Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 19

A simple apposition of the submucosa of the gastrointestinal tract is desired to achieve primary healing because it is associated with the least amount of fibrous tissue and better function. An apposition of the submucosa is important for the rapid healing of the mucosa and preventing migration of microorganisms within the surgical site. An eversion or inversion of the mucosa has been shown to interfere with primary healing (Jiborn et al. 1978a, 1978c; Jansen et al. 1981; Ellison et al. 1982; Jonsson et al. 1985; Pascoe and Peterson 1989; Thornton and Barbul 1997). Stapled anastomoses are becoming commonplace in veterinary surgery (Hansen and Smeak 2015; Duell et al. 2016; Snowdon et al. 2016). Staples do not promote better healing of the gastrointestinal tract when sepsis or ischemia are present (Thornton and Barbul 1997). Sutureless anastomoses have been performed with devices working by compressing two inverted ring of bowel (Maney et al. 1988; Corman et al. 1989; Ryan et al. 2006; Bobkiewicz et al. 2017).