Veterinary surgery : VS · 2025
Modified stapled jejunocecostomy in horses.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Freeman David E, Smith Bryana, Bauck Anje G, Denagamage Thomas, Moyer Elizabeth K, Chanutin Sierra
Аннотация
OBJECTIVE: To develop a modified stapled (MS) jejunocecostomy (JC) in healthy horses.
STUDY DESIGN: In vivo experimental study.
ANIMALS: Six healthy adult horses underwent ventral midline celiotomy, a jejunal resection, and an MS.
METHODS: Time to complete anastomosis and anastomotic length at necropsy were recorded. Horses were assessed by physical examination every 6 h for 5 days after surgery, then once daily until euthanasia at 7 days. A group of seven horses that had a stapled side-to-side JC and were euthanized 28 days postoperatively was used as an historical control (SS).
RESULTS: All MS horses recovered well, although one developed transient mild colic and another had a brief period of pyrexia and diarrhea. Postoperative heart rates returned to preoperative values shortly after surgery. At necropsy, the MS anastomoses appeared grossly to be healing well and formed a wide triangulated stoma. Times to complete the anastomosis (p = .49) and lumen size at necropsy (p = .32) were similar for both groups.
CONCLUSION: The MS method was performed with ease and appeared to function effectively. It produced a triangulated stoma that could facilitate flow and reduce the risk of impaction.
CLINICAL SIGNIFICANCE: This study supports the use of MS for JC in horses. Although the study size was small, the results compared favorably with historical data for a SS for JC in healthy horses. The elimination of oversewn ends simplifies the MS technique and allows a single application of the stapler, minimizing cost.
STUDY DESIGN: In vivo experimental study.
ANIMALS: Six healthy adult horses underwent ventral midline celiotomy, a jejunal resection, and an MS.
METHODS: Time to complete anastomosis and anastomotic length at necropsy were recorded. Horses were assessed by physical examination every 6 h for 5 days after surgery, then once daily until euthanasia at 7 days. A group of seven horses that had a stapled side-to-side JC and were euthanized 28 days postoperatively was used as an historical control (SS).
RESULTS: All MS horses recovered well, although one developed transient mild colic and another had a brief period of pyrexia and diarrhea. Postoperative heart rates returned to preoperative values shortly after surgery. At necropsy, the MS anastomoses appeared grossly to be healing well and formed a wide triangulated stoma. Times to complete the anastomosis (p = .49) and lumen size at necropsy (p = .32) were similar for both groups.
CONCLUSION: The MS method was performed with ease and appeared to function effectively. It produced a triangulated stoma that could facilitate flow and reduce the risk of impaction.
CLINICAL SIGNIFICANCE: This study supports the use of MS for JC in horses. Although the study size was small, the results compared favorably with historical data for a SS for JC in healthy horses. The elimination of oversewn ends simplifies the MS technique and allows a single application of the stapler, minimizing cost.