Comparison of two jejunal anastomosis techniques in dogs treated preoperatively with dexamethasone

Abstract

The aim of this study was to evaluate effects of steroidal antiinflammatory drugs that given before surgery on two intestinal anastomosis techniques in dogs. Thirty-two adult local breed dogs were equally and randomly divided into 2 groups: group 1: consist of 16 dogs underwent apposition End-To-End jejunal anastomosis using simple interrupted suture technique and divided this into 2 subgroups: subgroup A: consist of 8 dogs treated preoperatively for 15 days with dexamethasone at a dose of (0.1ml/kg) given I/M. Subgroup B: control group consists of 8 dogs not treated with dexamethasone. Group 2: consist of 16 dogs underwent inverted End-To-End jejunal anastomosis using continuous Lumbert suture pattern and divided this into 2 subgroups: subgroup A: consists of 8 dogs treated preoperatively for 15 days with dexamethasone at a dose of (0.1ml/kg) given I/M. Subgroup B: control group consist of 8 dogs not treated with dexamethasone. The result showed the adhesion at anastomosis site with omentum was more severe in the group one when compared with the group two. The degree of stenosis rate was lower in group one after 7 days of operation (22.7±8.2) while the degree of stenosis rate was higher in the group two after 15 days (54.9±4.1). The anastomotic bursting pressure was significantly lower in the all steroidal subgroups at 7 and 15 days compared with the control subgroups.

Keywords

• Jejunum
• Dexamethasone
• Adhesion
• Stenosis