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Veterinary Medicine International
Volume 2010 (2010), Article ID 139610, 6 pages
http://dx.doi.org/10.4061/2010/139610
Research Article

A Comparison of Two Anastomotic Techniques in the Jejunum of the Goat

1Faculty of Veterinary Medicine, Universiti Putra Malaysia, Selangor 43400, Malaysia
2Medical School, SEGi University College, 47810 Petaling Jaya, Selangor, Malaysia
3Faculty of Veterinary Medicine, Baghdad University, 1963 Al-aameria, Baghdad, Iraq

Received 3 August 2010; Revised 13 October 2010; Accepted 15 October 2010

Academic Editor: Nigel R. Perkins

Copyright © 2010 H. A. Al-Timmemi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study was carried out to test two different anastomotic techniques to identify advantages and disadvantages of each technique in goats. All animals were under local infiltration anaesthesia. A five-cm length of jejunum was resected from the first part of the jejunum and end to end anastomosis using 3-0 Polygalactin-910 with one row of sero-submoucosal interrupted sutures (SSIS) group, and one row of horizontal mattress interrupted sutures (HMIS) group. Two animals from each group were euthanized on the 4th, 14th and 21st postoperative days. A 7-cm segment of jejunum including the anastomosed area was resected from each animal. There was no significant adhesion between anastomosis area and surrounded tissues observed in SSIS animals, while there was significant adhesion between anastomosis area and surrounded tissues which were observed in HMIS animals. Stenosis degree was lower in the SSIS than the HMIS group. The bursting pressure was higher in the SSIS than the HMIS group. Macroscopic evaluation indicated that the anastomotic line mucosa was abridged better with less local edema in the SSIS group. Histological evaluation in the SSIS group showed almost all parameters such as epithelial recovery and repair of submucosal-mucosal layer demonstrated better healing compared to the HMIS group.