GASTROINTESTINAL Flashcards
MAXIMUM FISIOLOGIC INTRALUMINAL PRESSURE
15-25 MMHG
SUTURES FOR ANASTOMOSIS
polydioxanone (PDS ll, Ethicon), glycomer 631 (Biosyn, Medtronic, Minneapolis, Minnesota), poliglecaprone 25 (Monocryl, Ethicon)
ESTIMATED TENSILE STRENGHT 2 WEEKS
20% for poliglecaprone
25, 50% for gylcomer 631
80% for polydioxanone
SUTURES DIAMETERS ANASTOMOSIS
taper point needle
4-0 suture material in cat and dog intestine
3-0 suture for larger dogs
Functional end-to-end stapled anastomosis (FEESA)
blue staple cartridges (open staple height, 3.5 mm), with a closed staple height of 1.5 mm
larger green staples (closed staple height, 2 mm) reserved for gastric surgery.
COMPARISON BLUE GREEN CARTRIDGE ANASTOMOSIS BOWEL
study demonstrated similar leak pressures comparing the blue and green staple cartridges
however, serosal tearing and noncompressed staples in the transverse staple line were appreciated when using the blue cartridge
most common site of leakage or abscess formation in FEESA
transverse staple line of FEESA has been reported as the most common site of leakage or abscess formation in prior studies