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Intraluminal administration of a carboxymethyl-starch powder for bladder haemorrhage treatment in two adult horses
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  • Giulia Memoli,
  • Lucia Fontana,
  • Ilaria Basano,
  • Marcello Pallante,
  • Andrea Bertuglia,
  • Michela Bullone
Giulia Memoli
University of Turin
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Lucia Fontana
University of Turin
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Ilaria Basano
University of Turin
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Marcello Pallante
University of Turin
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Andrea Bertuglia
University of Turin
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Michela Bullone
University of Turin

Corresponding Author:[email protected]

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Abstract

Internal bleeding and mucosal bleeding in hollow organs are uncommon conditions in equine medicine and endoscopy. Most of the times, they respond to treatment of the underlying primary condition. However, there are cases in which a rapid and effective control of blood loss is required and the animal is not suited for surgery or general anaesthesia. We report two cases referred to our Veterinary Teaching Hospital with signs of urinary disease and bladder haemorrhage identified by cystoscopy which were successfully managed with topical application of a haemostatic carboxymethyl-starch powder. The product was applied directly on the bleeding mucosa after bladder emptying either under endoscopic guidance or blindly, through a urinary catheter. The application of the haemostatic powder appears to be easy to perform, safe, and helpful in controlling mucosal bleeding in hollow organs in the short time, with no adverse reactions noticed. This approach should be considered in cases where mucosal bleeding can be identified by endoscopy and a prompt control of blood loss is required, also in the field.
27 Apr 2023Submitted to Equine Veterinary Education
27 Apr 2023Submission Checks Completed
27 Apr 2023Assigned to Editor
24 May 2023Reviewer(s) Assigned
24 Jul 2023Review(s) Completed, Editorial Evaluation Pending
27 Jul 2023Editorial Decision: Revise Minor
08 Sep 20231st Revision Received
11 Sep 2023Submission Checks Completed
11 Sep 2023Assigned to Editor
22 Sep 2023Reviewer(s) Assigned
02 Nov 2023Review(s) Completed, Editorial Evaluation Pending