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In vitro comparison of a single-layer (continuous Lembert) versus two-layer (simple continuous/Cushing) hand-sewn end-to-end jejunoileal anastomosis in normal equine small intestine.
- Source :
-
Veterinary surgery : VS [Vet Surg] 2012 Jul; Vol. 41 (5), pp. 589-93. Date of Electronic Publication: 2012 Jun 25. - Publication Year :
- 2012
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Abstract
- Objectives: To compare in vitro physical and mechanical characteristics of 1-layer and 2-layer end-to-end jejunoileostomy.<br />Study Design: In vitro experimental study.<br />Animals: Adult horses (n = 6).<br />Methods: Harvested equine jejunum and ileum was used to create 1- and 2-layer end-to-end jejunoileostomy specimens. Construction time, bursting pressure, and relative lumen diameter (anastomosis diameter expressed as a percentage of the lumen diameter of adjacent jejunum and ileum) were compared. Construction time and relative lumen diameters were compared using a paired t-test. Bursting pressure for anastomoses and control jejunal segments were compared using a repeated-measure ANOVA. Statistical significance was set at P < .05.<br />Results: Mean (± SEM) construct completion times were shorter for 1 layer (21 ± 0.91 minutes) than 2 layers (26.71 ± 1.16 minutes; P = .005). Relative lumen diameters (percentage of jejunal diameter) were larger for 1 layer (77.67 ± 4.46%) than for 2 layers (69.37 ± 2.8%; P = .035). There were no significant differences in bursting pressures between the 2 groups and the control jejunum (P =.155) or relative lumen diameters (percentage of ileal diameter; P =.118).<br />Conclusions: One-layer jejunoileostomy can be created in a shorter time and maintain a larger anastomosis luminal diameter without compromising maximum bursting pressure when compared to 2-layer jejunoileostomy.<br /> (Copyright 2012 by The American College of Veterinary Surgeons.)
Details
- Language :
- English
- ISSN :
- 1532-950X
- Volume :
- 41
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Veterinary surgery : VS
- Publication Type :
- Academic Journal
- Accession number :
- 22731983
- Full Text :
- https://doi.org/10.1111/j.1532-950X.2012.00997.x