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

Engemann, Rainer

 
9783540563402: Intestinal Anastomoses with Bioabsorbable Anastomosis Rings: Proceedings of the First European Workshop

Sinopsis

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.

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Reseña del editor

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.

Reseña del editor

The book based on the proceedings of the First European Workshop on Compression Anastomoses, provides experimental and clinical data on the compression anastomosis technique with the bioabsorbable Valtrac ring and considers the prospects for the technique. Bioabsorbable anastomotic rings (BAR) represent a fascinating concept: standardization of anastomoses, a safe technique and expulsion of the material without residues are among the many advantages. In addition, their development meansthat a single technique can be used to perform the classical end-to-end, end-to-side, and side-to-side anastomoses in most areas of the gastrointestinal tract without any auxiliary tool. This brings a great advantage in terms of practicality. Control studies show that the rateof complications is very low for the gastrointestinal tract, and detailed experimental data increase the understanding of the pathophysiology of the healing of compression anastomoses. The data presented provide an up-to-date overview of this new anastomosing technique.

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Otras ediciones populares con el mismo título

9780387563404: Intestinal Anastomoses With Bioabsorbable Anastomosis Rings: Proceedings of the First European Workshop

Edición Destacada

ISBN 10:  0387563407 ISBN 13:  9780387563404
Editorial: Springer Verlag, 1993
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