三种不同的封闭技术在正常狗的部分囊切除术后对泄漏压力和泄漏位置的影响
Jason M Haas1, Daniel J Duffy1, Allison Kendall1
1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
Veterinary medicine and science
|June 9, 2023
概括
用 sutures 增加狗的部分囊切除关闭,改善了泄漏压力. 这种外科手术拼接技术在治疗狗的过渡性细胞癌 (TCC) 方面表现有前途.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 尿道瘤学 尿道瘤学
- 手术创新 在外科创新.
背景情况:
- 过渡性细胞癌 (TCC) 是最常见的犬类尿膀瘤.
- 部分囊切除术有助于TCC的医疗管理,延长存活时间.
- 手术接装置比传统的关闭具有优势,但它们在犬体部分囊切除术中的使用是未经记录的.
研究的目的:
- 评估三种关闭技术用于犬的部分囊切除术.
- 为了比较不同封闭方法之间的ex vivo泄漏压力和位置.
主要方法:
- 十二只狗膀标本被分配到三个闭合组中的每一个:简单的连续,60毫米的胃肠,或用库辛增强的合.
- 记录和比较了平均初始泄漏压力 (ILP),最大泄漏压力 (MLP) 和泄漏位置.
主要成果:
- 被忽视的合式结构比合式 (17 mmHg) 或仅合式 (22.8 mmHg) 组显著更高的ILP (28.5 mmHg).
- 最大泄漏压在增强接组中是最大的.
- 泄漏发生在针孔 (接组),接孔 (接组) 和切口线 (增强接组) 中.
结论:
- 通过使用库希 suture 增强针织的膀关闭,与针织或单独结相比,可以提高对静脉压力的抵抗力.
- 需要进一步的体内研究来确认临床意义和评估穿透.
- 手术接显示了对犬的部分囊切除术的潜力.
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