A Comparative Analysis of Different Gastrotomy Closure Techniques in Dog Models Using Barbed, Skin Stapler, and Polyglactin 910 Suture

Abstract

Gastrotomy, a common veterinary surgery, requires effective closure to guarantee speedy recovery and minimal problems. Barbed and skin staplers are alternatives to polyglactin 910 sutures, which have been widely utilized. Skin staplers, standard hand-sewn polyglactin 910 sutures, and knotless self-anchoring barbed sutures were compared for dog gastrotomies. Thirty healthy adult mongrel dogs got gastrostomy procedures for an experimental comparison, separated into A, B, and C groups. The gastrostomy was closed with Meril Mirus Skin Stapler, 35 W, in group A. Polsyglactin 910 (Vicryle, Ethicon, 2/0) was used in group B, while absorbable barbed suture Ethicon was used in group C. Barbed sutures reduced inflammation and increased tissue regeneration, according to molecular studies that demonstrated stronger angiogenic factor production and fewer proinflammatory cytokines. The polyglactin 910 suture caused inflammation and epithelium regeneration problems. Skin staplers cause more wound inflammation than absorbable barbed but less than polyglactin 910. Absorbable barbed significantly accelerated stomach wound closure. All three groups receive safe stomach incision closure. No postoperative catastrophic complications or deaths were reported. In conclusion, barbed sutures are the fastest and safest way to close the stomach with speeding tissue regeneration.