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Article
August 1951

ANASTOMOSIS OF THE CERVICAL ESOPHAGUS: EXPERIMENTAL EVALUATION OF PERITONEAL GRAFTSII. One-Layer Anastomosis

Author Affiliations

UTICA, N. Y.; DALLAS, TEXAS
From the Department of Surgery, Veterans Administration Hospital and Southwestern Medical School of the University of Texas.

AMA Arch Surg. 1951;63(2):243-246. doi:10.1001/archsurg.1951.01250040247014
Abstract

AN EXPERIMENTAL evaluation of the use of peritoneal grafts in anastomosis of the cervical esophagus was recently reported by us.1 At that time a twolayer anastomosis was performed as recommended by Saint and Mann.2 It was shown that a peritoneal graft used in such an anastomosis has no advantage over a well performed two-layer anastomosis without the employment of a graft. The present studies were undertaken to evaluate the use of peritoneal grafts covering a one-layer anastomosis compared with a one-layer anastomosis without the use of a graft.

EXPERIMENTAL PROCEDURE  A total of 35 mongrel dogs weighing 25 to 30 lb. (11 to 13 kg.) were operated on under intravenous pentobarbital sodium (nembutal®) anesthesia. The operative procedure is the same as that previously described1 except for the use of a onelayer anastomosis. An incision was made in the midline of the neck extending inferiorly for about 3

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