Document Detail


Comparison of single layer staple closure versus double layer hand-sewn closure for equine pelvic flexure enterotomy.
MedLine Citation:
PMID:  23204588     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our objective was to compare thoracoabdominal (TA Premium™ 90) stapled enterotomy closure to traditional hand-sewn closure, using time to perform the technique, luminal diameter, and bursting pressure in ex-vivo specimens. The pelvic flexures of 13 client-owned horses were harvested. Each pelvic flexure had 1 enterotomy performed; 6 were closed via staples, 7 closures were hand-sewn. Luminal diameter at the enterotomy site was assessed via contrast radiography performed pre-and post-enterotomy. Bursting pressure of the closure was assessed by continuous manometry during rapid infusion. Time to perform stapled closure was significantly shorter than hand-sewn closure (P < 0.0001). Percent reduction of luminal diameters was significantly decreased in stapled specimens (P = 0.034). There was no significant difference in bursting strength between closure techniques (P = 0.196). In conclusion, stapled enterotomy closure offers statistically significant reduction in closure time and better maintains pre-enterotomy luminal diameter without reducing biomechanical strength, compared to a double layer hand-sewn closure.
Authors:
Julie M Rosser; Sabrina Brounts; Michael Livesey; Kerri Wiedmeyer
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Canadian veterinary journal. La revue vétérinaire canadienne     Volume:  53     ISSN:  0008-5286     ISO Abbreviation:  Can. Vet. J.     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-12-03     Completed Date:  2013-01-21     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  0004653     Medline TA:  Can Vet J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  665-9     Citation Subset:  IM    
Affiliation:
University of Wisconsin, School of Veterinary Medicine, Department of Surgical Sciences, 2015 Linden Drive, Madison, Wisconsin, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cadaver
Enterostomy / instrumentation,  methods,  veterinary*
Horse Diseases / surgery*
Horses
Pressure
Rupture, Spontaneous / epidemiology,  veterinary
Surgical Procedures, Minimally Invasive / instrumentation,  methods,  veterinary
Surgical Stapling / instrumentation,  methods,  veterinary*
Suture Techniques / instrumentation,  veterinary*
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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