The Effect of Extended Preoperative Fasting in Mares Undergoing Surgery of the Perineal Region

Horses with third-degree perineal lacerations require surgical treatment. To reduce the risk of postoperative dehiscence of the surgical site caused by tension, bacterial contamination, and mechanical abrasion, a preoperative and postoperative fasting up to 14 days was performed. A complete blood cell count, concentrations of electrolytes, urea, creatinine, glucose, lactate, cholesterol, triglycerides, total protein, and the activities of aspartate aminotransferase, glutamate dehydrogenase, γ-glutamyl transferase, creatine kinase, and alkaline phosphatase were determined. Fasting resulted in a marked decrease in intestinal motility and an increase in the concentrations of triglycerides and cholesterol. The activity of the glutamate dehydrogenase increased three-fold during the presurgical period. The other biochemical values showed few fluctuations. Based on these data, we concluded that presurgical and postsurgical fasting causes no severe imbalances in the metabolism in mares.