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Vet Surg ; 40(2): 216-22, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21223317

ABSTRACT

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.


Subject(s)
Dog Diseases/surgery , Intestinal Obstruction/veterinary , Intestine, Small/surgery , Surgical Stapling/veterinary , Abscess/veterinary , Anastomosis, Surgical/education , Anastomosis, Surgical/methods , Anastomosis, Surgical/veterinary , Anastomotic Leak/veterinary , Animals , Dog Diseases/diagnosis , Dog Diseases/pathology , Dogs , Female , Intestinal Obstruction/diagnosis , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intestine, Small/pathology , Male , Postoperative Care/veterinary , Postoperative Complications/veterinary , Surgical Stapling/education , Surgical Stapling/methods , Treatment Outcome
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