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 (n=6). 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 (P= 05), increased length of reduced peristomal jejunal diameter (P= 05), surgical time (P= 003), and serosal fibrosis (P= 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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 479-486 |
| Number of pages | 8 |
| Journal | Veterinary Surgery |
| Volume | 43 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2014 |
| Externally published | Yes |
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ASJC Scopus subject areas
- veterinary(all)
- Medicine(all)
Cite this
Evaluation of the effect of onlay mesenteric flaps on end-to-end jejunojejunostomy healing in horses. / Aristizabal, Fabio A.; Lopes, Marco Aurélio; Silva, Adriana; Avanza, Marcel Ferreira; Nieto, Jorge.
In: Veterinary Surgery, Vol. 43, No. 4, 2014, p. 479-486.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Evaluation of the effect of onlay mesenteric flaps on end-to-end jejunojejunostomy healing in horses
AU - Aristizabal, Fabio A.
AU - Lopes, Marco Aurélio
AU - Silva, Adriana
AU - Avanza, Marcel Ferreira
AU - Nieto, Jorge
PY - 2014
Y1 - 2014
N2 - 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 (n=6). 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 (P= 05), increased length of reduced peristomal jejunal diameter (P= 05), surgical time (P= 003), and serosal fibrosis (P= 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.
AB - 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 (n=6). 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 (P= 05), increased length of reduced peristomal jejunal diameter (P= 05), surgical time (P= 003), and serosal fibrosis (P= 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.
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U2 - 10.1111/j.1532-950X.2014.12120.x
DO - 10.1111/j.1532-950X.2014.12120.x
M3 - Article
VL - 43
SP - 479
EP - 486
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 4
ER -