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Comparative Efficacy Of Various Suturing Techniques For End To End Anastomosis Of Jejunum In Dogs

By: Abdul Rauf, Rana | Dr. Muhammad Arif Khan.
Contributor(s): Dr. Muhammad | Dr. Muhammad Athar Khan | Faculty of Veterinary Sciences.
Material type: materialTypeLabelBookPublisher: 2002Subject(s): Department of Clinical Medicine & SurgeryDDC classification: 0766,T Dissertation note: Diseases of gastro-intestinal tract like intestinal foreign body, intussusception with obstruction and adhesion, gangrene, volvulus and abdominal trauma amenable to surgical correction with enterectomy, segmental resection and end-to-end anastomosis had been a nightmare with both human and veterinary surgeons. Most of the techniques evolved in the past were not commensurate with the criteria of physiological restoration of normality, absence of leakage and minimal lumen stenosis. The present study was undertaken to compare the three suturing techniques viz; simple interrupted crushing sutures, simple interrupted lembert sutures and simple continuous lembert sutures for end-to-end anastomosis. Study was conducted on 12 clinically healthy dogs of mixed breed divided equally into three groups. The versatility and comparison of the techniques were evaluated on the basis of clinical parameters, hematological value, radiographic examination and postmortem findings. It was observed that simple interrupted crushing technique was comparatively more compatible and superior due to its simplicity, economical, less lumen reduction as compared to other techniques viz; simple interrupted Lembert technique and simple continuous Lembert technique. The results of this study clearly indicated that the use of simple interrupted crushing sutures has an edge over the simple interrupted lembert suture and simple continuous lembert sutures for end-to-end anastomosis of jejunum in dogs.
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Diseases of gastro-intestinal tract like intestinal foreign body, intussusception with obstruction and adhesion, gangrene, volvulus and abdominal trauma amenable to surgical correction with enterectomy, segmental resection and end-to-end anastomosis had been a nightmare with both human and veterinary surgeons. Most of the techniques evolved in the past were not commensurate with the criteria of physiological restoration of normality, absence of leakage and minimal lumen stenosis. The present study was undertaken to compare the three suturing techniques viz; simple interrupted crushing sutures, simple interrupted lembert sutures and simple continuous lembert sutures for end-to-end anastomosis. Study was conducted on 12 clinically healthy dogs of mixed breed divided equally into three groups.

The versatility and comparison of the techniques were evaluated on the basis of clinical parameters, hematological value, radiographic examination and postmortem findings.

It was observed that simple interrupted crushing technique was comparatively more compatible and superior due to its simplicity, economical, less lumen reduction as compared to other techniques viz; simple interrupted Lembert technique and simple continuous Lembert technique.

The results of this study clearly indicated that the use of simple interrupted crushing sutures has an edge over the simple interrupted lembert suture and simple continuous lembert sutures for end-to-end anastomosis of jejunum in dogs.

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