Rosser Julie, Brounts Sabrina, Slone Don, Lynch Tim, Livesey Michael, Hughes Faith, Clark Carol
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Wisconsin, USA.
Can Vet J. 2012 Jun;53(6):643-7.
Our objective was to compare survival and complication rates of horses undergoing pelvic flexure enterotomy closure with a TA-90 stapler to those with hand-sewn closure. Medical records of horses undergoing pelvic flexure enterotomy between 2001 and 2008 were reviewed. History, clinical signs, surgical findings, surgical techniques, and post-operative complications were recorded. Long-term outcome was established by telephone questionnaire. Of 84 pelvic flexure enterotomies performed, 70 were stapled and 14 were hand-sewn. Seventy-seven horses survived to discharge (91.7%). There were no significant associations between survival and closure technique (P = 0.69). Follow-up was available for 54 horses; 50 survived long-term (93.0%). No statistical significance was identified between long-term survival and closure method (P = 0.39). Forty horses went on to athletic performance (80.0%). TA-90 stapled closure of pelvic flexure enterotomies is a safe technique resulting in survival and complication rates equivalent to those of hand-sewn closure.
我们的目的是比较使用TA - 90吻合器闭合骨盆曲部肠切开术的马匹与手工缝合闭合的马匹的生存率和并发症发生率。回顾了2001年至2008年间接受骨盆曲部肠切开术的马匹的病历。记录病史、临床症状、手术发现、手术技术和术后并发症。通过电话问卷调查确定长期结果。在84例骨盆曲部肠切开术中，70例采用吻合器闭合，14例采用手工缝合。77匹马存活至出院(91.7%)。生存率与闭合技术之间无显著相关性(P = 0.69)。54匹马有随访记录；50匹马长期存活(93.0%)。长期生存率与闭合方法之间无统计学意义(P = 0.39)。40匹马恢复了运动能力(80.0%)。使用TA - 90吻合器闭合骨盆曲部肠切开术是一种安全的技术，其生存率和并发症发生率与手工缝合相当。
