Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 47

In the Gambee pattern on the first side, the needle is inserted 3–4 mm away from the cut edge of serosa directly through the full‐thickness wall of the intestine into the lumen (Figure 3.1a). The needle is backed up just enough to advance and pierce the middle of the cut surface of the everted mucosal edge. The second purchase on the opposite side begins with the needle inserted in the cut edge of the everted mucosa down into the lumen of the bowel. The needle is then advanced and driven full thickness directly from the bowel lumen to the serosa, catching 3–4 mm of wall. The advantage of this suture over the modified Gambee stitch (below) is that since the needle pierces the bowel wall full thickness, a good purchase of submucosa is guaranteed to be included with each needle bite.