Peer-reviewed veterinary case report
Repairing large duodenal injuries in dogs with Gore-Tex patch
By Nikeghbalian, Saman et al.·Published in The Journal of surgical research·2008·Nemazee Hospital·View original on PubMed →
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Original publication title: Repairing large duodenal injuries in dogs by expanded polytetrafluoroethylene patch.
- Species:
- dog
Plain-English summary
A group of 20 dogs with serious injuries to the duodenum (part of the small intestine) underwent surgery to repair large defects. The veterinarians used a special soft-tissue patch made from expanded polytetrafluoroethylene (ePTFE) and compared its effectiveness to a traditional method using a jejunal serosal patch. Both methods showed similar success rates, with most dogs recovering well and developing healthy tissue over the grafts within six weeks. The ePTFE patch proved to be a reliable option for repairing these challenging injuries without causing significant complications.
People also search for: dog duodenal injury treatment · ePTFE patch for dogs · dog intestinal surgery recovery
Abstract
BACKGROUND: One of the most challenging problems in clinical surgery is management of injured duodenum. In this experimental study, we treated large duodenal defects by an expanded polytetrafluoroethylene (ePTFE, Gore-Tex; W.L. Gore, Elkton, MD) soft-tissue patch and compared it with the jejunal serosal patch. MATERIALS AND METHODS: A duodenal defect (about 50% of the total circumference) was created in the second portion of the duodenum in 20 dogs. The effectiveness and gross and histological examinations of the ePTFE patch technique was compared with the jejunal serosal patch. RESULTS: No significant difference was found in early survival rates (90.9% versus 88.9%; P = 0.711). The whole grafted area was covered by neomucosa at the end of the sixth week in all animals with the ePTFE patch. The scar was small; no significant narrowing of lumen was noted and serosal healing was uniformly complete. In histological examination, complete coverage of the ePTFE grafts by neomucosa consisting of columnar epithelium with short villous formations was observed. CONCLUSION: Use of the ePTFE patch method is easy, reliable, and comparable to the jejunal serosal patch. It can be used in the treatment of large duodenal defects, which cannot be repaired by duodenorraphy.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17727887/