Comparison of two jejunal anastomosis techniques in dogs treated preoperatively with dexamethasone

Al-Qadhi, Ahmed S.; Al-Hasan, A. M.

doi:10.33899/ijvs.2013.82805

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…Minor stenosis was shown in group two and this may be attributable to the effect of the graft that led to the formation of little adhesions and thus the occurrence of slight stenosis. This result agreed with previous studies [18,33], which indicated that utilizing the biological barrier to cover the anastomotic place reduces adhesions and stenosis. In addition, in my opinion, the degradation and absorption of the graft in the treatment group led to reducing the pressure at the area of anastomosis and thereby reduced the grade of narrowing 15 days after the operation compared with day 7 th post-operation.…”

Section: Discussionsupporting

confidence: 93%

“…Moreover, on day 7 after anastomosis surgery, the mean stenosis of the two groups was lower compared to the 15 days after the operation and this result was similar to that described previously [33]. There have been numerous experimental studies on anastomotic site bursting pressure measurement; Bp is an effective criterion for assessing the anastomotic strength and its healing integrity [33]. The Bp value among the peritoneal graft-coated group and control group at 15 th days post-operation was significantly different, which indicates that the coating of the injured site of the anastomosis with peritoneal graft increased the strength of the anastomotic site.…”

Section: Discussionsupporting

confidence: 90%

“…This result agrees with previous work [18] indicating that graft degradation promotes the expression of many inductive proteins that lead to quicker tissue regeneration. Moreover, on day 7 after anastomosis surgery, the mean stenosis of the two groups was lower compared to the 15 days after the operation and this result was similar to that described previously [33]. There have been numerous experimental studies on anastomotic site bursting pressure measurement; Bp is an effective criterion for assessing the anastomotic strength and its healing integrity [33].…”

Section: Discussionsupporting

confidence: 84%

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Effect of Peritoneum Graft on Intestinal Anastomosis Healing After Deserosalization in Dogs

Alawi

Alkattan

AL-Taee

2023

Egyptian Journal of Veterinary Sciences

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T HE trauma and damage of the intestinal serosa layer resulted in serious complications. To solute these problems, many substances were used to cover up the affected serosa. This study demonstrated the possibility of using an autogenous peritoneal layer as an implant to overcome the complications of serosal layer damage at the anastomotic area. The study was conducted on twenty-four healthy adult local breed dogs. The serosal layer of the jejunum was removed and then a complete circumferential cut was made in the intestinal wall. The dogs were randomly allocated into two equal groups (n=12 each). In the control group, end-to-end jejunum anastomosis was done by a simple interrupted suturing technique. In the peritoneal group, the area of the anastomosis was sutured as the first group and wrapped by the peritoneum. After 15 days of surgery, both gross and histopathological investigations were studied. Correspondingly, radiographical investigation and bursting pressure test were performed on the 7 th and 15 th postsurgery. By comparison with the control group, the application of autologous peritoneal graft revealed an efficacious and beneficial effect on the healing process of the intestinal anastomotic site. The healing process in the peritoneal graft group was characterized by rapid mucosal re-epithelization, enhanced collagen fiber formation, and organization, no leakage, reduced adhesions and stenosis, and increased bursting pressure.In conclusion, wrapping of intestinal anastomosis area with an autologous peritoneal layer after serosal damage is a beneficial and effectual technique without severe complications.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%