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Article
October 1968

Suture AnastomosisAn Experimental Study Using Limited Suturing of the Small Bowel in the Dog

Author Affiliations

Melbourne
From The Royal Melbourne Hospital, Melbourne.

Arch Surg. 1968;97(4):586-589. doi:10.1001/archsurg.1968.01340040082015
Abstract

A RAPID and simple method of small bowel anastomosis would be useful in exceptional circumstances, arising, for example, when handling large numbers of battle casualties. Using dogs, I made an attempt to find the least number of sutures which would hold a small bowel anastomosis for healing, yet prevent leakage of clinical significance between widely spaced sutures and other undesirable sequelae.

Materials  A random sample of small- and medium-sized mongrel dogs, apparently in good health, was available for the study. Fifty-five experimental suture anastomoses were performed. The small bowel was divided transversely about 60 cm from the duodenojejunal flexure. The circumference of the small bowel at the site of transection was about 8 cm. The bowel then was sutured using an absorbable suture, atraumatic 3-0 chromicized catgut.The experiments were undertaken in two groups (Figure).Group 1.—In the first group, one-layered anastomoses were constructed. These consisted of either a

References
1.
Moynihan, G.B.A.: Abdominal Operations , ed 4, Philadelphia: W. B. Saunders Co., 1926, vol 1, p 464.
2.
Lembert, A.:  Mémoire sur l'entéroraphie , Report Gén Anat Physiol Path 2:100, 1826.
3.
Dupuytren, G.: Leçons Orales de Clinique Chirurgicale , ed 2, Paris: Germer-Baillière, 1839, vol 5, p 185.
4.
Dieffenbach, J.F.:  Glückliche Heilung nach Ausscheidung eines Theiles des Darmes und Netzes , Wschr Ges Heilk , 401, 1836.
5.
Halsted, W.S.:  Circular Suture of the Intestines: An Experimental Study , Amer J Med Sci 94:436, 1887.Article
6.
Connell, F.G.:  Through and Through Intestinal Suture With Report of Additional Cases , Amer Med (Phila) 5:135-142 ( (Jan 24) ) 1903.
7.
Gross, quoted by Connell, F.G.:  Through and Through Intestinal Suture With Report of Additional Cases , Amer Med (Phila) 5:135-142 ( (Jan 24) ) 1903.
8.
Cuthbertson, A.M.:  Healing of End-in-End Anastomoses , Aust New Zeal J Surg 29:246-249 ( (Feb) ) 1960.Article
9.
Murphy, J.B.:  Cholecyst-intestinal, Gastro-intestinal, Entero-intestinal Anastomosis and Approximation Without Sutures , Med Rec (NY) 42:665-676, 1892.
10.
Carton, C.A., et al:  A Plastic Adhesive Method of Small Blood Vessel Surgery , World Neurol 1:356-362 ( (Oct) ) 1960.
11.
Carton, C.A., et al:  Experimental Studies in the Surgery of Small Blood Vessels: IV. Nonsuture Anastomosis of Arteries and Veins, Using Flanged Ring Prostheses and Plastic Adhesive , Surg Forum 11:238-241 ( (Oct) ) 1960.
12.
O'Neill, P., et al:  Nonsuture Intestinal Anastomosis , Amer J Surg 104:761-767 ( (Nov) ) 1962.Article
13.
Weilbaecher, D.A.; Mathieu, F.J.; and Cohn, I.:  Nonsuture Intestinal Anastomosis , Amer J Surg 107:353-360 ( (Feb) ) 1964.Article
14.
Ordman, L.J., and Gillman, T.:  Studies in the Healing of Cutaneous Wounds , Arch Surg 93:857-881 ( (Dec) ) 1966.Article
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