Comparison of three techniques for intestinal anastomosis in Equidae

Thirteen horses and ponies were used to evaluate an anastomotic technique utilizing a modified Gambee suture pattern. The modified Gambee technique was compared with a single-row everting technique and a double-row inverting technique. The double-row inverting technique predisposed to intestinal obstruction and resulted in minimal adhesions. The everting technique predisposed to leakage of intestinal contents and subsequent peritonitis. Adhesions were formed at the site of the anastomosis to such an extent as to jeopardize the proper position of the bowel. The technique did not cause any luminal constriction initially, but the ensuing adhesions did tend to limit the expansibility of the bowel. The modified Gambee technique was associated with minimal constriction of the bowel lumen. Excessive adhesions and leakage were not found to be problems associated with the technique. It was concluded that, in Equidae, the modified Gambee technique for intestinal anastomosis results in near normal lumen diameter, minimal adhesions, and adequate strength, thus being safe and effective.