A comparison of three single layer anastomotic techniques in the colon of the rat

Krasniqi, Avdyl; Gashi-Luci, Lumturije; Krasniqi, Shaip; Jakupi, M; Hashani, Sh.; Limani, Dalip; Dreshaj, Ismail A.

doi:10.1016/j.ijsu.2008.10.005

Cited by 10 publications

(9 citation statements)

References 17 publications

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“…The present review included 2 experimental studies on rat colon, comparing histologic results of fullthickness sutures with those of serosubmucosal sutures. Houdart et al 28 found no significant histologic differences, but Krasniqi et al 29 found better histologic results for full-thickness sutures with equal anastomotic strength. No comparative clinical studies were found on the configuration of the bite.…”

Section: Configuration Of the Bitementioning

confidence: 98%

Systematic Review of the Technique of Colorectal Anastomosis

Slieker

Daams²,

Mulder³

et al. 2013

JAMA Surg

169

102

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Section: Configuration Of the Bitementioning

confidence: 98%

Systematic Review of the Technique of Colorectal Anastomosis

Slieker

Daams²,

Mulder³

et al. 2013

JAMA Surg

169

102

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“…It is observed that around the 4 th day after surgery its rate get the lowest point, with a tendency for growing from the 7 th day after surgery 6,10,28 .…”

Section: Discussionmentioning

confidence: 99%

“…The large intestine, due to its content and its peculiar conditions -such as the presence of large amounts of bacteria in its lumen and the absence of peritoneal lining in some segments -is more prone to anastomotic dehiscence compared to stomach and small intestine [1][2][3][4][5][6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Cecorraphy in single layer using polypropylene and poliglecaprone 25 threads: comparative study in rats

Tabushi¹,

Nomura²,

Malafaia

et al. 2012

Acta Cir. Bras.

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PURPOSE:To compare sutures with polypropylene and poliglecaprone 25 after partial cecotomy in rats. METHODS:Thirty six rats divided into two groups, A and B, of 18 animals; each group was also divided into three subgroups of six animals sacrificed at 4 th , 7 th and 14 th days after surgery. Were studied the mortality, morbidity, complications attributable to sutures, macroscopy, optical microscopy and measurement of hydroxyproline at the level of the suture. RESULTS:There were no deaths or wound complications such as hematoma, seroma, abscess, evisceration or eventration. On microscopic evaluation reepithelization, coaptation and inflammation in both groups did not differ significantly. The average rate of tissue hydroxyproline found in the samples on the 4 th day after surgery, was 21.38 mg/g tissue for group A and 16.68 mg/g for group B; on day 7 after surgery, the average was 15.64 mg/g tissue for group A and 26.53 mg/g for group B; on day 14, the average was 8.09 mg/g tissue for group A and 25.07 mg/g for group B.CONCLUSION: There were no differences on clinical evolution, macroscopic aspect, microscopic data and hydroxyproline concentration on both sutures.Key words: Suture Techniques. Anastomosis, Surgical. Cecum. Polypropylenes. Rats. RESUMO OBJETIVO:Comparar a sutura com fio de polipropileno e poliglecaprone 25 após cecotomia parcial em ratos. MÉTODOS:Trinta e seis ratos foram distribuídos em dois grupos A e B de 18 animais, e cada grupo foi dividido em três subgrupos de seis, sacrificados no 4º, 7º e 14º dias do pós-operatório. Estudou-se a mortalidade, morbidade, complicações atribuíveis às suturas, macroscopia, microscopia ótica e dosagem de hidroxiprolina no nível da sutura. RESULTADOS:Não houve mortalidade ou complicações da ferida operatória como hematoma, seroma, abscesso, evisceração ou eventração.Na avaliação microscópica os critérios de re-epitelização, coaptação e processo inflamatório ambos os grupos não apresentaram diferença significativa. A taxa tecidual média da hidroxiprolina encontrada nas amostras no 4º dia de pós-operatório foi de 21,38 mg/g de tecido para o grupo A e 16,68 mg/g para o grupo B; no 7º dia a média foi de 15,64 mg/g de tecido para o grupo A e 26,53 mg/g para o grupo B; no 14º dia ela foi de 8,09 mg/g de tecido para o grupo A e 25,07 mg/g para o grupo B.CONCLUSÃO: Não houve diferença estatística entre a evolução clínica, avaliação macroscópica, microscopia e dosagem de hidroxiprolina entre as suturas realizadas com os fios estudados.Descritores: Técnicas de Sutura. Anastomose Cirúrgica. Ceco. Polipropilenos. Ratos.Tabushi FI et al.

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“…Anastomosis quality was assessed by the following parameters: endoluminal and extraluminal macroscopic appearance of the anastomotic line, perianastomotic adhesion density, the bursting pressure of the anastomoses, and histological changes during the healing phases. There have been numerous clinical and experimental studies on surgical techniques and the healing process of intestinal anastomosis [1–3, 10]. Traditionally, surgical sutures have been used to perform manual intestinal anastomoses which are mainly made by staplers, and training of surgeons in manual anastomosing is still very much needed.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Two Anastomotic Techniques in the Jejunum of the Goat

Al-Timmemi

Al-Jashamy

Dauod

2010

Veterinary Medicine International

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This study was carried out to test two different anastomotic techniques to identify advantages and disadvantages of each technique in goats. All animals were under local infiltration anaesthesia. A five-cm length of jejunum was resected from the first part of the jejunum and end to end anastomosis using 3-0 Polygalactin-910 with one row of sero-submoucosal interrupted sutures (SSIS) group, and one row of horizontal mattress interrupted sutures (HMIS) group. Two animals from each group were euthanized on the 4th, 14th and 21st postoperative days. A 7-cm segment of jejunum including the anastomosed area was resected from each animal. There was no significant adhesion between anastomosis area and surrounded tissues observed in SSIS animals, while there was significant adhesion between anastomosis area and surrounded tissues which were observed in HMIS animals. Stenosis degree was lower in the SSIS than the HMIS group. The bursting pressure was higher in the SSIS than the HMIS group. Macroscopic evaluation indicated that the anastomotic line mucosa was abridged better with less local edema in the SSIS group. Histological evaluation in the SSIS group showed almost all parameters such as epithelial recovery and repair of submucosal-mucosal layer demonstrated better healing compared to the HMIS group.

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A comparison of three single layer anastomotic techniques in the colon of the rat

Abstract: The Gambee technique had significantly better biomechanical and histological results compare to the other two anastomotic techniques. Adhesion density was significantly lower in the control group (p<0.001).

Cited by 10 publications

References 17 publications

Systematic Review of the Technique of Colorectal Anastomosis

Systematic Review of the Technique of Colorectal Anastomosis

Cecorraphy in single layer using polypropylene and poliglecaprone 25 threads: comparative study in rats

A Comparison of Two Anastomotic Techniques in the Jejunum of the Goat

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