Tanno F, Weber U, Wacker C, Gaschen L, Schmid V, Lang J
Department of Surgery and Orthopedics, University of Bern, Switzerland.
J Small Anim Pract. 1998 Sep;39(9):432-6. doi: 10.1111/j.1748-5827.1998.tb03751.x.
Ultrasonography was used to compare adhesions induced by two different methods of gastropexy in 16 dogs. An incisional gastropexy technique was used in eight dogs (group 1) and a 'modified' gastropexy technique in the remaining eight (group 2). The length and thickness of the gastropexy and the peristaltic activity of the stomach were measured ultrasonographically and compared between groups. Measurements for the two groups were taken in the early postoperative interval (two to four days), intermediate postoperative interval (eight to 20 days) and late postoperative interval (57 to 79 days). Both techniques were equally successful in forming permanent adhesions at two months postoperatively and there was no recurrence of gastric dilatation and volvulus. The length and thickness of the gastropexy were similar for both groups at two months postoperatively and there were no surgical complications with either technique. The modified gastropexy provides a technique that can easily be performed by a single surgeon, with no increased operative time or duration of anaesthesia, and with the formation of a permanent adhesion.
采用超声检查法比较了16只犬两种不同胃固定术所导致的粘连情况。8只犬采用切口胃固定术(第1组),其余8只犬采用“改良”胃固定术(第2组)。通过超声测量胃固定术的长度和厚度以及胃的蠕动活动,并在两组之间进行比较。在术后早期(2至4天)、中期(8至20天)和后期(57至79天)对两组进行测量。两种技术在术后两个月形成永久性粘连方面同样成功,且未出现胃扩张和扭转复发情况。术后两个月两组胃固定术的长度和厚度相似,两种技术均未出现手术并发症。改良胃固定术提供了一种可由单一外科医生轻松实施的技术,不增加手术时间或麻醉时长,且能形成永久性粘连。