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Summary
The macroscopic and histological appearance of jejunal antimesenteric incisions approximated with two different absorbable suture materials (monofilament versus multifilament) and three closure techniques (appositional single layer, crushing single layer, and double layer) were compared in healthy dogs at 14 or 28 days, postoperatively. No significant differences between the two suture materials were observed for most of the macroscopic or histological variables. However, the monofilament suture material caused significantly more fibrous tissue reaction in the muscular layer of the jejunum than did the multifilament suture material. Of the three enterotomy closure techniques used in this study, the appositional single‐layer method proved to be the best. The double‐layer closure method caused a significant decrease in the incisional circumference, the relative circumference, and volume of the jejunum, and a significant increase in jejunal wall thickness. Our findings suggest that canine jejunal enterotomy incisions can be closed using an appositional suture pattern with relatively rapidly absorbable monofilament suture material. The use of double‐layer suture patterns for closure of jejunal enterotomy incisions should be avoided because the size of the intestinal lumen may be reduced.
Notes
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80.154, 3508 TD Utrecht, the Netherlands.
Department of Pathology, Faculty of Veterinary Medicine. Utrecht University. P.O. Box 80.158, 3508 TD Utrecht, the Netherlands.
Drs. Maarschalkerweerd's current address is ‘Diergeneeskundig Orthopedisch Centrum Amsterdam’, Rietwijkerstraat 27, 1059 Amsterdam, the Netherlands.
Reprint requests: Jolle Kirpensteijn, DVM. PhD, Department of Clinical Sciences. Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80.154, 3508 TD Utrecht, the Netherlands.