Intra-operatively, short acting anaesthetic agents like sevoflurane/atracurium were used, bowel anastomosis were performed by hand-sewn method using two-layer anastomosis, first-layer continuous suturing full thickness technique and second-layer interrupted seromuscular
sutures using vicryl # 4/0 suture material.
Group A- Primary closure in 2 layers using 2 - 0 or 3 - 0 Vicryl full thickness and 2 - 0 or 3 - 0 silk seromuscular
For full-thickness and larger single defects, a double-layer closure is recommended with a full-thickness inner layer (including the mucosa) in which the mucosa is inverted luminally with 3-0 absorbable suture in a running or interrupted fashion followed by a seromuscular
outer layer of 3-0 absorbable or silk sutures placed in interrupted imbricating Lembert stitches.
The pancreas of the ostrich was found to be gray-white in color, the outer surface contained a thin seromuscular
envelope, and the pancreatic parenchyma was divided into many lobules by outer membrane; however, the lobules were not obvious (Fig.
In our experience, the choice of the use of suture instead of staplers was based on the fact that the fixation of the meshes was safer as we take seromuscular
stitches over rectum and it is easier.
The pylorus was stabilized with an atraumatic grasper and a longitudinal seromuscular
incision made from the prepyloric vein into the gastric antrum.
layer was sutured to the right lateral abdominal wall with Sultan sutures of 2-0 polyglactin 910 (Figure 1C).
suturing at the resected edge is usually performed.
Amarpal, Singh B and Kumar A Gastric seromuscular
autogenous graft for oesophagoplasty in dogs: Mechanical and histological study.
The aim of the present study was to evaluate one-layer (simple continues sutures), two-layer (simple continues and continues lembert sutures) and three-layer (simple continues sutures and seromuscular
layer by two layers, cushing suturing pattern overlapped by lembert sutures), closure techniques for cystotomy wound in dogs.
Lambert described his seromuscular
technique in 1826, which became the main stay of gastrointestinal surgery in the 2nd half of century 1.
These technical factors have complicated many attempts to reduce the occurrence of PF after DP by division of the pancreas with an electrocauterizer or ultrasonic dissector, occlusion of the pancreatic duct with prolamin or fibrin glue sealing, and suture of the pancreas with a stapler using a gastric or jejunal seromuscular