Small intestinal surgery 2. techniques

In Practice ◽  
2000 ◽  
Vol 22 (10) ◽  
pp. 574-592
Author(s):  
Stephen Baines
Keyword(s):  
Intestinal Surgery ◽  
Small Intestinal

Prevalence of and Risk Factors for Postoperative Ileus after Small Intestinal Surgery in Two Hundred and Thirty-Three Horses

2009 ◽  
Vol 38 (3) ◽  
pp. 368-372 ◽  
Author(s):  
SUSAN J. HOLCOMBE ◽  
KATIE M. RODRIGUEZ ◽  
JENNIFER L. HAUPT ◽  
JAMES O. CAMPBELL ◽  
KRISTIN P. CHANEY ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Ileus ◽  
Intestinal Surgery ◽  
Small Intestinal

scholarly journals Analysis of therapeutic results and complications after colic surgery in 434 horses

2008 ◽  
Vol 53 (No. 1) ◽  
pp. 12-28 ◽  
Author(s):  
J. Mezerova ◽  
Z. Zert ◽  
R. Kabes ◽  
L. Ottova
Keyword(s):  
Small Intestine ◽  
Postoperative Period ◽  
Paralytic Ileus ◽  
Abdominal Cavity ◽  
Adhesion Formation ◽  
Intestinal Resection ◽  
Colon Surgery ◽  
Common Finding ◽  
Intestinal Surgery ◽  
Small Intestinal

Out of the total number of 434 horses that underwent colic surgery, small intestine was operated in 195 (44.9%) patients, caecum in 10 (2.3%) horses, large colon surgery was performed in 196 (45.2%) cases and small colon surgery in 14 (3.2%) horses. In 12 patients (2.8%) two different parts of the gastrointestinal tract were affected simultaneously, one horse suffered from peritonitis, torsion of the uterus developed in two mares and three animals had negative surgical findings. Of 434 horses, 371 (85.5%) survived. After small intestinal surgery, 159 patients (81.5%) recovered from anaesthesia and were discharged home as well as seven horses (70%) after caecal surgery, 175 horses (89.3%) after large colon surgery and 14 horses (100%) following small colon surgery. 75 out of 103 horses (72.8%) were discharged home after the small intestinal resection and 89 of 98 horses (90.8%) with small intestinal problems where no resection was needed. In total, 43 of the patients that underwent one surgery did not survive the immediate postoperative period. The most frequent lethal complications in horses following the small intestinal surgery included peritonitis (five horses) and paralytic ileus (four horses) and in horses with large colon problems it was typhlocolitis (six cases). Relaparotomy was indicated in 41 of 434 horses (9.4%) that recovered from colic surgery. 21 out of the 41 (51.2%) relaparotomised colic patients were released from the clinic. All successfully repeated surgeries were carried out to overcome primary small intestine ileus problems, and in 14 of these cases (66.7%) resection and anastomosis were performed. The most common finding, diagnosed in 9 of 21 reoperated horses, was paralytic ileus. Of 20 relaparotomised horses that did not survive, three animals were lost after the introduction of anaesthesia, nine horses were euthanised after the abdominal cavity revision, one horse did not recover after the surgical procedure and seven horses did not survive the postoperative period. In 15 of 20 dead horses, the cause of the first surgical intervention was small intestinal ileus, in other four horses there was a large colon problem and in the last patient, it was a stomach disease. In 13 of 15 (86.7%) horses with small intestinal problems and in three of four (75%) patients with large colon disease, either resection or bypass was performed. In the remaining four non-surviving horses of 20 relaparotomised ones, peritonitis and/or adhesion formation was diagnosed at the second surgery, in three horses anastomosis complications were the main problem. Peritonitis or paralytic ileus led to death or euthanasia in four of seven horses that recovered after relaparotomy.

Abdominal Adhesions after Small Intestinal Surgery in the Horse

1990 ◽  
Vol 18 (6) ◽  
pp. 409-414 ◽  
Author(s):  
G. M. BAXTER ◽  
T. E. BROOME ◽  
J. N. MOORE
Keyword(s):  
Intestinal Surgery ◽  
Abdominal Adhesions ◽  
Small Intestinal

A practical review of small intestinal anastomosis for the small animal practitioner

2021 ◽  
Vol 26 (1) ◽  
pp. 1-7
Author(s):  
Ilaria Caruso ◽  
Jon Hall
Keyword(s):  
Best Practice ◽  
Intestinal Anastomosis ◽  
Small Animal ◽  
Learning Objectives ◽  
Evidence Based ◽  
Small Animals ◽  
Intestinal Surgery ◽  
Improve Outcome ◽  
Patient Morbidity ◽  
Small Intestinal

