In vitro comparison of three suture techniques for anastomosis of the equine small intestine

L. Auletta, F. Lamagna, V. Uccello, B. Lamagna, M. P. Pasolini

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Reasons for performing study: The equine small intestine can be affected by a variety of disorders that may require some form of bypass or anastomosis. Many suture patterns have been used in equine anastomoses to minimise post operative complications, which include leakage from the anastomosis site, stenosis and adhesions. Because of the critical condition of horses undergoing colic surgery, it is imperative this is performed as quickly as possible. Objectives: To evaluate, in vitro, differences in the time of execution and leakage pressure between the Lembert single layer, Gambee and Lembert double layer suture patterns for intestinal anastomosis in the horse and correlate the time taken to complete the anastomosis and hemicircumference of the anastomotic site Methods: Small intestinal loops were anastomosed with one of the 3 suture patterns. The intestines, immersed in polyionic solution, were insufflated via a flexible rubber hose, connected to a sphygmomanometer bulb, inserted into the lumen at one end and fixed at 25 cm from the anastomosis site with a locking clip. A tube fixed in the same manner at the other end, connected to a pressure gauge, was used to evaluate the pressure at which leakage from the anastomosis site, revealed by the presence of bubbles, was present. Results: The time spent in the execution of the Lembert single layer was significantly less than that for both Gambee and Lembert double layer. The leakage pressure of Lembert single layer was significantly higher than that recorded for both Gambee and Lembert double layer Conclusions and potential relevance: This study shows that the continuous Lembert single layer pattern takes less time to execute and fails at higher pressures than the Lembert double layer or Gambee patterns.

Original languageEnglish
Pages (from-to)46-50
Number of pages5
JournalEquine Veterinary Journal
Volume43
Issue numberSUPPL.40
DOIs
Publication statusPublished - Nov 2011

Fingerprint

suture techniques
Suture Techniques
Horses
Small Intestine
small intestine
sutures
horses
Pressure
Sutures
pressure gauges
hoses
postoperative complications
colic
Sphygmomanometers
bubbles
rubber
Colic
bulbs
Rubber
adhesion

Keywords

  • Anastomosis
  • Biomechanical test
  • Gambee
  • Horse
  • Jejunum
  • Lembert

ASJC Scopus subject areas

  • Equine

Cite this

In vitro comparison of three suture techniques for anastomosis of the equine small intestine. / Auletta, L.; Lamagna, F.; Uccello, V.; Lamagna, B.; Pasolini, M. P.

In: Equine Veterinary Journal, Vol. 43, No. SUPPL.40, 11.2011, p. 46-50.

Research output: Contribution to journalArticle

Auletta, L. ; Lamagna, F. ; Uccello, V. ; Lamagna, B. ; Pasolini, M. P. / In vitro comparison of three suture techniques for anastomosis of the equine small intestine. In: Equine Veterinary Journal. 2011 ; Vol. 43, No. SUPPL.40. pp. 46-50.
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