Experimental Study of Sutureless Colorectal Anastomosis
Background / Aims: The present research project has been made mainly with the idea of comparing the tensile strength values and histological answers of three types of colon anastomosis: sutured with silk 5/0; polyglycolic acid 5/0; sutureless anastomosis with human fibrin gum. Methodology: One hundr...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2000 |
| País: | España |
| Recursos: | Universidad de Sevilla (US) |
| Repositório: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:idus.us.es:11441/42298 |
| Acesso em linha: | http://hdl.handle.net/11441/42298 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Sutureless colorectal Anastomosis Anastomotic dehiscence Human fibrin gum |
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Experimental Study of Sutureless Colorectal AnastomosisCapitan-Morales, Luis-CristobalRodríguez Nuñez, EduardoMorales Conde, SalvadorSánchez Ganfornina, F.Río Lafuente, Francisco DelCabot Ostos, Elisa MaríaOrtega Beviá, José MaríaLoscertales Abril, JesúsCantillana Martínez, J.Sutureless colorectal AnastomosisAnastomotic dehiscenceHuman fibrin gumBackground / Aims: The present research project has been made mainly with the idea of comparing the tensile strength values and histological answers of three types of colon anastomosis: sutured with silk 5/0; polyglycolic acid 5/0; sutureless anastomosis with human fibrin gum. Methodology: One hundred and five (105) Wistar breath rata allocated into 3 groups of 35 animals were used to implement this experimental research project: silk, polyglycolic acid and human fibrin gum. Furthermore, each group was subdivided in 5 series respectively to carry out an experimental study on the tensile strength parameter and anatomic-pathological determinations on the 10th, 20th, 30th, 40th and 50th day after the gurgical intevention. The following surgical interventions were practiced on them: A cross section of the colon, followed by: group 1: an end-to-end discontinuous suture anastomosis with Silk; group 2: an end-to-end discontinuous suture anastomosis with polyglycolic acid; group 3: sutureless anastomosis with human fibrin gumu. On the 10th, 20th, 30th, 40th and 50th days we proceeded to measure the anastomosis' tensile strength value for each series. We used a tensile strength apparatus and waited until the break down of the suture sample took place and wrote down the value, in g/cm, given by the voltmeter at that momento. Reslts: The results obtained indicate that anastomosis made in group 1 (silk) lasted longer to the tensile strength apparatus; followed by those practiced in group 2 (polyglycolic acid); and finally anastomosis carried out in group 3 (human fibrin gum). However in the anastomotic carried out with the human fibrin gum the healing started from the 10th day. In the same period of time we carried out the following anatomic-pathological determinations: a)Sharp inflammation; b)edema; c) non-specific chronic inflammatory infiltrate; d) granulomatous inflarnmatory infiltrate to foreign bodies; e) fibrosis. Conclusions: The results show a better answer for anastomosis made with human fibrin gum than those carried out with the two other suture materials. This conclusion is based on the facts that the human fibrin gum used to carry out sutureless anastomosis during this research project generated a Iower sharp inflammation and speediness in its absorption;absence of granular reaction to a foreign body; a minor or non-existent edema at all; as well a good fibrous healing speediness process. Therefore, all these experimental results lead us to conclude that the human fibrin gum used to carry out sutureless anastomosis may be an alternative to the handmade conventional anastomosis. Moreover they are easy to be implemented.JarpyoCirugía2000info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/11441/42298reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésHepato-gastroenterology, 47 (35), 1284-1290.info:eu-repo/semantics/openAccessoai:idus.us.es:11441/422982026-06-17T12:51:07Z |
| dc.title.none.fl_str_mv |
Experimental Study of Sutureless Colorectal Anastomosis |
| title |
Experimental Study of Sutureless Colorectal Anastomosis |
| spellingShingle |
Experimental Study of Sutureless Colorectal Anastomosis Capitan-Morales, Luis-Cristobal Sutureless colorectal Anastomosis Anastomotic dehiscence Human fibrin gum |
| title_short |
Experimental Study of Sutureless Colorectal Anastomosis |
| title_full |
Experimental Study of Sutureless Colorectal Anastomosis |
| title_fullStr |
Experimental Study of Sutureless Colorectal Anastomosis |
| title_full_unstemmed |
Experimental Study of Sutureless Colorectal Anastomosis |
| title_sort |
