Comparative Evaluation of Colonic Anastomosis by Monolayer Appositional techniques Alongwith Appraisal and Management of Post – Operative Abdominal Adhesions in Canine
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Date
1993
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Birsa Agricultural University, Ranchi
Abstract
1. Monolayer appositional technique of colonic anastomosis is efficacious, safe, easily accomplishable and devoid of post-operative anastomotic complication.
2. Both the suturing patterns-continuous and interrupted, are appropriately poised to be adopted for routine clinical application for entero-anastomosis by this technique.
3. Comparative evaluation of the suturing patterns establishes the superiority of continuous fashion over interrupted one on the basis of anastomotic time and consumption of valuable suturing material, both being lesser in the former pattern.
4. Abdominal surgery is associated with the development of the post-operative intraperitoneal adhesions with varying intensities even in response to the similar nature of surgical stress to the mesentery.
5. Mast cells are actively related with the adhesion formation-greater rupture of these cells can be correlated with higher grade adhesions.