Telescopic bowel anastomosis in the intra-abdominal inflammatory environment
International Journal of Development Research
Telescopic bowel anastomosis in the intra-abdominal inflammatory environment
Received 11th January, 2018, Received in revised form, 05th February, 2018, Accepted 19th March, 2018, Published online 30th April, 2018
Copyright © 2018, Zeraatian et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: Our aim of this study was to investigate a new method of repairing intestinal injuries in the intra-abdominal inflammatory environment and compare it with simple hand suturing method. this method which include imaginative or telescopic bowel anastomoses previously jus used in urologic operations. Method: 16 dogs were divided in to two equal groups of 8. intra-abdominal infection was induced in all dogs by a small perforation in the small bowel. After 24 hours the perforation was closed either by simple hand suturing technique (n=8, group A) or by our method of telescopic anastomosis (n=8, group B). After 8 weeks of follow-up the dogs where operated and the site of anastomosis was resected and sent for radiologic evaluations. Results: Stenosis was significantly more observed in the group B with telescopic anastomosis (P < 0.05). Leakage was not seen in both groups. Abdominal condition of both groups was the same. Conclusion: Our results show that telescopic anastomosis is accompanied with a higher rate of post anastomosis stenosis.
