Schwartz Z, Coolman B R
Northeast Indiana Veterinary Emergency and Specialty Hospital, Fort Wayne, Indiana 46835, USA.
Mount Laurel Animal Hospital, Mount Laurel, New Jersey, 08054, USA.
J Small Anim Pract. 2018 May;59(5):281-285. doi: 10.1111/jsap.12834. Epub 2018 Apr 4.
To report the use of skin staples alone, and in combination with sutures, for closure of gastrointestinal incisions in cats and to describe outcomes.
Retrospective study of cats that underwent gastrotomy, jejunotomy, jejunal or colonic anastomosis using skin staples alone or in combination with sutures to close the enteric wounds at one referral hospital between 2001 and 2016. Data regarding patient signalment, duration of clinical signs, indication for surgery, diagnosis, haematological and biochemical values, surgical time, procedure, complications and outcome were collected. All the gastrotomies and some of the large intestine incisions were closed in a hybrid technique using two layers (monofilament suture and skin staples). All the small intestine and some of the large intestinal incisions were closed in a single layer using skin staples.
Twenty-nine cats were included in the study. Indications for surgery included foreign body (14/29), neoplasia (6/29) and idiopathic megacolon (9/29). Overall, 26 of 29 (~90%) of cases survived to discharge. One cat had postoperative cardiopulmonary arrest, and 2/29 cats were euthanased at the owner's request. There was no evidence of incisional dehiscence in any case.
Skin staplers are safe, reliable, affordable and effective for closure of gastrointestinal incisions in cats. We found skin staples can be a useful tool in closure of gastrotomies and large intestinal resection and anastomosis procedures in cats.
报告单独使用皮肤吻合钉以及联合缝线用于闭合猫胃肠道切口的情况，并描述其结果。
对2001年至2016年期间在一家转诊医院接受胃切开术、空肠切开术、空肠或结肠吻合术的猫进行回顾性研究，这些猫单独使用皮肤吻合钉或联合缝线来闭合肠道伤口。收集有关患猫的信号、临床症状持续时间、手术指征、诊断、血液学和生化值、手术时间、手术步骤、并发症及结果的数据。所有胃切开术和部分大肠切口采用两层（单丝缝线和皮肤吻合钉）混合技术闭合。所有小肠和部分大肠切口采用单层皮肤吻合钉闭合。
29只猫纳入研究。手术指征包括异物（14/29）、肿瘤（6/29）和特发性巨结肠（9/29）。总体而言，29例中有26例（约90%）存活至出院。1只猫术后发生心肺骤停，2/29只猫应主人要求实施安乐死。所有病例均无切口裂开的迹象。
皮肤吻合器对于闭合猫的胃肠道切口安全、可靠、经济且有效。我们发现皮肤吻合钉在闭合猫的胃切开术以及大肠切除和吻合手术中是一种有用的工具。
