Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 52

This interrupted or continuous pattern results in aggressive inversion of hollow visceral edges (Figure 3.5). It may be used to help bury considerable eversion of mucosa. The needle penetrates through serosa and muscularis and purchases submucosa about 8–10 mm away from the incision edge and exits 3–4 mm from the wound margin on the same side. After the needle passes over the incision, it penetrates 3–4 mm from the wound margin and exits about 8–10 mm away from the incision. The further away from the incision the needle passes, the more inversion is formed. When placing continuous inverting suture lines, the surgeon must be aware of the location of the cut edge at all time. As the cut edge inverts when the line is tightened, there is a tendency to take bites progressively further from the visceral wound edge which can result in an undesirable deep inverted stump of tissue at the end of the suture line.

Figure 3.5