Validation of the vulnerable crotch on a side-to-side anastomosis: Observation of the burst process
| العنوان: | Validation of the vulnerable crotch on a side-to-side anastomosis: Observation of the burst process |
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| المؤلفون: | Takaya Nagasaki, Yasuyuki Shibata, Yuki Eguchi, Shuhei Ueno, Masahiro Kimura, Nobuo Ochi, Satoshi Taniwaki, Hiroyuki Asai |
| المصدر: | European Surgery. 51:19-26 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Stapled anastomosis, medicine.medical_specialty, Leak, business.industry, Crotch, Lumen (anatomy), Anastomosis, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Staple line, Medicine, 030211 gastroenterology & hepatology, business, Side to side anastomosis, Burst pressure |
| الوصف: | The vulnerability of the crotch on a side-to-side anastomosis to leak has been widely recognized. However, countermeasures to prevent leaks from the crotch have not proven to be sufficient. A side-to-side anastomosis was performed between two intestinal specimens using a linear stapler. We analyzed the burst pressures of anastomoses. Comparison was made in five groups, with different staple heights, presence of Neoveil® (Gunze, Japan), with or without crotch buttressed with nylon. Using an endoscope inserted into the intestinal lumen, we observed the burst process. We observed a significant difference in the resistance of the crotch to leak between the two types of reinforcement. In all experimental groups, the leak was observed not only on the serosal surface but also from within the lumen. Neoveil® significantly increased the burst pressure (41.4 ± 3.6 vs. 88.8 ± 14.6 mm Hg; p |
| تدمد: | 1682-4016 1682-8631 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::6128848217b9cbadaa381675079a2185 https://doi.org/10.1007/s10353-018-0561-x |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........6128848217b9cbadaa381675079a2185 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 16824016 16828631 |
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