Surgical Reconstruction of Partial Circumferential Esophageal Defect in the Dog
| Autor: | D. D. Caywood, H. W. Liepold, H. Bouayad, H. Alyakine, A. J. Lipowitz |
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| Rok vydání: | 1992 |
| Předmět: |
Male
medicine.medical_specialty Contraction (grammar) Fistula Longus colli muscle Buccal mucosa Dogs Esophagus Postoperative Complications Swallowing Neck Muscles medicine Animals Esophagitis Peristalsis Wound Healing Sutures business.industry Anatomy medicine.disease Fibrosis Surgery medicine.anatomical_structure Esophagoplasty Female Wound healing business |
| Zdroj: | Journal of Investigative Surgery. 5:327-342 |
| ISSN: | 1521-0553 0894-1939 |
| DOI: | 10.3109/08941939209012450 |
| Popis: | Partial circumferential reconstruction of the cervical esophagus was evaluated in the dog. An esophageal defect 5.85 +/- 1.15 cm in length involving one-half of the circumference was repaired by direct closure (group I), using longus colli muscle patch grafts (group II), and using grafts of longus colli muscle lined with buccal mucosa (group III). The incidence of leakage, fistula formation, luminal stricture, peristalsis disturbance, lining loss, the quality of surface restoration, bursting strength, and wound healing were evaluated. No fistula formation or leakage was observed in any animal. Direct closure of the defect was easier to perform, led to less inflammatory reaction, and resulted in the highest bursting strength. However, this method was associated with luminal stricture and swallowing difficulties. The longus colli muscle patch grafts (group II) were associated with a slight to moderate luminal stricture, but had more inflammatory reaction and graft surface area contraction (62%) compared to group III. The longus colli muscle lined with buccal mucosa caused no stricture and slight surface area contraction (8%). Mucosal grafts remained viable and no lining loss was observed. Despite the loss of peristalsis at the level of the graft in 25% of the group III dogs, no clinical signs or swallowing difficulties were observed. |
| Databáze: | OpenAIRE |
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