The Basics of Small Intestinal Surgery: Enterotomy, Resection and Anastomosis

Webinar Description:
This webinar will focus on intra-operative decision making and specific surgical techniques for enterotomy and resection and anastomosis of the small intestine in dogs and cats.
Procedures that minimize the risk of dehiscence and other complications will be emphasized. Discussion will also include how much bowel can be resected, reinforcement of the repair site, antibiotic protocol, and special considerations for different conditions such as intestinal biopsies, linear foreign bodies, intussusception, and intestinal neoplasia.

Webinar Agenda:

• Risk factors for dehiscence after small intestinal surgery
• Assessing tissue viability and deciding between enterotomy and resection and anastomosis
• Minimizing contamination
• Choosing the best site for intestinal incision or resection
• Performing the enterotomy or resection
• Suturing techniques for enterotomy closure or for anastomosis Pressure testing
• Options for reinforcing the intestinal repair site (e.g., omentalization, serosal patch, porcine small intestinal submucosal bioscaffold)
• Appropriate antibiotic protocol pre-, intra-, and post-op
• Long-term consequences of resecting large portions of duodenum, jejunum, or ileum
• Special considerations for intestinal biopsies, linear foreign bodies, intussusceptions, and intestinal neoplasia