Parallel alternating sliding knots are effective for ligation of mesenteric arteries during resection and anastomosis of the equine jejunum View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-07

AUTHORS

Marco Gandini, Gessica Giusto, Francesco Comino, Eleonora Pagliara

ABSTRACT

BACKGROUND: In literature only one article describes and compares methods of achieving hemostasis in equine mesenteric arteries during jejunal resection and anastomosis, and most textbooks favor ligating-dividing mechanical devices. The latter method cannot always be used, not least because the devices are expensive and in some cases even contra-indicated. Various types of knots, including sliding knots, are widely used to provide hemostasis in laparoscopy. METHODS: Portions of jejunum with associated mesenteric vessels were collected from 12 horses at a local abattoir. These were divided into 24 specimens containing five mesenteric arteries each. Each artery was closed with a triple ligature. In group A, a surgeon's knot was used to tie the ligatures (two circumferential and one modified transfixing) while in group B all ligatures (three circumferential) were tied with a parallel alternating sliding knot. Both groups were divided ino two subgroups depending on suture material used (multifilament or monofilament suture material). Time to perform ligatures for every specimen were recorded and compared between groups. RESULTS: Ligation of mesenteric arteries was significantly faster to perform with sliding knots than with surgeon's knots, both with monofilament and multifilament suture material. With multifilament suture material, the leaking pressure of sliding knot ligatures was significantly higher than that of surgeon's knot ligatures. With monofilament suture, there were no statistically significant differences in leaking pressure between ligature methods. Both ligating methods were stronger with monofilament suture material than with multifilament suture material. CONCLUSIONS: Regardless of the ligature used, monofilament suture material performed better than multifilament suture material to achieve hemostatic knots. Independently of the suture material, the sliding knot is comparable or better than the surgeon's knot in providing hemostasis, and is faster to perform. More... »

PAGES

s10

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1746-6148-10-s1-s10

DOI

http://dx.doi.org/10.1186/1746-6148-10-s1-s10

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1009993077

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25238115


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