Document Detail


Healing of colonic anastomoses: comparative experimental study of glued, manually sutured, and stapled anastomoses.
MedLine Citation:
PMID:  2055141     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 10 pigs a nonsutured, glued colonic anastomosis was constructed with a modified stapling device without staples and compared with an EEA-stapled anastomosis and a one-layer-sutured anastomosis concerning radiologic appearance, breaking strength, circulation, and collagen concentration. 141Ce-labeled microspheres were used for measurements of the anastomotic blood flow before the animals were sacrificed on the 4th postoperative day. The breaking strength was recorded and an anastomotic index calculated. No leakage was found. The anastomotic width did not differ between the groups, but the interindividual variation was more prominent in the sutured group. The handsewn and stapled anastomoses were stronger than the glued anastomosis (P = 0.0009 and 0.0054, respectively). There was an increase in the anastomotic circulation in all of the anastomoses, but no differences were seen between groups. The collagen concentration was independent of the technique used.
Authors:
O K Jansson; T L Zilling; B S Walther
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  34     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-01     Completed Date:  1991-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  557-62     Citation Subset:  IM    
Affiliation:
Department of Surgery, Lund University, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Animals
Blood Flow Velocity
Cerium Radioisotopes / diagnostic use
Collagen / analysis
Colon / chemistry,  physiology,  radiography,  surgery*
Female
Fibrin Tissue Adhesive*
Male
Microspheres
Surgical Staplers*
Sutures*
Swine
Tensile Strength
Wound Healing / physiology*
Chemical
Reg. No./Substance:
0/Cerium Radioisotopes; 0/Fibrin Tissue Adhesive; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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