Initial continence testing of sleeved monolayer colonic anastomoses in sheep |
| |
Authors: | Dr H G B Percival MB ChB MPhil FRCS |
| |
Institution: | (1) Department of Surgery, Medical School, University of Kuwait, P.O. Box 24923, Safat, Kuwait |
| |
Abstract: | It has been said that the most important cause of morbidity and mortality in surgery of the colon, rectum, and esophagus is
dehiscence. The new method of anastomosis tested here immediately after its completion is a sleeved continuous monolayer anastomosis
with full-thickness proximal bowel joined to the mucosa and submucosa of distal bowel. The 3 to 5-mm sleeve of distal seromuscularis
fashioned by prior excision of a ring of distal mucosa is folded over the monolayer anastomosis and tacked on to proximal
seromuscularis by a second continuous suture. In this bench study, sleeved seromuscularis monolayer anastomoses were compared
for immediate ability to withstand air distention with conventional all-layer continuous and interrupted monolayer anastomoses.
The results, even in fresh nonliving bowel, suggest that there may be benefits from sleeving monolayer anastomosesin vivo. It is noted that in the newly fashioned anastomosis, through-the-suture leaks were common on progressive distention, but
were observed at higher pressures in sleeved and in extramucosal suture lines than in full-thickness monolayers.
Supported by grant no. MS 014 provided by the University of Kuwait. |
| |
Keywords: | Bench study Sheep colon Sleeved anastomosis Initial continence testing Air-distention maximum |
本文献已被 SpringerLink 等数据库收录! |
|