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3.4.3.3 Luminal Interrupted Vertical Mattress Pattern

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During intestinal anastomosis and other tubular anastomoses, occasionally the deep side of the bowel edges are difficult to mobilize and expose. In this instance, surgeons may elect to use vertical mattress suture patterns placed within the lumen on the deep side of the anastomosis. The sutures are generally preplaced and tied such that the knots are within the lumen of the tubular organ. This results in cut edges that are sealed and inverted within the lumen. No knots are exposed on the serosal surface. The remaining anastomosis on the exposed near side is closed with an appositional suture pattern.


Figure 3.1

Gastrointestinal Surgical Techniques in Small Animals

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