Ex Vivo Evaluation of Skin Staples for Typhlotomy Closure in Cattle. Issue 6 (22nd May 2015)

• Record Type: Journal Article
• Authors: Caramello, Vittorio; Comino, Francesco; Giusto, Gessica; Gandini, Marco
• Is Part Of: Veterinary surgery. Volume 44:Issue 6(2015)
• Page Start: 751
• Page End: 755
• Publication Date: 2015-05-22
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/vsu.12336
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main" xml:lang="en"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="vsu12336-sec-0001" sec-type="section"> <title>Objective</title> <p>To compare 2 sutured techniques with a skin stapled technique for typhlotomy closure in bovines.</p> </sec> <sec id="vsu12336-sec-0002" sec-type="section"> <title>Study Design</title> <p> <italic>Ex‐vivo</italic> study.</p> </sec> <sec id="vsu12336-sec-0003" sec-type="section"> <title>Sample Population</title> <p>Bovine fresh cadaveric ceca (n = 27).</p> </sec> <sec id="vsu12336-sec-0004" sec-type="section"> <title>Methods</title> <p>Typhlotomies (4 cm in length) were made on the cecal apex and closed with 1 of the following techniques: hand‐sewn, 2‐layer suture consisting of a continuous, full‐thickness layer oversewn with a Cushing layer (Group FC); hand‐sewn, double inverting suture consisting of a 1st Cushing layer oversewn with an additional Cushing layer (Group CC); skin staples (Group S). Closure time, bursting pressure, and related costs of each technique were calculated and compared.</p> </sec> <sec id="vsu12336-sec-0005" sec-type="section"> <title>Results</title> <p>Median (range) construction time for group S was 1.12 (0.49–1.3) min and was significantly shorter than for group FC 5.14 min (3.45–7.44), and for group CC 4.26 min (2.3–5.52) (95% CI 3.342–4.851), (<italic>P </italic>= .007). There was no significant difference between bursting pressures of group S (91.67 ± 15.41 mmHg, 95% CI 79.82–103.5) compared with group FC (119.4 ± 40.03 mmHg, 95% CI 88.67–150.2) (<italic>P </italic>= .160) and compared with group CC (103.3 ± 32.31 mmHg, 95% CI 78.5–128.2) (<italic>P </italic>= .707)</p> </sec> <sec id="vsu12336-sec-0006" sec-type="section"> <title>Conclusion</title> <p>Hand‐sewn techniques are effective but fairly demanding in terms of time. Skin staples are less time‐consuming, and resist pressures comparable to those resisted by handsewn techniques. For this reason, an SKS technique may be a valid option for typhlotomy closure in cattle.</p> </sec> </abstract>