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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546


VELOSO, Sérgio Geraldo et al. Efficacy of colonic valves confection after anorectal resection in rats. Rev. Col. Bras. Cir. [online]. 2001, vol.28, n.5, pp.356-363. ISSN 0100-6991.

BACKGROUND: The present study intend to test the efficacy of colonic valves construction after the anorectal resection in rats, in order to obtain retardation of the intestinal flow. METHOD: Clinical, radiological and anatomopathological analysis, ranging from 31 rats, submited to a series of two colonic transversal-circunferential seromiotomies, followed by serous-serous invagination and anorectal resection, and a perineal colostomy. RESULTS: Seven rats have died in the post-operatorium and, when necropsied, they presented faecal impactation. There was reduction in both body and faecal weight in the immediate post-operatorium period (statistically not significant), followed by an apparent normalization of the values. Small stool were found frequently joined together. In eight animals, from twenty-four which underwent radiograph, at least one valve was visible. After the necropsy of 21 rats, there was a major predominance of faeces above the valves. Macroscopically, the valves were not identified quite often. Microscopically, hipertroph in muscle fibers and interruption in muscle lay with alteration in fibers disposition and fibrosis in the places of seromiotomy, were commomly found. CONCLUSIONS: The operation can be considered as being tecnically viable. The presence of faeces above the valves, the elimination of joined stools, the hipertrophy and interruption of muscle layer, all emphasize the hypothesis that seromiotomy acts as a braking mechanism, retarding the intestinal flow. The experimental model adopted does not allow us to make any gauging regarding to faecal continence.

Keywords : anorectal resection; colonic valves; perineal colostomy; experimental surgery.

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