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ISSN 1405-0099 (Print)

2019, Number 1

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Cir Gen 2019; 41 (1)

Pedicled gallbladder flap as a repair technique of duodenal injuries

García-Ballesteros Ó, García-Salas J, García-Ballesteros D, Carrillo-Gorena J, Cisneros-Castolo M, Enríquez-Sánchez L

Language: Spanish
References: 32
Page: 19-25
PDF size: 265.93 Kb.


ABSTRACT

Objective: To determine the efficacy of a pedicled gallbladder flap for the correction of duodenal lesions. Material and methods: Six pigs weighing between 20 and 30 kg were operated on. Under general intravenous anesthesia, a linear and longitudinal incision of five centimeters in length was made in the anterior face between the first and second portion of the duodenum with a scalpel blade no. 15. The gallbladder was separated from the hepatic bed, the cystic duct was ligated, the vasculature (cystic artery) was preserved and the gallbladder flap with its artery was mobilized to the site of injury in the duodenum. Results: The pedicled flap of the gallbladder was successfully performed in six pigs; five of them tolerated initial postoperative diet at 24 hours, one pig at 48 hours; all of them had bowel movements before 48 hours. No surgical wound infection data were found; there was no information suggestive of intestinal leakage, acute abdomen or systemic inflammatory response syndrome. None of the slaughtered pigs showed macroscopic leakage data. On histopathological examination, we observed complete adhesion of the vesicular patch in the lesions. Conclusions: The repair of duodenal defects can be performed by a gallbladder flap with its pedicle sutured to the edges of the defect.


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