Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 46

After gastric and intestinal incision, it is common that muscle fibers within the wall contract, causing retraction and spasm. The underlying loosely attached mucosa aggressively everts and rolls over the incised edge of intestine or stomach. When simple interrupted or simple continuous sutures are placed while the mucosa is remains everted, true apposition of intestinal layers cannot be attained. Everted mucosa is caught between the incised edges. Intestinal healing in this instance is slowed, when compared to accurately aligned intestinal layers. Excess mucosal eversion also lowers leak pressure of the repair and may increase the incidence of adhesion formation. The Gambee and modified Gambee patterns help reduce mucosal eversion.