Peer-reviewed veterinary case report
A potential technique error in stapled side-to-side anastomosis of the small intestine of the horse.
- Journal:
- Veterinary surgery : VS
- Year:
- 1987
- Authors:
- Mackey, V S et al.
- Affiliation:
- Veterinary Medical Teaching Hospital · United States
- Species:
- horse
Plain-English summary
In a study involving a horse, researchers looked into a problem that occurred during a surgical procedure to connect two parts of the small intestine. They used a special stapling tool to join the sides of the intestine, but they found that when the sides were joined in a certain way, there was a risk of leakage at the staple lines. To investigate this, they performed six surgeries on the intestine of one horse, using two different methods to join the bowel segments. They discovered that the method where the sides were connected had defects that could lead to leakage, while the other method did not show any issues. This suggests that the way the intestine is joined can significantly affect the success of the surgery.
Abstract
Anastomotic leakage was noted to occur at the junction of the staple lines used to create the stoma during small intestine side-to-side anastomosis. The anastomosis was performed in a clinical equine patient by joining the lateral surfaces of the intestinal segments using a gastrointestinal anastomosis stapling instrument (GIA). The cause of this problem was investigated by performing six anastomoses in the jejunum of a single anesthetized adult horse using the GIA; three anastomoses were created by joining the antimesenteric edges of the bowel segments and three anastomoses were created by joining the lateral surfaces of the bowel segments. Bowel segments were then dissected to examine the stoma and the integrity of the staple lines. No defects were detected in anastomoses performed by joining the antimesenteric edges. Anastomoses performed by joining the lateral surfaces all had a defect at the junction of the double rows of staples used to create the stoma. Such defects would have allowed leakage of fluid and/or ingesta at the anastomotic site.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/3507140/