Comparison of staple and Gambee techniques for enterotomy closure in the normal bovine jejunum

Two suturing techniques for closure of jejunal enterotomies--the stapling and the Gambee technique--were compared in 7 bulls. Stapling was less time consuming (P less than 0.0001) and reduced the overall duration of surgery by 15%. Furthermore, the lumen diameter was significantly less decreased in the stapled intestine at 8 weeks after surgery (P less than 0.05). The diameter of the intestine increased significantly between 8 and 13 weeks after the Gambee suture had been applied (P less than 0.05) and the difference in diameter between intestines sutured according to Gambee and the stapled intestines disappeared. The intestinal diameter did not change significantly between 13 and 18 weeks in both techniques. The application of Gambee sutures resulted in fewer adhesions (P less than 0.01) and less thickening of the intestinal wall (P less than 0.0001). The surgery did not seem to affect the performance of the bulls significantly.