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- Title
In Vitro Evaluation of a Closed-Bowel Technique for One-Layer Hand-Sewn Inverting End-to-End Jejunojejunosotomy in the Horse.
- Authors
Gandini, Marco
- Abstract
Objective To report a technique for closed-bowel 1-layer inverting end-to-end jejunojejunal anastomosis in horses. Study Design Experimental study. Sample population Fresh cadaveric jejunal segments from 12 horses. Methods For each bowel segment a 1-layer closed and a 2-layer inverting end-to-end jejunojejunosotomy was created. Anastomosis construction time and anastomotic bursting pressure were measured and compared. Results Closed-bowel anastomosis was significantly faster to create than a 2-layer technique. Luminal narrowing (<30%) was similar with both techniques and comparable with other inverting techniques. Bursting pressure was significantly higher for the 2-layer technique, although all anastomoses resisted pressures higher than those reported for other jejunojejunal anastomosis techniques. Conclusions A 1-layer hand-sewn, closed, inverting jejunojejunosotomy using a modified Doyen clamp was easy and faster to perform, and resulted in functional characteristics similar to, a 2-layer hand-sewn inverting technique. Clinical Relevance A closed, 1-layer inverting technique could be considered for equine jejunal anastomosis but requires in vivo evaluation before recommendation for clinical use.
- Subjects
HORSES; JEJUNOSTOMY; OPERATIVE surgery; INTESTINES; INTESTINAL diseases; ARTERIOVENOUS anastomosis; MECHANICAL properties of biological membranes
- Publication
Veterinary Surgery, 2006, Vol 35, Issue 7, p683
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2006.00209.x