Comparative Efficacy of Single and Double Layer Suturing along with Stapling Technique for End-To-End Anastomosis of Esophagus in Dog

The present-day study was carried out to compare the best surgical technique for end-to-end anastomosis of esophagus after resection. The clinical trials were carried out to compare three techniques for end-to-end anastomosis of esophagus which included single layer suturing, double layer suturing and stapling technique and various parameters were evaluated to compare their effectiveness at day 1, 3, 7, 15, 21, 28, 35 and 45 (physiological parameters, hematology, weight gain/loss, contrast radiography and endoscopy). The techniques were used in 12 mongrel dogs of either sex and divided into three groups A, B and C. It was concluded that stapling technique (intra luminal circular stapler 28mm) has been considered much better than other two techniques (Single layer Suturing and double layer suturing). The verdict base explanation for better and reliable result in esophageal anastomosis is that the stapling technique has good result in term of post-operative complications, less operative time; give more strength to the anastomosis ends of esophagus, good healing and minimum Stenosis.