Experimental Study of Sutureless Colorectal Anastomosis |
| dc.creator.none.fl_str_mv |
Capitan-Morales, Luis-Cristobal Rodríguez Nuñez, Eduardo Morales Conde, Salvador Sánchez Ganfornina, F. Río Lafuente, Francisco Del Cabot Ostos, Elisa María Ortega Beviá, José María Loscertales Abril, Jesús Cantillana Martínez, J. |
| author |
Capitan-Morales, Luis-Cristobal |
| author_facet |
Capitan-Morales, Luis-Cristobal Rodríguez Nuñez, Eduardo Morales Conde, Salvador Sánchez Ganfornina, F. Río Lafuente, Francisco Del Cabot Ostos, Elisa María Ortega Beviá, José María Loscertales Abril, Jesús Cantillana Martínez, J. |
| author_role |
author |
| author2 |
Rodríguez Nuñez, Eduardo Morales Conde, Salvador Sánchez Ganfornina, F. Río Lafuente, Francisco Del Cabot Ostos, Elisa María Ortega Beviá, José María Loscertales Abril, Jesús Cantillana Martínez, J. |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Cirugía |
| dc.subject.none.fl_str_mv |
Sutureless colorectal Anastomosis Anastomotic dehiscence Human fibrin gum |
| topic |
Sutureless colorectal Anastomosis Anastomotic dehiscence Human fibrin gum |
| description |
Background / Aims: The present research project has been made mainly with the idea of comparing the tensile strength values and histological answers of three types of colon anastomosis: sutured with silk 5/0; polyglycolic acid 5/0; sutureless anastomosis with human fibrin gum. Methodology: One hundred and five (105) Wistar breath rata allocated into 3 groups of 35 animals were used to implement this experimental research project: silk, polyglycolic acid and human fibrin gum. Furthermore, each group was subdivided in 5 series respectively to carry out an experimental study on the tensile strength parameter and anatomic-pathological determinations on the 10th, 20th, 30th, 40th and 50th day after the gurgical intevention. The following surgical interventions were practiced on them: A cross section of the colon, followed by: group 1: an end-to-end discontinuous suture anastomosis with Silk; group 2: an end-to-end discontinuous suture anastomosis with polyglycolic acid; group 3: sutureless anastomosis with human fibrin gumu. On the 10th, 20th, 30th, 40th and 50th days we proceeded to measure the anastomosis' tensile strength value for each series. We used a tensile strength apparatus and waited until the break down of the suture sample took place and wrote down the value, in g/cm, given by the voltmeter at that momento. Reslts: The results obtained indicate that anastomosis made in group 1 (silk) lasted longer to the tensile strength apparatus; followed by those practiced in group 2 (polyglycolic acid); and finally anastomosis carried out in group 3 (human fibrin gum). However in the anastomotic carried out with the human fibrin gum the healing started from the 10th day. In the same period of time we carried out the following anatomic-pathological determinations: a)Sharp inflammation; b)edema; c) non-specific chronic inflammatory infiltrate; d) granulomatous inflarnmatory infiltrate to foreign bodies; e) fibrosis. Conclusions: The results show a better answer for anastomosis made with human fibrin gum than those carried out with the two other suture materials. This conclusion is based on the facts that the human fibrin gum used to carry out sutureless anastomosis during this research project generated a Iower sharp inflammation and speediness in its absorption;absence of granular reaction to a foreign body; a minor or non-existent edema at all; as well a good fibrous healing speediness process. Therefore, all these experimental results lead us to conclude that the human fibrin gum used to carry out sutureless anastomosis may be an alternative to the handmade conventional anastomosis. Moreover they are easy to be implemented. |
| publishDate |
2000 |
| dc.date.none.fl_str_mv |
2000 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/11441/42298 |
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http://hdl.handle.net/11441/42298 |
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Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Hepato-gastroenterology, 47 (35), 1284-1290. |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf |
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Jarpyo |
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Jarpyo |
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reponame:idUS. Depósito de Investigación de la Universidad de Sevilla instname:Universidad de Sevilla (US) |
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Universidad de Sevilla (US) |
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idUS. Depósito de Investigación de la Universidad de Sevilla |
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