Acta Cirurgica Brasileira
Print version ISSN 0102-8650
NIGRO, Amaury José Teixeira; NOVO, Neil Ferreira and JULIANO, Yara. Study in dogs comparing esophagus-esophageal cervical anastomosis in two planes of suture versus a single extramucosal plane. Acta Cir. Bras. [online]. 1997, vol.12, n.1, pp. 35-46. ISSN 0102-8650. http://dx.doi.org/10.1590/S0102-86501997000100006.
The objective of our study was to compare the efficacy of two types of cervical esophagus-esophageal anastomoses: two planes of suture versus a single extramucosal suture. Sixty healthy mongrel dogs of both sexes with a medium body weight of 15 kg. Were separated into two groups. Group one: anastomosis using two planes of suture; and Group two: anastomosis using one plane of extramucosal suture. Each group was divided into three subgroups based on post-operative time periods: 7, 14 and 30 days. Polypropylene 4-0 sutures were used in all anastomoses. The incidence of early and late post-operative complications and histological characteristics of the healing process at the site of the anastomoses were evaluated. Statistical analyses of the data collected permitted verification that the cervical esophagus-esophageal anastomoses done by only the extramucosal suture showed an incidence of 13.6% fistula and 30% stenosis at the level of the suture zone, which was significantly lower as compared to that observed in the two plane suture repair group where the percentages were 26.7 and 63.4 respectively. The healing of the structure of the esophageal wall at the level of the anastomosis was also significantly improved in the single plane extramucosal anastomosis group as compared to the two plane suture group. The observed results permitted conclusion that the extramucosal anastomosis in a single plane is more effícacious than that executed in two suture planes.
Keywords : Digestive anastomoses; Sutures; Esophagus; Dogs.