Biliary Tract Reconstruction: Autologous Rectus Sheat Graft in The Repair of Common Bile Duct Defects: An Experimental Study

Abstract

Objectives: Common bile duct (CBD) injuries cause sig-nificant morbidity and mortality. CBD injuries can be
repaired by various approaches. In biliary tract recon-struction for CBD defect, we used a graft which we
obtained from the  posterior sheat of the rectus muscle.
Method: This experimental study was carried out on
eight street dogs. A tissue fragment was excised from
the posterior sheat of the rectus muscle together with
the fascia transversalis and peritoneum. A tube of fas-cia graft was wrapped around an FG G feeding tube.
Results:  Anastomotic insufficiency was determined in
one dog who died on the thirteenth day. The fascial
graft gained an appearance similar to bile duct in other
dogs. Blood biochemical parameters were normal.
Conclusion: We concluded that fascia graft can be used
in repair of CBD defect as an alternative method.
Key words: Biliary defect, fascial graft, reconstruction.

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