Effects of high-dose and low-dose preoperative irradiation on low anterior anastomoses in dogs
| Autor: | Daniel A. Feeney, Melvin P. Bubrick, Robert L. Strom, Gary R. Johnston, Robert M. Schauer, Claude R. Hitchcock, Eric S. Rolfsmeyer |
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| Rok vydání: | 1982 |
| Předmět: |
medicine.medical_specialty
Colon Radiography medicine.medical_treatment Peritonitis Rectum Anastomosis Radiation Dosage Preoperative care Dogs Postoperative Complications Surgical Staplers Preoperative Care medicine Animals Wound Healing Sutures business.industry X-Rays Gastroenterology General Medicine medicine.disease Colorectal surgery Surgery Radiation therapy medicine.anatomical_structure Preoperative irradiation business |
| Zdroj: | Diseases of the colon and rectum. 25(5) |
| ISSN: | 0012-3706 |
| Popis: | Twenty mongrel dogs underwent preoperative irradiation to the colon and rectum, receiving 4000 rads according to the Nominal Standard Dose Equation. Each dog then underwent anterior resection of the rectosigmoid, and reconstructive technique was randomized into two groups consisting of either handsewn or EEA-stapled anastomoses. Anastomoses were examined digitally and radiographically at the time of surgery and on the seventh postoperative day. There were four radiographic leaks among the handsewn anastomoses, but only one was clinically significant and associated with peritonitis. There were no leaks among the ten EEA-stapled anastomoses. The data suggest that low anterior resection and anastomosis can be done safely after 4000 rad irradiation and that the EEA-stapled anastomosis may be preferable. |
| Databáze: | OpenAIRE |
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