✦ LIBER ✦

25-year experience of using a linear stapler in laryngectomy

✍ Scribed by Lev Bedrin; Genadi Ginsburg; Zeev Horowitz; Yoav P. Talmi

Publisher: John Wiley and Sons
Year: 2005
Tongue: English
Weight: 318 KB
Volume: 27
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20280

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Stapler application for pharyngeal closure after total laryngectomy allows for rapid watertight closure without field contamination and for potentially reduced fistula rate.

Methods.

One thousand four hundred fifteen patients underwent laryngectomy with linear stapler closure. In 98.6%, laryngectomy was performed after radiation failure.

Results.

A relatively high incidence of pharyngeal fistulae (12%) was seen, although these rates were reduced to 5.5% during the recent decade. Simultaneous creation of tracheoesophageal fistula and myotomy by a novel technique was introduced. Swallowing problems were observed in 11 patients and local recurrences in nine patients (0.6%).

Conclusion.

The advantages of mechanical sutures with the closed stapling technique are simple and rapid application, watertight closure with good hemostasis, prevention of field contamination, good speech and deglutition, no increase in fistula rate, and low local recurrence rates. Operating room expenses may also be significantly reduced, rendering this method cost‐effective as well. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005

📜 SIMILAR VOLUMES

Use of a linear stapler in excision of Z

Use of a linear stapler in excision of Zenker's diverticulum

✍ Dr. Yoav P. Talmi; Yehuda Finkelstein; Rima Sadov; Ytzhack Shvili; Yuval Zohar 📂 Article 📅 1989 🏛 John Wiley and Sons 🌐 English ⚖ 268 KB

Carcinoma of the thyroid in children: A

Carcinoma of the thyroid in children: A 25-year experience

✍ Sykes, A. J.; Gattamaneni, H. R. 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 108 KB 👁 2 views

Over the past 25 years, 23 children with carcinoma of the thyroid have been treated at the Christie Hospital, Manchester. Twenty-one cases were well-differentiated carcinoma, and two were medullary carcinoma. They were all treated by resection, 14 with total thyroidectomy and 9 with lobectomy or sub

A review of 15 years' experience in the

A review of 15 years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices

✍ George W. Johnston; Harold W. Rodgers 📂 Article 📅 1973 🏛 John Wiley and Sons 🌐 English ⚖ 409 KB 👁 2 views

Improving Clinician's Coded Data Entry t

Improving Clinician's Coded Data Entry through the Use of an Electronic Patient Record System: 3.5 Years Experience with a Semiautomatic Browsing and Encoding Tool in Clinical Routine

✍ Joerg H. Hohnloser; Florian Puerner; Hooman Soltanian 📂 Article 📅 1996 🏛 Elsevier Science 🌐 English ⚖ 149 KB

The Production of oil of American Wormse

The Production of oil of American Wormseed, U. S. P., in Illinois**This investigation was undertaken because the supply of wormseed oil has been for several years vcry inadequate to the demand, and this condition has prevented extensive use of the oil in the treatment of domestic animals—a field in which it is much needed. Owing to the low individual value of such animals as hogs, for example, it is not economical to treat them with a drug of such high price as wormseed oil. This paper is a report of the first year’s work in producing this oil at the Experiment Station of the Moorman Mfg. Co., Quincy, Ill. It is planned to continue the work on a much larger scale, covering every phase of the problem. Anyone wishing to produce the oil can obtain the full cooperation of this company on request.

✍ Konantz, W.A. 📂 Article 📅 1924 🏛 Elsevier ⚖ 408 KB 👁 2 views