两种技术的比较,以盲目的末端膜和膜为马的膜caecostomy在马
Sierra Chanutin1, Anje G Bauck1, John F Roberts2
1Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Equine veterinary journal
|January 7, 2025
概括
在对比马内切除术 (JC) 的外科手术技术时,用于盲端关闭的超钉 (OS) 方法导致的并发症比帕克-克尔 (PK) 技术少,尽管关闭时间更长.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 马类手术 马类手术
- 胃肠道手术 胃肠道手术
背景情况:
- 结核生态切除术 (JC) 是一种常见的外科手术,用于绕过患病的结核.
- 侧对侧 (SS) 解与盲端闭合经常被使用.
- 不同盲端关闭方法对JC业绩的影响仍未得到调查.
研究的目的:
- 为了比较手工 (Parker-Kerr, PK) 与接 (oversewn stapled, OS) 技术的有效性和安全性,用于在马类结尾生殖中进行盲目结尾关闭.
- 评估与每种方法相关的手术结果和潜在并发症.
主要方法:
- 在体内研究,涉及12匹马接受JC,PK或OS盲端关闭.
- 记录了手术参数,术后临床和血液学发现,以及血清粉样蛋白A (SAA) 水平.
- 在手术和尸体解剖 (7日) 时评估了解剖完整性,腹液分析和组织组织学.
主要成果:
- 与PK相比,OS技术导致了明显更大的盲点和更长的关闭时间.
- 两匹PK马经历了内入内,其中一匹由于冲击而需要安乐死.
- 组织学评估显示,在两种技术中都有炎症,与关闭方法相关的特定模式;腹膜液蛋白在两组中随着时间的推移显著增加.
结论:
- 对于JC来说,PK和OS盲端关闭技术在马身上都是可以接受的.
- PK技术与严重并发症的发病率较高有关,包括输入接和冲击.
- 需要对更大样本和更长的随访期进行进一步的调查,以充分阐明每个方法的长期结果和潜在风险.
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