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Peer-reviewed veterinary case report

Dog duodenal injury repair compared using two jejunal flap methods

By Ziaian, Bizhan et al.·Published in JPMA. The Journal of the Pakistan Medical Association·2014·View original on PubMed

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Original publication title: Assessing two methods of repair of duodenal defects, jejunal serosal patch and jejunal pedicled flap, (an experimental animal study).

Species:
dog
Stomach & digestionDogs

Plain-English summary

Ten mixed-breed male dogs, aged 12 to 16 months, underwent surgery to repair large injuries in their small intestines (duodenal defects). One group had their injuries repaired using a jejunal pedicled flap, while the other group received a jejunal serosal patch. All dogs recovered well from the surgery without any serious complications like leaks or infections. The dogs that had the jejunal pedicled flap showed better healing results under the microscope compared to those with the serosal patch.

People also search for: dog intestinal surgery recovery · duodenal injury treatment in dogs · jejunal flap surgery for dogs

Abstract

OBJECTIVE: To evaluate the outcomes of jejunal serosal patch and jejunal pedicled flap procedures for the repair of duodenal injuries. METHODS: The experimental animal-model study was conducted at Shiraz University of Medical Sciences, Iran, in February 2013. Ten mixed-breed male dogs were selected and randomly divided into groups A and B. After general anaesthesia, a large duodenal defect was created in all animals. The defect was repaired with jejunal pedicled flap in group A and jejunal serosal patch in group B. Microscopic healing was scored according to epithelialisation, collagenisation, inflammation, ulcer and necrosis of samples. Kolmogorov-Smirnov and independent t-test were used to indicate normal distributions of data and statistical differences between the two groups respectively. RESULTS: The weight of the animals ranged between 23 and 37 kg and the age range was 12-16 months. All dogs survived the procedures. Anastomotic leakage, intra-abdominal abscess or intestinal obstructions were not detected in gross examination. Healing score was significantly higher in the group A than group B (p < 0.011). However, in terms of surgical findings, no significant difference was detected between the groups (p > 0.05). CONCLUSION: Applying jejunal pedicled flap for repairing large duodenal defects would lead to better histologic outcomes compared to jejunal serosal patch in dogs.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25252516/