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Titlebook: Intestinal Anastomoses with Bioabsorbable Anastomosis Rings; Proceedings of the F Rainer Engemann,Arnulf Thiede Conference proceedings 1993

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书目名称Intestinal Anastomoses with Bioabsorbable Anastomosis Rings
副标题Proceedings of the F
编辑Rainer Engemann,Arnulf Thiede
视频video
图书封面Titlebook: Intestinal Anastomoses with Bioabsorbable Anastomosis Rings; Proceedings of the F Rainer Engemann,Arnulf Thiede Conference proceedings 1993
描述The anastomotic technique plays a predominant role in gastrointestinal surgery. A feared complication is leakage due to the sutures. Such leakage cannot be detected early; consequently, infection spreads locally and systemically. An anastomotic method is generally evaluated according to its rate of leakage, related to the localization, bur real scientific comparisons, i.e., controlled studies, are almost totally lack­ ing. The criteria of evaluation include the type of suture, the localization, the auxiliary technical tools, practicability, the different forms of wound healing, angiogenesis, and vascularization, among others. The postoperative criteria are complications shortly after surgery, such as bleeding, ruptures, and stenoses of the anastomosis. A standard comparison is made difficult by the variety of cytophysiological and biochemical factors that influence wound healing. In the comparison of larger series one must always take into account differences of auxiliary tools, strategies, and inhomogeneity of patients. A change of one auxiliary tool or of one strategy implies the modification of various target criteria. Often enough, however, one does not sufficiently consider th
出版日期Conference proceedings 1993
关键词Anastomose; Bioabsorbable Rings; Compression Anastomoses; Gefäßchirurgie; Surgery
版次1
doihttps://doi.org/10.1007/978-3-642-78017-2
isbn_softcover978-3-540-56340-2
isbn_ebook978-3-642-78017-2
copyrightSpringer-Verlag Berlin Heidelberg 1993
The information of publication is updating

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The Healing Process of Anastomoses with Bioabsorbable Rings: An Experimental Study in Pigsased collagenase activity in the intestinal wall and other local factors reduce the capacity of the anastomosis tissue to hold the suture material at this early stage of healing (Hawley et al. 1970; Jiborn et al. 1980; Young and Wheeler 1983; Lünstedt and Debus 1990).
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Intestinal Anastomoses with the Aid of Bioabsorbable Rings: The Swedish Experiencechnique for ileocolic as well as colocolic and rectosigmoid anastomoses (Cahill et al. 1989; Corman et al. 1989; Bubrick et al. 1991). The aim of the present study was to gain experience with this new technique and to test its feasibility as a routine procedure in colorectal surgery.
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The Application of Special Instruments with the Bioabsorbable Anastomosis Ring: Technology and TechnOne of the most important advantages of compression anastomoses in the gastrointestinal tract is their high level of standardization. Here we describe the creation of such a typical “standardized” anastomosis using a bioabsorbable ring (Table 1), with emphasis on devices that are necessary and currently available, and on how to use them (Table 2).
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Standardized X-Ray Examination of the Bioabsorbable Ring AnastomosisX-ray examination of a bioabsorbable ring anastomosis is expected to yield information on the following:
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Experience with the Bioabsorbable Valtrac Ring in Small and Large Bowel Anastomosesrtens the duration of surgery. Due to its fragmentability and applicability in every gastroenteric section without need of additional enterotomy, the Valtrac ring offers advantages over the circular stapler. The circular stapler is preferable only for serosa-free sections of the digestive tract (esophagus, deep rectum).
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