Elective inversion of the distal ileal stump into the caecum of the horse
| Autor: | J. R. Vasey, R. J. Julian |
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| Rok vydání: | 1987 |
| Předmět: |
Male
medicine.medical_specialty Peritonitis Lumen (anatomy) Ileum Autopsy Anastomosis digestive system Caecum medicine Necrotic Process Animals Horses Cecum biology business.industry digestive oral and skin physiology General Medicine Anatomy medicine.disease biology.organism_classification Small intestine Surgery medicine.anatomical_structure Female business |
| Zdroj: | Equine Veterinary Journal. 19:223-225 |
| ISSN: | 2042-3306 0425-1644 |
| DOI: | 10.1111/j.2042-3306.1987.tb01386.x |
| Popis: | Summary The distal 30 to 40 cm of the ileum cannot be exteriorised through a midline laparotomy incision because of its close anatomical association with the base of the caecum. A method was developed to deal with those cases where this segment of small intestine was involved in an avascular, necrotic process and therefore required resection. The technique involves inverting the distal stump of ileum into the lumen of the caecum and then performing a routine ileocaecal or jejuno-caecal anastomosis. This avoids the risk of peritonitis if a Parker-Kerr oversew of the necrotic ileal stump should dehisce. The technique was performed on five clinically normal horses and on four horses in which the terminal 30 to 40 cm of the ileum was necrotic. The postoperative clinical findings and autopsy results of these horses are discussed. |
| Databáze: | OpenAIRE |
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