An Experimental Contribution to Intestinal Surgery With Special Reference to the Treatment of Intestinal Obstruction

Senn, Nicholas

doi:10.1097/00000658-188801000-00019

Cited by 25 publications

(11 citation statements)

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“…After experiments in dogs, Senn declared in 1888 that the “omentum should be used to protect intestinal anastomoses,” and, in 1906, Morison coined the term “abdominal policeman.” A vascularized omental pedicle helps to seal the wound edge, restore blood supply, and facilitate lymphatic drainage . However, free nonvascularized omental grafts are detrimental.…”

Section: Importance Of Omentum In Intestinal Healingmentioning

confidence: 99%

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

2019

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Intestinal wounds require precise closure after intestinal biopsy, enterotomy, or enterectomy in small animals. Preexisting factors such as intra‐abdominal sepsis and hypoalbuminemia as well as poor surgical technique increase the risk of intestinal dehiscence, with considerable negative impact on patient morbidity and mortality. Live dog studies have demonstrated the dangers of mucosal eversion especially in the septic abdomen. Approximating patterns preserve luminal diameter, heal optimally, and have equal bursting strength compared with inverting patterns after 24 hours. Simple interrupted and simple continuous suture patterns and disposable skin staples are established alternatives for manual wound closure. Knotless quilled suture currently used in laparoscopic gastropexy techniques shows bursting strength equal to monofilament sutures in dog cadaveric intestine. Dehiscence rates with hand sewn vs titanium automated stapling anastomosis are similar in uncomplicated cases; however, auto stapling devices may be the preferred method of anastomosis when preexisting abdominal sepsis is present and when patient size allows it. Regardless of the technique, current standard of care involves leak testing and omental wrapping, followed by early postoperative feeding. The past decade has ushered in an exciting new era of laparoscopic assisted techniques that have the potential to reduce postoperative pain and patient morbidity. An understanding of these applications will establish the future of minimally invasive small animal intestinal surgery for veterinary specialists. In summary, surgeons have a variety of methods at their disposal for optimal clinical outcome in small animal intestinal surgery.

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Section: Importance Of Omentum In Intestinal Healingmentioning

confidence: 99%

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

2019

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“…İlk kez Senn, 1888'de aşırı bağırsak rezeksiyonu sonrası diyare ve malabsorpsiyonu tanımlamıştır (5) . O günden bu yana bu sendrom anlaşılmaya, tedavi edilmeye çalışılmaktadır.…”

Section: Tarihçeunclassified

Intestinal Failure/Nontransplant surgical interventions for short bowel syndrome

Çelik¹

2017

tcdd

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Öz GirişBağırsak sisteminin bireyin besin alımı ve sıvı dengesini sağlamada yetersiz kaldığı durumlara bağırsak yetmezliği adı verilmektedir. Bağırsak uzunluğunun azaldığı, ileoçekal valvin olmadığı, kolonun kaybedildiği gibi uzunluk kayıpları veya mukozal yetmezlik, dismotilite veya aktif enterit gibi besin emiliminin mümkün olmadığı durumlarda birey kalıcı veya uzun süreli total parenteral beslenmeye mecbur kalabilmektedir (1) . "Büyüme için gerekli sıvı ve besinlerin sindirimi ve emilimi için yeterli miktarda fonksiyonel bağırsak kalmaması" pediatrik bağırsak yetmezliğinin modern tanımlamasıdır. Bir başka tanımda ise, büyüme, hidrasyon ve elektrolit homeostazının bozulmasına neden olan bağırsak hastalığı olarak genellenebilmektedir.

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“…Chromic catgut should never be used in feline GI tract surgery as it usually causes a severe inflammatory response, which can lead to severe fibrosis and marked intestinal narrowing. 16,25,26…”

Section: Healing Processes and Implications For Suturingmentioning

confidence: 99%

“…Tubular EEA stapling can be carried out transcaecally 25 or transrectally 37 in cats. In 15 cats that underwent the ‘single surgical field’ transcaecal approach there were no long-term complications.…”

Section: Alternatives To Suturing For Anastomosismentioning

confidence: 99%

Feline Gastrointestinal Surgery

Williams

2014

Journal of Feline Medicine and Surgery

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An Experimental Contribution to Intestinal Surgery With Special Reference to the Treatment of Intestinal Obstruction

Cited by 25 publications

References 0 publications

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

Intestinal Failure/Nontransplant surgical interventions for short bowel syndrome

Feline Gastrointestinal Surgery

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