Handsewn semiclosed single-layer jejunocecal side-to-side anastomosis in the horse.
OBJECTIVE
To report a technique for semiclosed 1-layer side-to-side jejunocecal anastomosis in horses.


METHODS
Experimental study and clinical reports.


METHODS
Part 1--In vitro: Intestinal specimens from 24 horses collected immediately after death at an abattoir. Part 2--CLINICAL CASES: 10 horses with clinical signs of colic requiring jejunocecostomy.


METHODS
Mean time to perform twelve 2-layer handsewn (HS2L) and 12 semiclosed 1-layer modified handsewn (SC) jejunocecal anastomoses was compared. Mean bursting pressures of anastomoses measured with a modified tank inflation test were compared. The SC technique was used in 10 horses that required jejunocecal anastomosis with and without resection (complete or incomplete ileocecal bypass).


RESULTS
The SC technique was significantly quicker to perform than HS2L technique. Clinically, the technique appeared safe with a major complication, associated with obstruction from kinking of the anastomosis, occurring in 1 horse.


CONCLUSIONS
The SC technique was easy to perform with very little mucosal exposure in comparison to the HS2L technique, and was safe and effective in restoring intestinal continuity in clinical cases.


CONCLUSIONS
The SC technique should be considered for jejunocecostomy in horses because it reduces anastomosis time and mucosal exposure compared with other techniques.
Gandini
Marco
M
Faculty of Veterinary Medicine, University of Turin, Grugliasco, Italy. mcgandini@hotmail.com
D000714:Anastomosis, Surgical / Q000379:methods / Q000662:veterinary*; D000818:Animals; D002432:Cecum / Q000601:surgery; D003085:Colic / Q000601:surgery / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D007583:Jejunum / Q000601:surgery; D008297:Male; D016896:Treatment Outcome