drugging conspiracy involving now-barred trainers Jason Servis, Jorge Navarro, and a wide-ranging cast of enablers that includes veterinarians.

A key takeaway from that Nov. 17 court hearing is that the lead prosecutor said he now believes that two of the alleged performance-enhancing drug (PED) suppliers were pushing at least some sham pharmaceuticals to Servis that didn’t really do anything to make a horse faster or stronger.

But, the prosecutor added, the government will still be treating those substances as if they were actual PEDs, because the true intent on the part of Servis was to allegedly pump horses full of illicit drugs.

The other main point gleaned from last Tuesday’s hearing is that this case isn’t likely to go to trial until the second half of 2021 because of the voluminous amount of evidence that is surfacing in the discovery process.

So it’s conceivable we could still be batting around this court case over next year’s Thanksgiving turkey.

Meanwhile, on the western front…

The day after the federal doping case hearings, TDN asked California Horse Racing Board (CHRB) equine medical director Rick Arthur, DVM, to identify what under-the-radar substance might be likely to next surface as drug of abuse.

Arthur replied in the Nov. 18 Q&A that “It’s not really under the radar. We are concerned with SARMs [selective androgen receptor modulators]. Those are a class of drugs that have anabolic-like activity, but they are not really anabolic steroids. We’ve seen some of them in testing already [and] that is a group of drugs that I think that we have to pay attention to.”

The following day, during the CHRB’s monthly meeting, Arthur brought up a separate topic about an abused substance that hasn’t been in the headlines lately: Thyroxine.

In introducing a new rule proposal Nov. 19 to curb thyroxine “to the point that it really will not be used any longer within CHRB facilities,” Arthur revealed that since the start of this year, veterinarians on the Southern California circuit alone have reported 287 prescriptions for thyroxine. Incredibly, he added that “over half of the prescriptions” were written for just two trainers, and 80% of that thyroxine was “prescribed by just three veterinarians.”

This despite a CHRB advisory against thyroxine that has been in effect for more than six years warning against its use in horses that don’t legitimately need it because of the drug’s nasty reputation for producing cardiac arrhythmias and atrial fibrillation. Arthur added that “while we cannot assert a cause-and-effect relationship, one sudden death already in 2020 occurred five days after the horse was prescribed thyroxine.”

The CHRB did not disclose the names of the trainers, veterinarians, or the horse that perished after receiving thyroxine. The motion to advance the rule passed, 7-0.

Fixed-odds experiment coming to NJ…maybe

Dennis Drazin, the chairman and chief executive of Darby Development LLC, which operates Monmouth Park and its sports book, predicted to the New Jersey Racing Commission (NJRC) last Wednesday that within five years, fixed-odds betting has the potential to comprise “a significant portion of the handle” in horse racing.

Several commissioners expressed fears about fixed-odds betting cannibalizing the existing pari-mutuel system. Yet despite their repeated lamenting about “last rites” to a model that “will lose out in the end if it has to compete” with fixed odds, no one on the NJRC inquired about what a realistic pricing structure might look like for the new model so it could benefit bet-makers, bet-takers and the horsemen.

Fixed-odds bookmaking, which allows a customer to lock in pricing at the time of the wager, does indeed have theoretical promise to revolutionize, reenergize, and even replace traditional straight wagering in this country (while leaving exotics to be better handled by pari-mutuels).

But when the NJRC voted 4-0 Nov. 18 to approve a fixed-odds pilot program for 2021 that would be limited to bets on out-of-state Grade I races, it didn’t even raise the issue of how the bets would be priced in terms of takeout so that the tracks that fund those races get paid for their product.

Granted, the pilot program wasn’t even the NJRC’s idea. It was handed down by the state’s Division of Gaming Enforcement, which has the authority to regulate fixed-odds wagers. The NJRC was only involved because a provision in the Interstate Horse Racing Act of 1978 requires approval from the receiving state’s racing commission before wagers can be taken on imported signals.

