Ex Vivo Anatomical Characterization of Handsewn or Stapled Jejunocecal Anastomosis in Horses by Computed Tomography Scan.
Abstract: The aim of this study is to compare handsewn and stapled jejunocecal anastomosis with different stomal lengths in terms of anatomical differences. Group 1 underwent a two-layer handsewn jejunocecal side-to-side anastomosis (HS); Group 2 received a stapled jejunocecal side-to-side anastomosis (GIA). Each group was divided into two subgroups (HS80 and HS100, GIA80 and GIA100). Specimens were inflated and CT scanned. The stomal/jejunal area ratio and blind end pouch volume/area were measured and compared. Effective length of the stoma was measured and compared with the initial length. Stomal/jejunal area ratio was 1.1 for both 80 techniques, 1.6 for the GIA100, and 1.9 for the HS100 technique. Both HS and GIA techniques produced a blind end pouch and exhibited a mean increase of the final stomal length ranging from 6 to 11% greater than the original stomal length. All techniques will exhibit a length increase of the final stomal length compared to the intended stomal length, with a consequent increase in stomal area. Stapled techniques consistently produced a large distal blind end pouch. Length of a jejunocecal anastomosis should be selected in accordance with the diameter of afferent jejunum, and the 80 mm stomal length could be deemed sufficient in horses.
Publication Date: 2014-12-03 PubMed ID: 26464922PubMed Central: PMC4590882DOI: 10.1155/2014/234738Google Scholar: Lookup
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Summary
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The research article details a study conducted to compare the anatomical differences between handsewn and stapled jejunocecal anastomosis (a surgical connection between two parts of the intestine) in horses, specifically examining different lengths of the connection.
Methodology
- The horses were divided into two primary groups: one underwent a handsewn side-to-side jejunocecal anastomosis (HS), while the other received a stapled side-to-side jejunocecal anastomosis (GIA).
- These groups were further divided into subgroups: HS80 and HS100 for handsewn anastomosis groups, and GIA80 and GIA100 for stapled anastomosis groups.
- Specimens were then inflated and subjected to a CT scan for further analysis and measurements.
Measurements and Findings
- The stomal/jejunal area ratio, the blind end pouch volume/area, and the effective length of the stoma were measured and compared across all groups and subgroups.
- The stomal/jejunal area ratio remained same for both 80 techniques (1.1), but was higher for GIA100 (1.6) and highest for HS100 (1.9).
- Both HS and GIA techniques turned out to create a blind end pouch.
- The final length of the stoma in all examined cases showed a mean increase from 6 to 11% more than the initially intended stomal length.
Conclusions
- The research concluded that any technique used for the jejunocecal anastomosis will result in an increase of the final stoma’s length, therefore leading to a consequent rise in the stomal area.
- Stapled techniques were found to consistently form a larger distal blind end pouch compared to handsewn techniques.
- The study also recommended that the chosen length of a jejunocecal anastomosis should be aligned with the diameter of the afferent jejunum, suggesting that an 80 mm stomal length could be seen as sufficient for horses.
Cite This Article
APA
Giusto G, Iotti B, Sammartano F, Valazza A, Gandini M.
(2014).
Ex Vivo Anatomical Characterization of Handsewn or Stapled Jejunocecal Anastomosis in Horses by Computed Tomography Scan.
J Vet Med, 2014, 234738.
https://doi.org/10.1155/2014/234738 Publication
Researcher Affiliations
- Department of Veterinary Sciences, University of Turin, Largo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Braccini 2-5, 10095 Grugliasco, Italy.
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