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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.

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Article
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Jardel, Nicolas ; Hidalgo, Antoine ; Leperlier, Dimitri ; Manassero, Mathieu ; Gomes, A. ; Bedu, Anne-Sophie ; Moissonnier, Pierre ; Fayolle, Pascal ; Begon, Dominque ; Riquois, S. ; Viateau, Véronique

Veterinary surgery

Department of Small Animal Surgery, Service de chirurgie de l'école vétérinaire de Maisons-Alfort, Maisons-Alfort, France.

2011

Article

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.
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