title: One stage functional end-to-end stapled intestinal anastomosis and resection performed by nonexpert surgeons for the treatment of small intestinal obstruction in 30 dogs.
abstract: OBJECTIVE
  To describe stapled 1-stage functional end-to-end intestinal anastomosis for treatment of small intestinal obstruction in dogs and evaluate outcome when the technique is performed by nonexpert surgeons after limited training in the technique.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Dogs (n=30) with intestinal lesions requiring an enterectomy.
  
  
  METHODS
  Stapled 1-stage functional end-to-end anastomosis and resection using a GIA-60 and a TA-55 stapling devices were performed under supervision of senior residents and faculty surgeons by junior surgeons previously trained in the technique on pigs. Procedure duration and technical problems were recorded. Short-term results were collected during hospitalization and at suture removal. Long-term outcome was established by clinical and ultrasonographic examinations at least 2 months after surgery and from written questionnaires, completed by owners.
  
  
  RESULTS
  Mean±SD procedure duration was 15±12 minutes. Postoperative recovery was uneventful in 25 dogs. One dog had anastomotic leakage, 1 had a localized abscess at the transverse staple line, and 3 dogs developed an incisional abdominal wall abscess. No long-term complications occurred (follow-up, 2-32 months).
  
  
  CONCLUSIONS
  Stapled 1-stage functional end-to-end anastomosis and resection is a fast and safe procedure in the hand of nonexpert but trained surgeons.
authors.affiliation: Department of Small Animal Surgery, Service de chirurgie de l'école vétérinaire de Maisons-Alfort, Maisons-Alfort, France. nicolas.jardel@wanadoo.fr
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jardel
authors.forename: Antoine
authors.initials: A
authors.lastname: Hidalgo
authors.forename: Dimitri
authors.initials: D
authors.lastname: Leperlier
authors.forename: Mathieu
authors.initials: M
authors.lastname: Manassero
authors.forename: Aymeric
authors.initials: A
authors.lastname: Gomes
authors.forename: Anne Sophie
authors.initials: AS
authors.lastname: Bedu
authors.forename: Pierre
authors.initials: P
authors.lastname: Moissonnier
authors.forename: Pascal
authors.initials: P
authors.lastname: Fayolle
authors.forename: Dominique
authors.initials: D
authors.lastname: Begon
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Riquois
authors.forename: Véronique
authors.initials: V
authors.lastname: Viateau
mesh_terms: D000038:Abscess / Q000662:veterinary; D000714:Anastomosis, Surgical / Q000193:education / Q000379:methods / Q000662:veterinary; D057868:Anastomotic Leak / Q000662:veterinary; D000818:Animals; D004283:Dog Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D005260:Female; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery*; D008297:Male; D011182:Postoperative Care / Q000662:veterinary; D011183:Postoperative Complications / Q000662:veterinary; D017792:Surgical Stapling / Q000193:education / Q000379:methods / Q000662:veterinary*; D016896:Treatment Outcome