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@njwandya:
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Region: ID
Wednesday 15 July 2026 17:03:14 GMT
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In the previous post MRI and clinical findings were discussed for this horse. The next step was a navicular bursoscopy (key-hole surgery into the navicular bursa). A navicular bursoscopy is a minimally invasive surgery approach allows direct visualization and debridement of affected structures - within the navicular bursa - with the goal of restoring function in this apparatus and improving long term soundness. Here’s how the procedure works: ⠀ Step 1: Surgical Prep The patient is placed under general anesthesia. The limb is carefully positioned and aseptically prepared. ⠀ Step 2: Portal Creation A small incision (about 8mm) is made to insert a scope and instruments. This is typically done under image guidance. ⠀ Step 3: Insertion of the Arthroscope A tiny camera (arthroscope) is inserted into the bursa to allow direct visualization of the internal structures. Step 4: Diagnostic Assessment The surgeon inspects the bursa for inflammation, torn and extruded tendon fibers, cartilage loss, adhesions, or any other abnormalities. Step 5: Therapeutic Intervention Instruments are inserted through additional portals to repair/smooth/debride any pathology inciting inflammation in the bursa. A lubricant (hyaluronic acid) and/or biologic therapies (Stem cells/PRP/amnion extracts) are generally infiltrated into the bursa before closure. You can see this at the 1:00 mark. Step 6: Closure Instruments are removed, and the small incisions are closed with sutures. A sterile lower limb bandage is applied with non moisture wicking material over the hooof. This minimally invasive approach allows clean-up of previously inaccessible lesions, faster recovery, reduced post-op pain, and less tissue trauma compared to open surgery. #performancehorse #beforeandafter #equinetiktok
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