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One Stage Functional End‐to‐End Stapled Intestinal Anastomosis and Resection Performed by Nonexpert Surgeons for the Treatment of Small Intestinal Obstruction in 30 Dogs
Author(s) -
Jardel Nicolas,
Hidalgo Antoine,
Leperlier Dimitri,
Manassero Mathieu,
Gomes Aymeric,
Bedu Anne Sophie,
Moissonnier Pierre,
Fayolle Pascal,
Begon Dominique,
Riquois Elisabeth,
Viateau Véronique
Publication year - 2011
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2010.00784.x
Subject(s) - medicine , anastomosis , surgery , fibrous joint , abscess , stage (stratigraphy) , resection , suture line , paleontology , biology
Objectives: To describe stapled 1‐stage functional end‐to‐end intestinal anastomosis for treatment of small intestinal obstruction in dogs and evaluate outcome when the technique is performed by nonexpert surgeons after limited training in the technique. Study Design: Case series. Animals: Dogs (n=30) with intestinal lesions requiring an enterectomy. Methods: Stapled 1‐stage functional end‐to‐end anastomosis and resection using a GIA‐60 and a TA‐55 stapling devices were performed under supervision of senior residents and faculty surgeons by junior surgeons previously trained in the technique on pigs. Procedure duration and technical problems were recorded. Short‐term results were collected during hospitalization and at suture removal. Long‐term outcome was established by clinical and ultrasonographic examinations at least 2 months after surgery and from written questionnaires, completed by owners. Results: Mean±SD procedure duration was 15±12 minutes. Postoperative recovery was uneventful in 25 dogs. One dog had anastomotic leakage, 1 had a localized abscess at the transverse staple line, and 3 dogs developed an incisional abdominal wall abscess. No long‐term complications occurred (follow‐up, 2–32 months). Conclusion: Stapled 1‐stage functional end‐to‐end anastomosis and resection is a fast and safe procedure in the hand of nonexpert but trained surgeons.