EVALUATION OF TWO SUTURING TECHNIQUES FOR END -TO-END ANASTOMOSIS OF
COLON
IN DOGS
A.B. Kachiwal and A.B Kalhoro
Department of Surgery and Obstetrics, Sindh Agricultural Universiiy,
Tandojam,
Pakistan
Abstract
An expenmental study was conducted on 12 healthy adult dogs to determine the
best method for anastomosis of colon. An appositional 2 layer (APP-2) suture
pattern was compared with the inverting 2 layer (INV-2) suture pattern for
end-to-end anastomosis. VicryR (size 3-0) was used for anastomosis.
The mean number of stitches and time taken for anastomosis were significantly
higher (P<0.05) with APP-2 than INV-2. Adhesions at the incision site were also
significantly higher (P<0.05) with APP-2 than INV-2. Lumen diameters for all
anastomoses were smaller than control at 10th, 20th and 30th day after surgery
with both patterns. The differences between the values of APP-2 and 1NV-2 were
not statistically different at 10th and 20th thy after surgery. The lumen
diameter with APP-2 was significantly larger (P<0.05) than 1NV-2 at 30th day
after surgery. The current study showed the supremacy of the APP-2 layer suture
pattern for colonic end- to-end anastomosis over the 1NV-2 layer suture pattern.