What’s in a name?

It’s great that a smaller track laden with no-frills charm like Fairmount Park will have its lifespan extended thanks to 2019 legislation in Illinois that granted it the privilege to host slot machines, table games and sports betting.

Not so enthusing was last week’s announcement that Fairmount’s corporate gaming partner is “rebranding” (read: obliterating) the name of the storied oval 12 miles east of St. Louis so it will now be known as “FanDuel Sportsbook and Horse Racing.”

Apparently, 95 years of history are getting tossed into the nearby Mississippi River. Sure, the corporate backer is putting up millions of dollars. But FanDuel wouldn’t be there in the first place if it wasn’t for Fairmount hanging in there long beyond most expectations for it to survive.

In the Nov. 16 press release that heralded the erasure of the Fairmount name, the partners also announced that the company will “fund the renewal and running of the $250,000 St. Louis Derby, the track’s signature event, which has not been conducted since 2006 due to financial constraints.”

Actually, the 2006 St. Louis Derby was the only edition of the race ever conducted. It was the legacy of the old Fairmount Derby, which was run inconsistently between 1926 and 1996, with decades-long gaps between some runnings.

But that one and only St. Louis Derby did produce a good trivia question. Can you name the winner of that 2006 stakes? He was a colt who won six straight races leading up to the GI Kentucky Derby. He ran 12th behind Barbaro, and it was discovered post-race that he had been hindered by an ankle chip. After surgery to repair it, this chestnut was pounded to 4-5 favoritism when returning to his winning ways at Fairmount on a muggy Saturday night in August.

Need another hint? A year later, that colt flourished as a Grade I force, sweeping both the Whitney H. and Woodward S. at Saratoga.

Lawyer Ron is the answer. I’ll be rooting for Fairmount to lure another high-profile horse to the St. Louis Derby in 2021.

I just won’t be referring to that appealing old track by its unimaginative new name.

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Andrew Wyeth’s ‘Over The Hill’ Brings Top Bid At Sporting Art Auction

Andrew Wyeth's Over the Hill, a watercolor painted by Wyeth in 1973 that remained in his personal collection until 2006, brought $109,250, including buyer premium, to headline Sunday's eighth annual Sporting Art Auction, a collaboration between Keeneland and Cross Gate Gallery of Lexington, Ky.,  held virtually on Sunday afternoon.

Due to the COVID-19 pandemic, bidding on this year's auction of 188 high-quality lots representing fine sporting art, American paintings and sculpture by renowned artists was conducted online and via phone.

Gross sales for the Sporting Art Auction totaled $1,625,945.

LeRoy Neiman's Satchmo, an oil portrait of famed jazz musician Louis Armstrong signed, dated '61 and inscribed 'Satch,' sold for the day's second-highest price of $103,500, including buyer premium.  Neiman and Armstrong often crossed paths during their careers and held a mutual respect and admiration for each other's talent.

Bringing the auction's third-highest price of $72,000, including buyer premium, was Henry Stull's Domino with Jockey Up, an oil portrait signed and dated 1900. This depiction of Domino, a famed sprinter and breed-shaping sire, was part of the recent Tales from the Turf: The Kentucky Horse, 1925-1950 exhibit at the Speed Art Museum in Louisville.

Other notable works sold as part of the Sporting Art Auction were Henry Faulkner's Clay House, an oil signed, dated '71 en verso with sticker reading 'The Henry Clay House' for $47,150; Edward Troye's Cattle in a Landscape, an oil signed and dated 1848, for $42,550; Troye's Mambrino Patchen, an oil portrait signed and dated September 23, 1868, for $40,250; Neiman's Ascot Jockey, an oil signed, dated '65 and inscribed en verso for $40,250; and Andre Pater's Caravan to Appleby Fair, a signed oil for $40,250. All prices include buyer premium.

In keeping with Keeneland's mission, its portion of the auction proceeds will benefit its non-profit initiatives.

For more information, please visit thesportingartauction.com.

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