Comparative Efficacy of Sutures and Suture less Techniques for Gastrotomy Incision closure in Dog

Gastrotomy is suggested in case of gastric dilatation with volvolus, gastric foreign bodies, gastric retention, out flow obstruction, hypertrophic gastropathy, gastric neoplasia, and gastro duodenal ulceration. Different techniques are considered to close gastric incisions like absorbable suturing material, stapler suture and use of adhesive glue. These techniques give different kind of effects on gastrotomy closure. The present study was carried out on 12 adult mongrel dogs with an average of 15 to 20 kg body weight. They were divided into three groups, each group having 4 animals and designated as group A, B and C. Standard Gastrotomy procedure was performed in group A (sutured as, first layer by simple continuous pattern followed by 2nd layer of cushing sutures with Vicryl #1), B Linear Stapler , (Linear Gastric Stapler, Ethicon, Inc. Johnson and Johnson, USA) was used to close gastric incision while in group C gastrotomy site was closed by tissue adhesive glue Cyanoacrylate (Dermabond 0.5ml, Ethicon, Inc. Johnson and Johnson, USA). Comparison of all suturing and suture less techniques was carried out through Physical evaluation, food, water intake and defecation, Weight loss / gain, Complete Blood Count, Leakage evaluation by contrast radiography and postmortem findings. It was concluded that suturing technique (using absorbable suture material in two layers) considered much better than other two methods (adhesive glue and stapling) economically, due to use of ease and least post-operative complication. The results of this study will help veterinarian, field workers and pet practioners to use suturing technique as most effective and appropriate technique for gastrotomy closure in terms of better healing, less blood loss and least chances of post operation complications.