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J Vet Sci. 2007 Dec;8(4):393-399 |
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Comparison of different bronchial closure techniques following
pneumonectomy in dogs
Hakan Salci1,*, A. Sami Bayram2, Ozgur Ozyigit3, Cengiz Gebitekin2, O. Sacit Gorgul1 |
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1Department of Surgery, Faculty of Veterinary Medicine, 2Department of Thorax Surgery, Faculty of Medicine and
3Department of Pathology, Faculty of Veterinary Medicine, Uludag University, Bursa, Turkey
* hsalci@uludag.edu.tr |
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The comparison of the histologic healing and bronchopleural
fistula (BPF) complications encountered with
three different BS closure techniques (manual suture, stapler
and manual suture plus tissue flab) after pneumonectomy
in dogs was investigated for a one-month period.
The dogs were separated into two groups: group I (GI) (n
= 9) and group II (GII) (n = 9). Right and left pneumonectomies
were performed on the animals in GI and GII,
respectively. Each group was further divided into three
subgroups according to BS closure technique: subgroup I
(SGI) (n = 3), manual suture; subgroup II (SGII) (n = 3),
stapler; and subgroup III (SGIII) (n = 3), manual suture
plus tissue flab. The dogs were sacrificed after one month
of observation, and the bronchial stumps were removed
for histological examination. The complications observed
during a one-month period following pneumonectomy in
nine dogs (n = 9) were: BPF (n = 5), peri-operative cardiac
arrest (n = 1), post-operative respiratory arrest (n = 1),
post-operative cardiac failure (n = 1) and cardio-pulmonary
failure (n = 1). Histological healing was classified as
complete or incomplete healing. Histological healing and
BPF complications in the subgroups were analyzed statistically.
There was no significant difference in histological
healing between SGI and SGIII (p = 1.00; p £¾ 0.05), nor
between SGII and SGIII (p = 1.00; p £¾ 0.05). Similarly, no
significant difference was observed between the subgroups
in terms of BPF (p = 0.945; p £¾ 0.05). The results of the
statistical analysis indicated that manual suture, stapler or
manual suture plus tissue flab could be alternative methods
for BS closure following pneumonectomy in dogs.
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