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一种改良的马匹广泛大肠切除与吻合技术。

A modified technique for extensive large colon resection and anastomosis in horses.

作者信息

Hughes F E, Slone D E

机构信息

Slone Equine Hospital, Ocala, FL, USA.

出版信息

Vet Surg. 1998 Mar-Apr;27(2):127-31. doi: 10.1111/j.1532-950x.1998.tb00108.x.

Abstract

OBJECTIVE

To describe an alternative technique for large colon resection and anastomosis in horses.

STUDY DESIGN

Retrospective study of clinical patients.

ANIMAL POPULATION

37 horses that had ventral midline celiotomies between July 1, 1990, and July 1, 1994.

METHODS

Large colon resection and anastomosis was performed using a modification of previously described techniques. Modifications include mesocolon ligation with a stapling device and an end-to-end apposition of the right ventral and right dorsal colon.

RESULTS

Twenty-one of the 37 horses were discharged from the hospital without complications. Two horses were euthanatized immediately after recovery from anesthesia because of hindlimb fracture. Fourteen horses were euthanatized in the initial postoperative period because of persistent endotoxemia and abdominal pain.

CONCLUSIONS

The described technique is a safe, reliable method for large colon resection and anastomosis in horses.

CLINICAL RELEVANCE

The described technique is fairly simple to perform and requires less surgical time compared with other techniques.

摘要

目的

描述一种马大结肠切除与吻合的替代技术。

研究设计

对临床病例的回顾性研究。

动物群体

1990年7月1日至1994年7月1日期间接受腹中线剖腹术的37匹马。

方法

采用对先前描述技术的改良进行大结肠切除与吻合。改良包括用吻合器结扎结肠系膜以及右腹侧结肠与右背侧结肠端端对合。

结果

37匹马中有21匹无并发症出院。两匹马在麻醉恢复后因后肢骨折立即实施安乐死。14匹马在术后初期因持续性内毒素血症和腹痛实施安乐死。

结论

所描述的技术是马大结肠切除与吻合的一种安全、可靠的方法。

临床意义

所描述的技术操作相当简单,与其他技术相比所需手术时间更少。

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