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Fixation of Intestinal Tissue Using a Novel Endoscopic Device.
MedLine Citation:
PMID:  21193479     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: The purpose of this study was to assess the utility and strength of a novel endoscopic fixation device, BraceBar, in the large intestine and compare the strength with other currently available techniques. The primary outcome was the strength of fixation using 3 endoscopic methods: BraceBar, suture, and commercially available tackers. The hypothesis is that the use of the BraceBar will result in fixation strength similar to the strength of the other methods. Materials and methods: An ex vivo porcine model was used to test 3 fixation methods: Group 1, BraceBar (Prototype); Group 2, ProTack (AutoSuture); and Group 3, TI-CRON suture (Syneture). Large-bowel segments were fixed to abdominal wall tissue at 20 cm from the distal end of the rectum. Primary endpoint was pull away strength. A total of 45 trials of each method were performed. Comparison between the groups was done using JMP 7.0. RESULTS: There was no significant difference in strength between the BraceBar group and the suture group (P = .1236). The BraceBar method demonstrated significantly higher strength compared with the tacker group (P = .003). CONCLUSION: Use of the BraceBar for fixation of the large bowel is at least comparable with suture fixation, making clinical use of BraceBar a reasonable consideration. Use of this device may make endoscopic repair of certain intestinal conditions feasible.
Authors:
Juan Luis Calisto; Junichiro Kawamura; Koiana Trencheva; Olival Oliveira; Vanessa Ho; Jun Yan; Wen Lei; Jeffrey Milsom
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-12-29
Journal Detail:
Title:  Surgical innovation     Volume:  -     ISSN:  1553-3514     ISO Abbreviation:  -     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233809     Medline TA:  Surg Innov     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Colon and Rectal Surgery, Weill Cornell Medical College, New York, NY, USA.
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