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https://hdl.handle.net/2440/115734
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Type: | Journal article |
Title: | Evaluation of the effect of onlay mesenteric flaps on end-to-end jejunojejunostomy healing in horses |
Author: | Aristizabal, F.A. Lopes, M.A. Silva, A. Avanza, M.F. Nieto, J.E. |
Citation: | Veterinary Surgery, 2014; 43(4):479-486 |
Publisher: | The American College of Veterinary Surgeons |
Issue Date: | 2014 |
ISSN: | 0161-3499 1532-950X |
Statement of Responsibility: | Fabio A. Aristizabal, Marco Aurélio Lopes, Adriana Silva, Marcel Ferreira Avanza and Jorge E. Nieto |
Abstract: | Objective: To evaluate the effect of onlay mesenteric flaps (MFs) with end‐to‐end jejunojejunostomy on stomal diameter, length of jejunum with reduced stomal diameter, abdominal adhesion formation, and healing. Study Design: Experimental study. Animals: Healthy adult horses (n¼6). Methods: Two hand sewn end‐to‐end jejunal anastomoses using a 1 layer simple continuous serosubmucosal suture pattern were performed in each horse ∼2 and 5m oral to the ileocecal fold. Using a random design for selection anastomosis location (oral or aboral), 1 anastomosis was covered with 2 adjacent onlay MFs secured with interrupted sutures and cyanoacrylate glue. Two weeks later, adhesion formation, stomal diameter, length of reduced jejunal stomal diameter, and healing were evaluated. Results: Use of onlay MFs decreased stomal diameter (P¼.05), increased length of reduced peristomal jejunal diameter (P¼.05), surgical time (P¼.003), and serosal fibrosis (P¼.05). No difference was evident for adhesion formation, and degree of inflammation between techniques. Conclusion: End‐to‐end jejunojejunostomy covered with 2 onlay MFs is not recommended because this technique results in luminal reduction. |
Rights: | © Copyright 2014 by The American College of Veterinary Surgeons |
DOI: | 10.1111/j.1532-950X.2014.12120.x |
Published version: | http://dx.doi.org/10.1111/j.1532-950x.2014.12120.x |
Appears in Collections: | Animal and Veterinary Sciences publications Aurora harvest 8 |
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