Compression Anastomosis by Biofragmentable Rings: by R. Gullichsen (auth.), Prof. Dr. Rainer Engemann, Prof. Dr. PDF

By R. Gullichsen (auth.), Prof. Dr. Rainer Engemann, Prof. Dr. med. A. Thiede (eds.)

ISBN-10: 0387584188

ISBN-13: 9780387584188

ISBN-10: 3540584188

ISBN-13: 9783540584186

ISBN-10: 364279260X

ISBN-13: 9783642792601

Biofragmentable anastomoses jewelry signify a desirable proposal: Stan­ dardization of anastomoses, safe approach in software, expulsion of the fabric with no residuals. moreover, one unmarried strategy permits to accomplish the classical finish to finish, finish to facet, and facet to part anastomoses in such a lot components of the gastrointestinal tract, with none auxiliary instrument. this suggests a very good good thing about practicability. managed stories evidenced that the speed of problems is particularly small for the intestinal tract. consequently, it is very important determine the localization for current indication and contra­ symptoms. chapters in particular take care of higher GI anastomoses in­ cluding esophagus anastomoses and with BAR anastomoses in inflammatory bowel sickness. this can be performed via analysing the knowledge and through an trade of expertise among the medical study teams. This e-book is to communi­ cate experimental information and to extend figuring out approximately pathophysiology of the therapeutic of anastomoses via compression anastomoses. Wiirzburg, Germany, Prof. Dr. R. ENGEMANN October 1994 Prof. Dr. A. THIEDE Contents Experimental study Histological and medical features 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 examine in canine N. G. CZECZKO, B. POLONIO, L. F. COLA

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Macroscopic view of the mucosa on the 30th postoperative day there was a minimal inflammatory reaction, with persistence of the acute phase, few polymorphonuclear cells, some micro abscesses around staples, and minimal to moderate fibrosis; the cicatrization was good in all animals. On the 30th day, the inflammatory reaction was minimal, there was little fibrosis, some microabscesses, and acute inflammatory reaction surrounding the place where the staples were; the healing was good in all of the dogs.

The purse-string clamp introduced via the trocar in the right lower abdomen was placed on the distal resection line. At first we attempted to insert the straight suture introduced via one of the trocars from the distal suture opening of the clamp. F. Schneider et al. because, as a result of the two-dimensional monitor picture, it was difficult to guide the needle exactly aligned with the suture channel axis of the clamp. By contrast, it was easy to insert the straight needle via the proximal suture opening of the clamp as here the shaft of the purse-string clamp could serve as an optical guide bar (Fig.

Anastom OSIS c a b - --- :=~~~~-=!! Fig. 8a ,b. V altrac anast omosis . F. Schneider et al. The remaining four animals with a complication-free postoperative course revealed no signs of anastomotic insufficiency or past peritonitis. All anastomoses were wide and readily patent. The animals which were again subjected to laparoscopy only showed minimal adhesions. At rectoscopy the anastomoses only appeared as delicate scars in the intestinal wall (Fig. 9). The animals were followed up for 3 weeks after the intervention, and a pseudopolyp was identified rectoscopically or macroscopically in all of them in the region of the anastomoses.

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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.)

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