Evaluation of intraoperative leak testing of small intestinal anastomoses performed by hand-sewn and stapled techniques in dogs: 131 cases (2008–2019)

2021 ◽  
Vol 258 (9) ◽  
pp. 991-998
Author(s):  
Kaitlyn M. Mullen ◽  
Penny J. Regier ◽  
William A. Fox-Alvarez ◽  
Joseph B. Case ◽  
Gary W. Ellison ◽  
...  
Keyword(s):  
Intestinal Anastomoses ◽  
Leak Testing ◽  
Small Intestinal

CHOICE OF SURGERY TACTICS IN PATIENTS WITH HIGH RISK OF ANASTOMOTIC LEAK DEVELOPMENT

2020 ◽  
pp. 25-28
Author(s):  
M. Ye. Tymchenko
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Intestinal Resection ◽  
Surgery Complications ◽  
Intestinal Anastomoses ◽  
Post Surgery ◽  
Intestinal Stoma ◽  
Small Intestinal ◽  
Surgical Tactics

Intestinal resection is one of the most common surgeries performed on urgent indications, the most difficult is the decision in favor of the formation of primary anastomosis in the case of primary infection of abdominal cavity, multiple defects of the intestinal wall, as well as the general serious condition of a patient. In order to improve the methods of diagnosis and prevention of post−surgery complications, as well as personification of surgical tactics of treatment in the patients undergoing anastomotic surgeries in intestine, the results of treatment of 96 patients were analyzed. The level of serum cryoglobulins was determined by the method of A. E. Kalovidoris with modifications. The results of surgical treatment were evaluated according to the classification of D. Dindo et al. (2004). The use of cryoglobulin levels before surgery can significantly affect surgical tactics: at a low degree it is possible to perform resection of a segment of small intestine with the formation of primary small intestinal anastomoses; at average − it is possible to perform small−intestinal anastomoses with unloading intestinal stoma or with the location of the anastomosis extraperitoneally (if possible) and decompression of the anastomosis with an incubation probe; at high − it is expedient to supplement performance of an anastomosis with a variant of an enterostomy or "delayed" anastomoses, at a severe general condition of patients it is expedient to form final small intestinal stoma. Determining the level of cryoglobulinemia as a marker of the prognosis of failure of the sutures of intestinal anastomoses and the use of differentiated surgical tactics depending on the level of this index contributes to a significant improvement in direct results of surgical treatment of the patients undergoing resection of small intestine segments. The proposed tactics virtually eliminate the implementation of multi−stage surgical interventions and helps to reduce the duration of treatment of patients, reduce the level of post−surgery complications and mortality. Key words: cryoglobulinemia, surgical treatment, small intestine, anastomoses.

Breaking strength of small intestinal anastomoses

1983 ◽  
Vol 145 (6) ◽  
pp. 800-803 ◽  
Author(s):  
Kent Jönsson ◽  
Hasse Jiborn ◽  
Bengt Zederfeldt
Keyword(s):  
Breaking Strength ◽  
Intestinal Anastomoses ◽  
Small Intestinal

Influence of local hyperthermia on the healing of small intestinal anastomoses in the rat

1991 ◽  
Vol 78 (7) ◽  
pp. 890-890 ◽  
Author(s):  
A. M. Kappas ◽  
K. Papadimitriou ◽  
M. Fatouros ◽  
D. Cassioumis
Keyword(s):  
Intestinal Anastomoses ◽  
Local Hyperthermia ◽  
Small Intestinal

Effects of a surgical sealant on leakage pressure and circumference of fresh canine cadaver small intestinal anastomoses

2018 ◽  
Vol 79 (12) ◽  
pp. 1335-1340 ◽  
Author(s):  
Liliana M. Mutascio ◽  
Gert J. Breur ◽  
George E. Moore ◽  
Micha C. Simons
Keyword(s):  
Intestinal Anastomoses ◽  
Surgical Sealant ◽  
Small Intestinal

Poly-ε-caprolactone scaffold for the reinforcement of stapled small intestinal anastomoses: a randomized experimental study

2019 ◽  
Vol 404 (8) ◽  
pp. 1009-1016
Author(s):  
K. D. Larsen ◽  
M. Westerholt ◽  
G. I. Madsen ◽  
D. Q. S. Le ◽  
Niels Qvist ◽  
...  
Keyword(s):  
Experimental Study ◽  
Intestinal Anastomoses ◽  
Small Intestinal

INVESTIGATION OF TEAR-OUT BEHAVIOR OF SMALL INTESTINAL ANASTOMOSES INTRODUCING A NEW STANDARDIZATION OF THE MEASUREMENT PROCEDURE

2013 ◽  
Vol 13 (01) ◽  
pp. 1350016
Author(s):  
K. GESTER ◽  
K.-T. VON TROTHA ◽  
N. BUTZ ◽  
U. P. NEUMANN ◽  
T. SCHMITZ-RODE ◽  
...  
Keyword(s):  
Small Intestine ◽  
Measurement Procedure ◽  
Fixed Number ◽  
Type I ◽  
High Grade ◽  
Intestinal Anastomoses ◽  
Significant Dependence ◽  
Sample Edge ◽  
Edge Distance ◽  
Small Intestinal

Purpose: The goal of the study was to investigate the influence of independently varied parameters on the tear-out force of small intestinal anastomoses of abattoir pigs using methods which provide a high grade of standardization and reproducibility. Methods: The tear-out force of sutured small intestine tissue was recorded, while independently varying the thread type (I), the number of stitches (II), the stitch-to-stitch distance (III), and the stitch to sample-edge distance (IV). Results: The tear-out force was shown to be significantly higher when using Vicryl 3-0 in comparison to PDS II 3-0, the significance being highest for small numbers of stitches. Given a fixed number of stitches, small stitch-to-stitch (stitch-to-edge) distances <~5.0 mm yield a significantly lower tear-out force than larger stitch-to-stitch distances. Conclusion: Standardization of methods used in the investigation of anastomoses of the small intestine is desirable and shown to be possible. Significant dependence of the tear-out force on some of the investigated parameters can be observed.

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