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Features of Microsurgical Anatomy of the Small Intestine in Experimental Widespread Purulent Peritonitis

https://doi.org/10.18499/2225-7357-2019-8-2-43-46

Abstract

The aim of experiment was to study the features of small intestine wall microanatomical constitution in widespread pyoperitonitis to justify the use of microsurgical intestinal suture.

Material and methods. The proximal, middle and distal parts of the mesenterial intestine served as the research material. In animals with experimental peritonitis, a histotopographic method was used to perform serial transverse and longitudinal histotopograms with hematoxylin-eosin and picrofuchsine Van Gieson staining. The wall thickness of the intestine and its membranes was measured with an ocular micrometer through a stereoscopic microscope MBS-10. With the variational-statistical data processing, the mean value, the error of mean, the minimum and maximum values were determined.

Results. Microscopic features in the wall of small intestine mesenterial part in dogs with widespread purulent peritonitis were described. Morphometric data on differences in the thickness of the intestinal wall and its membranes are presented. It was found that morphofunctional changes in the wall of the small intestine correlate with the period of peritonitis development.

Conclusion. Based on the data obtained, it was concluded that microsurgical operation technique could be used during the reactive and toxic stages of widespread peritonitis.

About the Authors

V. K. Esipov
Orenburg State Medical University
Russian Federation

Vyacheslav Esipov

Ul. Sovetskaya, 6, Orenburg, 460000



I. I. Kagan
Orenburg State Medical University
Russian Federation


S. V. Yashnikov
Departmental Clinical Hospital the Station Orenburg of JSC “Russian Railways”
Russian Federation


References

1. Galkin RA, Gusev VI, Kolinichenko OA. Pretsizionnoe formirovanie anastomozov pri operatsiyakh na zheludke i kishechnike. Khirurgiya. 1997; 8:37-9 (in Russian).

2. Goncharenko VO. Formirovanie tonkokishechnykh anastomozov u bol'nykh s peritonitom. Clinical surgery. 1997; 11-12:24-25 (in Russian).

3. Egorov VI. Kishechnye anastomozy. Fiziko-mekhanicheskie aspekty. Moscow: Vidar-M; 2004 (in Russian).

4. Kagan II. Microsurgical anatomy as the anatomical basis for microsurgery. Morfologiia. 1999; 177(5):7-11 (in Russian).

5. Konovalov DYu, Samoylov PV, Khromushin NN. Anatomical bases of microsurgical anastomoses of hollow organs of the digestive tract. Morfologiia. 2018. 153(3): 145 (in Russian).

6. Naumov NV. Reshenie problemy nesostoyatel'nosti tolstokishechnykh anastomozov pri ruchnom shve. Novyi khirurgicheskii arkhiv. 2001; 1:86-94 (in Russian).

7. Novitskaya N.M., Okladnoi B.A., Kuznetsov V.Yu. Opyt primeneniya kishechnogo shva v usloviyakh gnoinogo peritonita. Peritonit: sb. nauch. tr. 1991. 91-2 (in Russian).

8. Remennik S.S. K voprosu o sozdanii eksperimental'noi modeli peritonita. Healthcare of Turkmenistan, 1956; 7:21-5 (in Russian).

9. Савельев В.С., Гельфанд Б.Р., Филимонов М.И. Перитонит. М.; 2006. 208 [Savel'ev V.S., Gel'fand B.R., Filimonov M.I. Peritonit. Moscow; 2006. 208 (in Russian).

10. Boschung U. Milestones in the History of Intestinal Suture Technique. Swiss Surgery. 2003 Jun;9(3):99-104. doi: 10.1024/1023-9332.9.3.99

11. McKinley AJ, Krukowski Z. Intestinal anastomoses. Surgery (Oxford). 2006 Jul;24(7):224-8. doi: 10.1383/surg.2006.24.7.224

12. Sandh G. Modification of the Cutting Thread Technique for Intestinal Anastomoses using Diathermy. Journal of Veterinary Medicine Series A. 1991 Feb 12;38(1-10):115-25. doi: 10.1111/j.1439-0442.1991.tb00991.x

13. Santos CHM dos, Santos Filho KG dos, Cassino PC, Chiquetti CV, Mello AP de, Dourado DM. Differences between polydioxanone and poliglactin in intestinal anastomoses - a comparative study of intestinal anastomoses. Journal of Coloproctology. 2017 Oct;37(4):263-7. doi: 10.1016Zj.jcol.2017.05.004

14. Verhelle NAC, Heymans O. How to deal with difficult microsurgical end-to-side anastomoses. Microsurgery. 2005;25(3):203-8. doi: 10.1002/micr.20100


Review

For citations:


Esipov V.K., Kagan I.I., Yashnikov S.V. Features of Microsurgical Anatomy of the Small Intestine in Experimental Widespread Purulent Peritonitis. Journal of Anatomy and Histopathology. 2019;8(2):43-46. (In Russ.) https://doi.org/10.18499/2225-7357-2019-8-2-43-46

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ISSN 2225-7357 (Print)