SAEVA Proceedings 2016 | Page 250

  a conservative approach (broad spectrum antibiotics, anti-endotoxic / antiinflammatory drugs, oxytocin to encourage uterine involution) has been reported to offer a similar prognosis (75% survival) to surgical correction in cases of small, incomplete or suspected tears (Javiscas et al., 2010). In short, if the diagnosis is unclear and surgery is not a viable option, e.g. for economic reasons, then conservative management is certainly worth a try. Uterine prolapse / inversion of a uterine horn Uterine prolapse is uncommon in the mare, but may be predisposed to by excessive stretching during pregnancy (e.g. as a result of hydrops or twins) or following dystocia or retention of the fetal membranes (Frazer, 2003). The first major concern in the case of a full-blown prolpase is to ensure that the large uterine blood vessels do not rupture as a result of traction, and that the uterus does not sustain serious traumatic damage. While waiting for veterinary assistance, the mare should therefore be kept quiet and, if possible, a plastic bag should be used to contain and elevate the uterus to at least the