Comparison Of Suturing And Sutureless Techniques For Gastrotomy Closure In Canines
By: Muhammad Atif (2007-VA-133)
| Dr. Naveed Hussain.
Contributor(s): Prof. Dr. Muhammad Arif Khan | Dr. Jawaria Ali Khan.
Material type: 
BookPublisher: 2016Description: 59p.Subject(s): Veterinary Surgery | CMS--Clinical Medicine & SurgeryDDC classification: 2559-T Dissertation note: Gastrotomy is suggested in case of gastric dilatation with volvolus, gastric foreign bodies, gastric retention, out flow obstruction, hypertropicgastropathy, gastric neoplasia, and gastroduodenal ulceration. Gastrotomy closure technique after gastric surgery is very crucial to avoid post-operative complication like peritonitis. Different techniques are considered to close gastric incisions like absorbable suturing material, stapler suture and use of adhesive glue. These techniques give different kind of effects on gastrotomy closure.
The present study was carried out on 12 adult mongrel dogs with an average of 15 to 20 kg body weight. They were divided into three groups, each group having 4 animals and designated as group A, B and C. Standard Gastrotomy procedure was performed in group A B and C. After performing surgery, the dogs of group A were sutured by cushing suture, followed by continuous lambert suture by 2/0 synthetic absorbable suture. While in group B dogs, stapler sutures were used to close gastric incision and in dogs of group C, incision site was closed through use of tissue adhesive glue (cyanoacrylate).
Comparison of all suturing and sutureless techniques was carried out through Physical evaluation, food, water intake and defecation, Weight loss / gain, Complete Blood Count, Leakage evaluation by contrast radiography and postmortem findings. It was concluded that suturing technique (using absorbable suture material in two layers) maybe considered much better than other two methods (adhesive glue and stapling) economically, due to use of ease and least post-operative complication. Although glue may be considered as second option due to easy handling, minimum fibrosis, least stenosis and better healing time. Stapling may be the third one
SUMMARY
55
because it experiences difficulty to fire, greater chances of infection due to staples and more prone to leakage and stenosis.
The results of this study will help veterinarian, field workers and pet practioners to use suturing technique as most effective and appropriate technique for gastrotomy closure in terms of better healing, less blood loss and least chances of post operation complications.
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Thesis
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UVAS Library Thesis Section | Veterinary Science | 2559-T (Browse shelf) | Available | 2559-T |
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Gastrotomy is suggested in case of gastric dilatation with volvolus, gastric foreign bodies, gastric retention, out flow obstruction, hypertropicgastropathy, gastric neoplasia, and gastroduodenal ulceration. Gastrotomy closure technique after gastric surgery is very crucial to avoid post-operative complication like peritonitis. Different techniques are considered to close gastric incisions like absorbable suturing material, stapler suture and use of adhesive glue. These techniques give different kind of effects on gastrotomy closure.
The present study was carried out on 12 adult mongrel dogs with an average of 15 to 20 kg body weight. They were divided into three groups, each group having 4 animals and designated as group A, B and C. Standard Gastrotomy procedure was performed in group A B and C. After performing surgery, the dogs of group A were sutured by cushing suture, followed by continuous lambert suture by 2/0 synthetic absorbable suture. While in group B dogs, stapler sutures were used to close gastric incision and in dogs of group C, incision site was closed through use of tissue adhesive glue (cyanoacrylate).
Comparison of all suturing and sutureless techniques was carried out through Physical evaluation, food, water intake and defecation, Weight loss / gain, Complete Blood Count, Leakage evaluation by contrast radiography and postmortem findings. It was concluded that suturing technique (using absorbable suture material in two layers) maybe considered much better than other two methods (adhesive glue and stapling) economically, due to use of ease and least post-operative complication. Although glue may be considered as second option due to easy handling, minimum fibrosis, least stenosis and better healing time. Stapling may be the third one
SUMMARY
55
because it experiences difficulty to fire, greater chances of infection due to staples and more prone to leakage and stenosis.
The results of this study will help veterinarian, field workers and pet practioners to use suturing technique as most effective and appropriate technique for gastrotomy closure in terms of better healing, less blood loss and least chances of post operation complications.
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