| Strength of esophageal closure techniques with and without tissue reinforcement. | |
| | |
MedLine Citation:
|
PMID: 17534546 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: The purpose of this study was to investigate the effects of esophagotomy closure techniques on the esophageal bursting pressure. MATERIALS AND METHODS: Altogether, 122 freshly dead sheep esophagi received from the local slaughterhouse were prepared for manual closure. After esophagotomy, the specimens were divided into four groups. An interrupted mucosal suture pattern (n = 30), an interrupted mucosal-submucosal suture pattern (n = 30), an interrupted mucosal-submucosal + over-over continuous muscular suture pattern (n = 32), and an interrupted mucosal-submucosal + reinforcement with a diaphragmatic part with full-thickness interrupted U suture pattern (n = 30) were used for esophagotomy closure; 4-0 silk was used in all specimens. Bursting pressures were measured with a sphygmomanometer. RESULTS: We found a statistically significant difference among the bursting pressures of all groups (p < 0.001). The bursting pressure values gradually increased from group 1 to group 4 (47.6 +/- 22.7, 86.2 +/- 49.5, 185.4 +/- 53.5, and 226.8 +/- 62.4 mmHg, respectively). Reinforcing the esophageal suture line with tissue significantly increased the bursting pressure compared to the other groups. CONCLUSIONS: Each layer of the esophagus significantly contributes to strengthening esophageal wall tension with primary esophageal closure, and reinforcement of the esophageal suture with tissue provides an additional significant increase in the bursting pressure of the esophagus. |
| | |
Authors:
|
Ali Yeginsu; Makbule Ergin; Unal Erkorkmaz |
Related Documents
:
|
11418786 - Peppermint oil improves the manometric findings in diffuse esophageal spasm. 2305886 - Modulation of feline esophageal contractions by bolus volume and outflow obstruction. 11060186 - Influence of cholangiography on biliary sphincter of oddi manometric parameters. 11546 - Endogenous motilin and the les pressure. 15566926 - Effects of hormone replacement therapy or raloxifene on ambulatory blood pressure and a... 1720856 - Effect of nitric oxide synthase inhibitors on hypotension in patients with septic shock. |
Publication Detail:
|
Type: Journal Article Date: 2007-05-30 |
Journal Detail:
|
Title: World journal of surgery Volume: 31 ISSN: 0364-2313 ISO Abbreviation: World J Surg Publication Date: 2007 Jul |
Date Detail:
|
Created Date: 2007-06-18 Completed Date: 2007-10-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7704052 Medline TA: World J Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1445-8 Citation Subset: IM |
Affiliation:
|
Department of Thoracic Surgery, Gaziosmanpasa University School of Medicine, Göğüs Cerrahisi AD, Cennet Mh., 60500 Tokat, Turkey. yeginsu@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Animals Esophagus / surgery* Sheep Stress, Mechanical Surgical Flaps* Suture Techniques* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Synchronous resection of colorectal primary cancer and liver metastases.
Next Document: Tumor localization for laparoscopic colorectal surgery.