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[小动物中使用内翻技术且不进行肠壁缝合的肠吻合术]

[Intestinal anastomosis using the invagination technic without intestinal wall sutures in small animals].

作者信息

Kyllar V, Dubská J, Neuhybel P

出版信息

Vet Med (Praha). 1983 Feb;28(2):89-96.

PMID:6405529
Abstract

After resection of a part of the ileac section of the gut, end-to-end anastomosis was performed in fifteen healthy test dogs and two cats by the method of the invagination of the cranial segment of the gut into the caudal segment without gut wall suture. Healing was controlled in several time intervals after operation (by clinical and histopathological examination). The main advantage of this technique is the speed and easiness of operation and a small tissue reaction with the formation of a minimum amount of adhesions, combined with the fact that by this method the passage of the intestines is not reduced. On the basis of the results and literary data, this technique is recommended for clinical use mainly in those cases when, owing to an alteration of the general health state, minimum time is left for an operation and, thereby, for a narcosis. However, the course of healing should be further studied in patients with an indication of enterectomy.

摘要

在切除肠道回肠段的一部分后,通过将肠道头段套入尾段的方法,在15只健康的试验犬和2只猫身上进行了端端吻合术,且未进行肠壁缝合。术后在几个时间间隔内对愈合情况进行了监测(通过临床和组织病理学检查)。该技术的主要优点是手术速度快、操作简便、组织反应小且粘连形成量最少,同时通过这种方法肠道的通畅性不会降低。根据这些结果和文献资料,该技术主要推荐用于临床,特别是在由于总体健康状况改变而留给手术和麻醉的时间最少的情况下。然而,对于有肠切除术指征的患者,愈合过程仍需进一步研究。

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