Clinical and experimental background for new method of bowel anastomosis

M I Nesterov; M R Ramazanov; A M Magomedov

doi:10.17816/KMJ1519

Kazan medical journal ›› 2014, Vol. 95 ›› Issue (3) : 383 -385. DOI: 10.17816/KMJ1519

Theoretical and clinical medicine

research-article

Clinical and experimental background for new method of bowel anastomosis

Author information +

History +

PDF

Abstract

Aim. To improve the results of bowel resection using newly designed bowel anasthomosis method. Methods. A new method of forming enteroenteroanastomosis was proposed and developed, based on calculating the vitality index for suture strip, arterial blood hemoglobin saturation and microcirculation after preparing the suture strip. After that, holder sutures are overcast at the preserved major vessel at mesenteric and counter-mesenteric edges of suture strips of efferent and afferent bowels. A running sero-muscular suture is formed between the edges, followed by 1-2 nodal sero-muscular side sutures and invagination of suture strips to the efferent loop. After that, a running sero-muscular suture is formed on the front of the anastomosis. Results. Pre-clinical testing was performed on 40 dogs, with no cases of anastomosis leak. Clinical testing included 30 patients who underwent colectomy. Enteroenteroanastomosis was formed by the proposed method, preceded by suture strip microcirculation examination. In patients of the control group who underwent colectomy, enteroenteroanastomosis was formed by classical double-row suture without examining suture strip microcirculation. No cases of anastomosis leak were registered in the main group, compared to 4 cases in the control group. Conclusion. Clinical and experimental studies have shown the effectiveness of the developed enteroenteroanastomosis.

Keywords

colectomy / experimental study / intestinal anastomosis / enteroenteroanastomosis / anastomosis leak

Cite this article

Download citation ▾

M I Nesterov, M R Ramazanov, A M Magomedov. Clinical and experimental background for new method of bowel anastomosis. Kazan medical journal, 2014, 95(3): 383-385 DOI:10.17816/KMJ1519

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Агаев Э.К. Профилактика несостоятельности швов кишечных анастомозов методом перманентной внутрибрыжеечной блокады и лимфотропной терапии // Вестн. хир. - 2013. - №1. - С. 81-84.

[2]	Запорожец А.А. Послеоперационный перитонит (патогенез и профилактика). - Минск: Наука и техника, 1974. - 182 с.

[3]	Рамазанов М.Р. Резекции и анастомозы полых органов. Монография. - Махачкала: изд-во ДМА, 1998. - С. 169-176.

[4]	Рамазанов М.Р., Ахмедов Р.А., Рамазанов М.М., Ахмедов Э.Р. Аппарат для измерения кровяного давления в интрамуральных и экстраорганных сосудах полых органов. Патент на полезную модель №RU109391U1. Бюлл. №29 от 20.10.2011.

[5]	Сигал М.З. Трансиллюминация при операциях на полых органах. - М.: Медицина, 1974. - С. 183.

[6]	Kruschewski М., Rieger Н., Peh Len U. et al. Risk factors for clinical anastomotic leakage and postoperative mortality in elective surgery for rectal cancer // Int. J. Colorect. Dis. - 2007. - Vol. 22, N 8. - P. 919-927.