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Comparative Efficacy Of Suturing Techniques And Suture Materials For End-To-End Anastomosis Of Small Intestine in Dogs

By: Adeel Shahbaz | Prof Dr. Muhammad Arif Khan.
Contributor(s): Mr. Shahan Azeem | Prof. Dr.
Material type: materialTypeLabelBookPublisher: 2010Subject(s): Department of Clinical Medicine & SurgeryDDC classification: 1218,T Dissertation note: The small intestine is a tube-like structure, which extends between the stomach and largeintestine. It starts at the pylorus and terminates at the cecocolic junction. Small intestine plays an important role in the absorption of amino acids, carbohydrates, fats and electrolytes like sodium, potassium, chloride and bicarbonate ions. Any disease condition of jejunum like neoplasia or devitalization due to foreign body necessitates the resection of it. This project was designed to evaluate the comparative efficacy of different suturing techniques and suture material applied during end-to-end anastomosis of small intestine. The study was designed on eighteen stray dogs. The dogs were divided into 3 groups i.e group A, B, and C comprising 6 animals each. Each group was further subdivided into the subgroups as, Al, A2, Bi, B2 and Cl, C2. The dogs of group A was numbered from 1-6, group B from 7-12, and group C from 13-18 for the identification purpose. The surgery was conducted through ventral midline celiotomy from umbilicus to a variable distance caudally under general anesthesia. In group A, Simple interrupted, group B modified Gambee and in group C interrupted Lembert suturing technique for end-to-end anastomosis of small intestine was used. In subgroup Al, B, C! chromic catgut and in subgroup A2, B2 an C3 polyglyconate suture materials was used. In group Cl, operated dog No.2 died on day 16 post operatively. The versatility and comparison of the techniques were evaluated on the basis of health status including vomiting, diarrhea, and weight gain or weight loss, wound healing, radiographic assessment, decrease in lumen diameter, alignment of tissue plane and quality of wound healing of the anastomotic site in all three group A, B and C. The leakage was checked at 2, 4, 6 and 12 week post surgery using contrast radiographs. During the study period the dogs were housed in the kennels available at Surgery Section, Department of Clinical Medicine and Surgery, University of Veterinary and Animal Sciences, Lahore. The present project is clearly indicated that modified Gambee suturing technique was found to be more suitable and compatible anastomotic technique with excellent clinical superiority. It resulted in the batter wound healing, minimal lekage, minimal reduction in lumen diameter at the anastomotic site, excellent in its alignment of tissue plane, satisfactory clinical layer to layer healing , is simple to duplicate under field conditions and minimal abdominal complication.
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Veterinary Science 1218,T (Browse shelf) Available 1218,T
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The small intestine is a tube-like structure, which extends between the stomach and largeintestine. It starts at the pylorus and terminates at the cecocolic junction. Small intestine plays an important role in the absorption of amino acids, carbohydrates, fats and electrolytes like sodium, potassium, chloride and bicarbonate ions. Any disease condition of jejunum like neoplasia or devitalization due to foreign body necessitates the resection of it. This project was designed to evaluate the comparative efficacy of different suturing techniques and suture material applied during end-to-end anastomosis of small intestine. The study was designed on eighteen stray dogs. The dogs were divided into 3 groups i.e group A, B, and C comprising 6 animals each. Each group was further subdivided into the subgroups as, Al, A2, Bi, B2 and Cl, C2. The dogs of group A was numbered from 1-6, group B from 7-12, and group C from 13-18 for the identification purpose. The surgery was conducted through ventral midline celiotomy from umbilicus to a variable distance caudally under general anesthesia. In group A, Simple interrupted, group B modified Gambee and in group C interrupted Lembert suturing technique for end-to-end anastomosis of small intestine was used. In subgroup Al, B, C! chromic catgut and in subgroup A2, B2 an C3 polyglyconate suture materials was used.
In group Cl, operated dog No.2 died on day 16 post operatively. The versatility and comparison of the techniques were evaluated on the basis of health status including vomiting, diarrhea, and weight gain or weight loss, wound healing, radiographic assessment, decrease in lumen diameter, alignment of tissue plane and quality of wound healing of the anastomotic site in all three group A, B and C. The leakage was checked at 2, 4, 6 and 12 week post surgery using contrast radiographs. During the study period the dogs were housed in the kennels available at Surgery Section, Department of Clinical Medicine and Surgery, University of Veterinary and Animal Sciences, Lahore.
The present project is clearly indicated that modified Gambee suturing technique was found to be more suitable and compatible anastomotic technique with excellent clinical superiority. It resulted in the batter wound healing, minimal lekage, minimal reduction in lumen diameter at the anastomotic site, excellent in its alignment of tissue plane, satisfactory clinical layer to layer healing , is simple to duplicate under field conditions and minimal abdominal complication.

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