ABSTRACT
Demostrar que la ingesta precoz de líquidos por vía oral no produce aumento de la opresión intraluminal sobre la línea de sutura en las anastomosis intestinales y por lo tanto no es causa de dehiscencia de la misma, aunado que este hecho produce una estancia hospitalaría menor del paciente. Un estudio prospectivo con 21 cerdos a quienes se les practicará resección y anastomosis T-T, sometidos a una presión intraluminal de líquidos VIT y VID, con un protocolo de seis cirugías en 18 días y estudio de la anastomosis resecada en microscopia óptica y electrónica. Unidad de Investigación Quirúrgica de la Escuela de Medicina José María Vargas, Facultad de Medicina UCV. La ingesta precoz de alimentos y líquidos no es causa de dehiscencia en anastomosis intestinales con tránsito intestinal normal. Los resultados preliminares de este estudio apuntan a que la ingesta precoz de líquidos no es causa de dehiscencia en anastomosis intestinales.
Demostrate that early fluid intake vía oral produces no increase of pressure intraluminal on the suture line in the intestinal anastomoses, and therefore is not cause of dehiscence of the same, combining this fact produces a smaller hospital stay of the patient. A prospective study with 21 pigs to who they shall resection and under pressure T-T, anastomoses VIT and VID, liquids with a protocol of six surgeries in 18 days intraluminal and study the resected anastomoses in optical microscopy and electronics. Research Surgical Unit of the Escuela de Medicina José María Vargas, Facultad de Medicina UCV: Early lood and fluid intake is nor cause of intestinal anastomoses dehiscence with normal intestinal transit. The preliminary results of this study suggest that early fluid intake is not cause of dehiscence in intestinal anastomoses.
Subject(s)
Animals , Anastomosis, Surgical/methods , Intestine, Small/anatomy & histology , Intestine, Small/surgery , Intestine, Small/pathology , Swine/anatomy & histology , Surgical Wound Dehiscence/etiology , Surgical Wound Dehiscence/veterinary , Veterinary Medicine , Models, BiologicalABSTRACT
The comparison of the histologic healing and bronchopleural fistula (BPF) complications encountered with three different BS closure techniques (manual suture, stapler and manual suture plus tissue flab) after pneumonectomy in dogs was investigated for a one-month period. The dogs were separated into two groups: group I (GI) (n = 9) and group II (GII) (n = 9). Right and left pneumonectomies were performed on the animals in GI and GII, respectively. Each group was further divided into three subgroups according to BS closure technique: subgroup I (SGI) (n = 3), manual suture; subgroup II (SGII) (n = 3), stapler; and subgroup III (SGIII) (n = 3), manual suture plus tissue flab. The dogs were sacrificed after one month of observation, and the bronchial stumps were removed for histological examination. The complications observed during a one-month period following pneumonectomy in nine dogs (n = 9) were: BPF (n = 5), peri-operative cardiac arrest (n = 1), post-operative respiratory arrest (n = 1), post-operative cardiac failure (n = 1) and cardio-pulmonary failure (n = 1). Histological healing was classified as complete or incomplete healing. Histological healing and BPF complications in the subgroups were analyzed statistically. There was no significant difference in histological healing between SGI and SGIII (p = 1.00; p > 0.05), nor between SGII and SGIII (p = 1.00; p > 0.05). Similarly, no significant difference was observed between the subgroups in terms of BPF (p = 0.945; p > 0.05). The results of the statistical analysis indicated that manual suture, stapler or manual suture plus tissue flab could be alternative methods for BS closure following pneumonectomy in dogs.
Subject(s)
Animals , Dogs , Female , Male , Bronchi/cytology , Dog Diseases/etiology , Granulation Tissue/cytology , Heart Failure/etiology , Pneumonectomy/adverse effects , Postoperative Complications/prevention & control , Surgical Stapling/veterinary , Surgical Wound Dehiscence/veterinary , Suture Techniques/veterinaryABSTRACT
A hérnia pós-incisäo foi analisada quanto à prevalência e protocolo terapêutico em nove cäes e seis gatos cadastrados no Hospital Veterinário da Universidade Federal de Santa Maria, RS, Brasil. Os animais apresentaram peritonite localizada que foi tratada com reposiçäo hidroeletrolítica, antibioticoterapia, irrigaçäo abundante da cavidade abdominal e debridamento cirúrgico. Todos tiveram evoluçäo favorável.