Intestinal Anastomoses with Bioabsorbable Anastomosis Rings: Proceedings of the First European Workshop

✍ Scribed by B. Lünstedt, R. Engemann, S. Debus, L. Lim, A. Thiede (auth.), Prof. Dr. med. Rainer Engemann, Prof. Dr. med. Arnulf Thiede (eds.)

• Publisher: Springer-Verlag Berlin Heidelberg
• Year: 1993
• Tongue: English
• Leaves: 98
• Edition: 1
• Category: Library

✦ Synopsis

The anastomotic technique plays a predominant role in gastrointestinal surgery. A feared complication is leakage due to the sutures. Such leakage cannot be detected early; consequently, infection spreads locally and systemically. An anastomotic method is generally evaluated according to its rate of leakage, related to the localization, bur real scientific comparisons, i.e., controlled studies, are almost totally lack­ ing. The criteria of evaluation include the type of suture, the localization, the auxiliary technical tools, practicability, the different forms of wound healing, angiogenesis, and vascularization, among others. The postoperative criteria are complications shortly after surgery, such as bleeding, ruptures, and stenoses of the anastomosis. A standard comparison is made difficult by the variety of cytophysiological and biochemical factors that influence wound healing. In the comparison of larger series one must always take into account differences of auxiliary tools, strategies, and inhomogeneity of patients. A change of one auxiliary tool or of one strategy implies the modification of various target criteria. Often enough, however, one does not sufficiently consider the surgeon's most. important role.

✦ Table of Contents

Front Matter....Pages I-XI
Front Matter....Pages 1-1
The Healing Process of Anastomoses with Bioabsorbable Rings: An Experimental Study in Pigs....Pages 3-12
The Application of Special Instruments with the Bioabsorbable Anastomosis Ring: Technology and Technical Aspects....Pages 13-19
Standardized X-Ray Examination of the Bioabsorbable Ring Anastomosis....Pages 21-28
Front Matter....Pages 29-29
Multicentre European Prospective Randomized Trial of the Valtrac Bioabsorbable Anastomosis Ring....Pages 31-35
Prospective Trial of the Bioabsorbable Anastomosis Ring in Gastrointestinal Surgery....Pages 37-40
Prospective Study of Results and Complications in 304 Bioabsorbable Ring Anastomoses in the Upper and Lower Gastrointestinal Tract....Pages 41-50
Front Matter....Pages 51-51
Occlusion Ileus Due to Blood Clots Following Right Hemicolectomy: A Rare Complication....Pages 53-57
Experience with the Bioabsorbable Valtrac Ring in Small and Large Bowel Anastomoses....Pages 59-61
Intestinal Anastomoses with the Aid of Bioabsorbable Rings: The Swedish Experience....Pages 63-65
Clinical Experience with the Bioabsorbable Anastomosis Ring in Bowel Surgery....Pages 67-74
Multiple Application of the Bioabsorbable Anastomosis Ring in Gastrointestinal Surgery....Pages 75-93
Back Matter....Pages 95-96

✦ Subjects

Surgery