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ANGIOGRAPHIC EVALUATION OF BOVINE INTESTINAL HEALING FOLLOWING INVERTING, EVERTING, AND END‐ON ANASTOMOSIS
Author(s) -
Singh A. P.,
Singh G. R.,
Bhargava A. K.
Publication year - 1983
Publication title -
veterinary radiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.541
H-Index - 60
eISSN - 1740-8261
pISSN - 0196-3627
DOI - 10.1111/j.1740-8261.1983.tb01712.x
Subject(s) - anastomosis , medicine , angiography , surgery , suture line , fibrous joint , anatomy , surgical anastomosis
Angiography during intestinal healing following single‐layer inverting, everting, and end‐on anastomoses was carried out in 18 calves. Six anastomoses using the same technique were performed in each animal. Six anastomoses, along with one main artery supplying the anastomotic site, were removed from each calf on the first, third, seventh, 15th, 21st, and 28th postoperative days. Angiograms of tubular intestinal segments were obtained after intraarterial infusion of 2–3 ml of sodium iothalamate and lead suspension. Lead‐infused intestinal segments were cut open through the mesenteric border to obtain additional angiograms of flat bowel. Angiograms in the early stage of intestinal healing revealed hypervascularity at the cut edges and an avascular zone at the suture line. These changes were more intense with the everting than with the inverting and end‐on techniques. The sprouting of vessels at the anastomotic junction and their crossing over started on third postoperative day but were clearly visualized only after the seventh postoperative day. By 15–21 days after operation, anastomotic sites were almost completely revascularized for all techniques. Everted anastomosis elicited more intense vascular response and resulted in earlier vascularization than the other two techniques. No appreciable differences in the pattern of revascularization were observed with inverting and end‐on anastomoses. Lead suspension proved to be better than sodium iothalamate for such studies. Angiograms of the open bowel provided more realistic and confirmatory information regarding the sequence of vascular‐changes at the suture line.