Dehiscence following intestinal surgery results in significant patient morbidity and mortality. Thorough knowledge and application of modern evidence-based principles relating to the procedures of enterotomy and enterectomy with anastomosis can significantly reduce the risk of postoperative complications in small animals. This article will review some of the potential causes of intestinal dehiscence and reflect on best practice surgical principles, highlighting particularly important key learning objectives to improve outcome.

scholarly journals Outcome of Electrosurgery Versus Scalpel Blade for Intestinal Incisions in Dogs

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Emmanouil Tzimtzimis
Keyword(s):  
In Vivo Studies ◽  
Colonic Surgery ◽  
Intestinal Surgery ◽  
Short Term ◽  
Bottom Line ◽  
Monopolar Electrosurgery ◽  
Scalpel Blade ◽  
Small Intestinal ◽  
Significant Mortality

<strong>PICO question</strong><br /><p>In dogs that undergo intestinal surgery, does the use of monopolar electrosurgery for intestinal incisions increase the risk of dehiscence when compared to a scalpel blade?</p><strong>Clinical bottom line</strong><br /><p>Currently there are two experimental in vivo studies comparing electrosurgery with scalpel blade intestinal incisions in dogs, one in cats and one in pigs. In dogs and cats, there is data regarding incisions on the large intestine but not the small intestine.</p><p>Colotomy and colectomy performed with monopolar electrosurgery has resulted in significant mortality (up to 60%) during the short-term postoperative period in dogs. Although the studies reviewed have several limitations, the outcome using scalpel blades was significantly better, therefore colonic surgery using electrosurgery is contraindicated. It is likely that small intestinal surgery has the same contraindication but more definite conclusions cannot be made until higher quality evidence is available.</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

scholarly journals EFFECT OF FISH-OIL-ENRICHED INTRAVENOUS LIPID EMULSION ON SYSTEMIC INFLAMMATORY RESPONSE SYNDROME IN POST INTESTINAL SURGERY CHILDREN

2020 ◽  
Vol 15 (3) ◽  
pp. 214
Author(s):  
Khadijah Rizky Sumitro ◽  
Meta Herdiana Hanindita ◽  
Nur Aisiyah Widjaja ◽  
Roedi Irawan
Keyword(s):  
Lipid Emulsion ◽  
Consensus Conference ◽  
Lipid Emulsions ◽  
Intestinal Surgery ◽  
The Third ◽  
Jejunoileal Atresia ◽  
International Pediatric ◽  
Small Intestinal ◽  
Pediatric Sepsis ◽  
Caloric Requirements

Intravenous lipid emulsions (IVLE) is one of the compositions of the parenteral nutrition (PN) that recommended in children who cannot meet their caloric requirements especially after small intestinal surgery and diff erentiated by their infl ammatory eff ects. The fi rst generation IVLE is proinfl ammatory, the second and the third are infl ammatory neutral, while the fourth (fi sh-oil-enriched) is anti-infl ammatory. The objective of this study is to investigate the eff ect of fi shoil enriched IVLE on systemic infl ammatory response syndrome (SIRS) in children after small intestinal surgery. A retrospective study using medical record was undertaken in children after small intestinal surgery admitted Dr. Soetomo Hospital, Surabaya in 2016-2017. Children with duodenal and jejunoileal atresia who had PN for at least three days were included. The types of IVLE used are FOLE and non-FOLE. Defi nition of SIRS was based on International Pediatric Sepsis Consensus Conference in 2005. A total of 25 children were included in this study. There were 44% children received FOLE and 48% received non-FOLE while 8% children received no IVLE. Median duration and dose of IVLE was 8 (5-15,5) days and 1,8 (1,25-2) g/kg/day. SIRS was signifi cantly more common in girls (OR 9 95%CI 1,3-63,0; p=0,036) and in the non-FOLE children (OR 8,0 95% CI 1,24 – 51,50; p=0,022).

Short- and long-term survival and prevalence of postoperative ileus after small intestinal surgery in the horse

2010 ◽  
Vol 32 (S32) ◽  
pp. 42-51 ◽  
Author(s):  
D. E. FREEMAN ◽  
P. HAMMOCK ◽  
G. J. BAKER ◽  
T. GOETZ ◽  
J. H. FOREMAN ◽  
...  
Keyword(s):  
Postoperative Ileus ◽  
Intestinal Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Short And Long Term ◽  
Small Intestinal
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