By R. Gullichsen (auth.), Prof. Dr. Rainer Engemann, Prof. Dr. med. A. Thiede (eds.)
Biofragmentable anastomoses earrings signify a desirable notion: Stan dardization of anastomoses, safe procedure in software, expulsion of the cloth with no residuals. moreover, one unmarried method permits to accomplish the classical finish to finish, finish to part, and facet to aspect anastomoses in so much parts of the gastrointestinal tract, with none auxiliary instrument. this implies a very good benefit of practicability. managed reports evidenced that the speed of problems is particularly small for the intestinal tract. as a result, you will need to determine the localization for current indication and contra symptoms. chapters particularly care for top GI anastomoses in cluding esophagus anastomoses and with BAR anastomoses in inflammatory bowel affliction. this can be performed by way of analysing the knowledge and through an trade of expertise among the medical examine teams. This ebook is to communi cate experimental facts and to extend knowing approximately pathophysiology of the therapeutic of anastomoses via compression anastomoses. Wiirzburg, Germany, Prof. Dr. R. ENGEMANN October 1994 Prof. Dr. A. THIEDE Contents Experimental examine Histological and scientific facets of Early therapeutic of the Valtrac Anastomosis within the Colon R. GULLICHSEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . three Colorectal Intramural Blood offer and Microcirculation in guy M. A. R. AL FALLOUJI (With five Figures) . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Biofragmentable Anastomosis Ring as opposed to Stapled Anastomoses within the Extraperitoneal Rectum: Experimental learn in canine N. G. CZECZKO, B. POLONIO, L. F. COLA
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Extra info for Compression Anastomosis by Biofragmentable Rings: Proceedings of the Second European Workshop
75 6 4 2 O ~==~~==~~==~====~====~ Manual Suture Stapler BAR Fig. 3. Time taken to create the anastomoses. BAR, biofragmentable anastomosis ring. 05) Biofragmentable Anastomosis Ring, Stapler and Hand Suture 29 subiliac preanastomotic distension due to adhesions was noted. However, the degree of perianastomotic adhesion was different: it was most pronounced in the hand-sewn group, increasing from day 3 to day 14 postoperatively. One case showed a small perianastomotic abscess formation, though without signs of a general peritonitic reaction on day 3 after surgery.
7. collagen content behave in the postoperative course? Materials and Methods We used 36 G6ttingen minipigs. Two anastomoses in the descending colon were performed randomly in every animal (Table 1). Subsequently we compared the anastomotic healing of the BAR with two standard procedures, the manual and the stapled suture. S. Debus et al. Table 1. Number of anastomoses performed Days after operation 0 3 7 14 Total Manual suture (n) 4 6 Stapler (n) 4 7 7 7 6 24 24 7 BAR (n) 4 7 7 6 24 BAR, biofragmentable anastomosis ring.
CZECZKO, B. D. REPKA, A. MULINARI, R. ENGEMANN, and A. THIEDE Introduction The prevention of anastomotic fistulas in the gastrointestinal tract is a continuous challenge for the surgeon and a frequent aim in experimental studies. A large number of such studies deal with the esophagus, an organ with proper anatomical and physiological characteristics which favor the occurrence of complications. The anatomical and physiological characteristics of the esophagus were first described by Saint and Mann in 1929, and the following complicating factors still remain: (a) its anatomical localization; (b) the absence of serous covering; (c) its poor blood supply due to segmental branches; (d) the tensile stress due to the continuous swallowing and coughing movements; and (e) the highly infectious nature of esophageal secretion.
Compression Anastomosis by Biofragmentable Rings: Proceedings of the Second European Workshop by R. Gullichsen (auth.), Prof. Dr. Rainer Engemann, Prof. Dr. med. A. Thiede (eds.)