Handsewn semiclosed single-layer jejunocecal side-to-side anastomosis in the horse

Veterinary Surgery : VS
Marco Gandini

Abstract

To report a technique for semiclosed 1-layer side-to-side jejunocecal anastomosis in horses. Experimental study and clinical reports. Part 1--In vitro: Intestinal specimens from 24 horses collected immediately after death at an abattoir. Part 2--CLINICAL CASES: 10 horses with clinical signs of colic requiring jejunocecostomy. Mean time to perform twelve 2-layer handsewn (HS2L) and 12 semiclosed 1-layer modified handsewn (SC) jejunocecal anastomoses was compared. Mean bursting pressures of anastomoses measured with a modified tank inflation test were compared. The SC technique was used in 10 horses that required jejunocecal anastomosis with and without resection (complete or incomplete ileocecal bypass). The SC technique was significantly quicker to perform than HS2L technique. Clinically, the technique appeared safe with a major complication, associated with obstruction from kinking of the anastomosis, occurring in 1 horse. The SC technique was easy to perform with very little mucosal exposure in comparison to the HS2L technique, and was safe and effective in restoring intestinal continuity in clinical cases. The SC technique should be considered for jejunocecostomy in horses because it reduces anastomosis time and mucosal expo...Continue Reading

References

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Citations

Feb 11, 2021·Animals : an Open Access Journal From MDPI·Gessica GiustoMarco Gandini

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