ECVS ABSTRACT 2020

Material and methods
The animal was positioned in dorsal recumbency, and both the ventral
abdomen and the perineal area prepared for surgery. A ventral midline
abdominal approach was performed first, from xiphoid to pubis.
Findings included a moderate amount of peritoneal effusion.The colon
was evident with suture dehiscence. Initially, primary closure of the
colon with recto was attempted using 4-0 PDS in a simple interrupted
pattern. This resulted in a tension on the closure that resulted in sutures
tearing through the tissues. To decrease tension, a jejunal grafting
technique was utilized. A 5-cm segment of healthy jejunum, including
jejunal artery and vein, was isolated and mobilized from the middle of
the jejunum. The graft harvest site was anastomosed using 4-0 PDS in
simple continuous appositional patterns. The jejunal segment was
transposed, and sutured in place with 4-0 PDS in a simple interrupted
pattern in the cranial colon portion. The rectal portion was hard to
scarify by this approach even if bilateral ischiopubic osteotomy was
performed. A doyenne clamp was push inside abdomen by anus, and
the caudal aspect of jejunal graft was push out the perineal. The
abdomen was lavaged with 5 L of sterile saline and a Jackson Pratt
drain was placed in the peritoneal cavity prior to closure. The abdomen
is closed routinely. The dog is then positioned in sternal recumbency. A
trans anal rectal jejunal anastomosis was done. using 4-0 PDS in
simple continuous appositional patterns. The dog received intensive unit care for three days.

Conclusion
The suture deischence after pull trought is a severe
complication can to die or euthanasia for severe peritonite.
the strategy to treat this condition are a surgery revision
with colostomy temporary or permanent. The use of a
vascularised pedicle jejunal is a good alternativee to treat a
suture dehiscence. This case represents the novel use of a
jejunal graft for successful repair of a severe deiscente after
trans anal pulltrought to treat a rectal colon
adenocarcinoma. It is clear the septic peritonitis that
developed after the initial procedure was due to suture
leakage The leakage was seen in the revision surger too.
The results support the use of this technique as a
potential method to maintain treat a suture deiscente.