![]() ![]() 1Department of Colorectal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.In: Proceedings from the Society of Veterinary Soft Tissue Surgery June 14-16, 2016 Jackson Hole, WY.Yuanfeng Yang 1,†, Feng Ding 1,†, Tianbao Xu 1,†, Zhen Pan 1, Jinfu Zhuang 1, Xing Liu 1* and Guoxian Guan 1,2* Intra-abdominal complications of intestinal anastomoses in veterinary patients: a comparison of suture and staple techniques in 180 patients. DePompeo CM, Bond L, George YE, et al.Pharmacokinetics of cefazolin for prophylactic administration to dogs. Gonzalez OJ, Renberg WC, Roush JK, KuKanich B, Warner M.Risk factors for leakage following intestinal anastomosis in dogs and cats: 115 cases (1991-2000). Surgical stapling devices in veterinary medicine: a review. Risk factors for dehiscence of stapled functional end-to-end intestinal anastomoses in dogs: 53 cases (2001-2012). One stage functional end-to-end stapled intestinal anastomosis and resection performed by nonexpert surgeons for the treatment of small intestinal obstruction in 30 dogs. Jardel N, Hidalgo A, Leperlier D, et al.Frequency of dehiscence in hand-sutured and stapled intestinal anastomoses in dogs. Duell JR, Thieman Mankin KM, Rochat MC, et al.Open intestinal anastomosis with surgical stapling equipment in 24 dogs and cats. Modified functional end-to-end stapled intestinal anastomosis: technique and clinical results in 15 dogs. The use of disposable skin staples for intestinal resection and anastomosis in 63 dogs: 2000 to 2014. Rosenbaum JM, Coolman BR, Davidson BL, Daly ML, Rexing JF, Eatroff AE.Comparison of skin staples with sutures for anastomosis of the small intestine in dogs. Coolman BR, Ehrhart N, Pijanowski G, Ehrhart EJ, Coolman SL.New techniques of gastrointestinal anastomoses with the EEA stapler. Technics of staple suturing in the gastrointestinal tract. Ex vivo comparison of the biomechanical properties of hand-sewn and stapled jejunoileal anastomoses in horses. Bracamonte JL, Anderson SL, Hendrick S, Barber SM, Deutscher D, Sumner D.Stapled versus handsewn intestinal anastomosis in emergency laparotomy: a systemic review and meta-analysis. Naumann DN, Bhangu A, Kelly M, Bowley DM.The stapled gastrointestinal tract anastomosis: incidence of postoperative complications compared with the sutured anastomosis. Chassin JL, Rifkind KM, Sussman B, et al.A comparison of single layer suture patterns for intestinal anastomosis. Influence of preoperative septic peritonitis and anastomotic technique on the dehiscence of enterectomy sites in dogs: a retrospective review of 210 anastomoses. Davis DJ, Demianiuk RM, Musser J, Podsiedlik M, Hauptman J.16 In a retrospective study examining risk factors specifically related to SFEEA dehiscence, preoperative presence of inflammatory bowel disease, intraoperative hypotension, and resection and anastomosis involving the large intestine were identified as risk factors. Preoperative peritonitis, a serum albumin concentration less than 2.5 g/dL (25 g/L), and presence of an intestinal foreign body are classically reported risk factors for intestinal anastomosis dehiscence following hand-sewn anastomosis. 14 However, in some institutions, the total procedural time saved may result in equivalent overall costs between SFEEA and hand-sewn anastomosis. An additional limiting factor of stapled anastomosis may be financial investment, with SFEEA instruments and staple cartridges costing 15 to 25 times more than suture costs. 12ĭisadvantages of SFEEA as compared with hand-sewn anastomosis include the learning curve required to perform the procedure and the inability to perform this procedure in areas of the GI tract other than the jejunum and ascending duodenum. A multi-institutional retrospective study in dogs demonstrated no significant difference in anastomosis dehiscence rates or decreased procedure time with SFEEA as compared with hand-sewn anastomosis. ![]() 13-15 In addition, severe luminal disparity between 2 cut bowel ends (eg, severe segmental dilation orad to an obstructive foreign body) can be readily resolved via SFEEA. 1,12-14 Potential benefits of SFEEA as compared with hand-sewn anastomosis include reduced procedure time, decreased tissue trauma, decreased intraoperative contamination, consistency and repeatability of the anastomosis, and preservation of blood supply. Studies have been conducted to evaluate the technique and outcome of SFEEA in veterinary medicine. ![]()
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