Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
A vessel that directly interconnects an artery and a vein, and that acts as a shunt to bypass the capillary bed. Not to be confused with surgical anastomosis, nor with arteriovenous fistula.
Fastening devices composed of steel-tantalum alloys used to close operative wounds, especially of the skin, which minimizes infection by not introducing a foreign body that would connect external and internal regions of the body. (From Segen, Current Med Talk, 1995)
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.
A surgical procedure involving the excision of the COLON and RECTUM and the formation of an ILEOANAL RESERVOIR (pouch). In patients with intestinal diseases, such as ulcerative colitis, this procedure avoids the need for an OSTOMY by allowing for transanal defecation.
Sacs or reservoirs created to function in place of the COLON and/or RECTUM in patients who have undergone restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.
Acute INFLAMMATION in the INTESTINAL MUCOSA of the continent ileal reservoir (or pouch) in patients who have undergone ILEOSTOMY and restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).
The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.
Diversion of the flow of blood from the entrance to the right atrium directly to the pulmonary arteries, avoiding the right atrium and right ventricle (Dorland, 28th ed). This a permanent procedure often performed to bypass a congenitally deformed right atrium or right ventricle.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
Surgery performed on the digestive system or its parts.
The distal and narrowest portion of the SMALL INTESTINE, between the JEJUNUM and the ILEOCECAL VALVE of the LARGE INTESTINE.
Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)
The surgical construction of an opening between the colon and the surface of the body.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).
The performance of surgical procedures with the aid of a microscope.
Surgical formation of an external opening (stoma) into the esophagus.
The degree to which BLOOD VESSELS are not blocked or obstructed.
Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)
Surgical portasystemic shunt between the portal vein and inferior vena cava.
Surgical formation of an opening (stoma) into the COMMON BILE DUCT for drainage or for direct communication with a site in the small intestine, primarily the DUODENUM or JEJUNUM.
Restoration of integrity to traumatized tissue.
The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Surgical anastomosis of the pancreatic duct, or the divided end of the transected pancreas, with the jejunum. (Dorland, 28th ed)
Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.
The vessels carrying blood away from the capillary beds.
Obstruction of flow in biological or prosthetic vascular grafts.
The main artery of the thigh, a continuation of the external iliac artery.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
Inflammation of the COLON that is predominantly confined to the MUCOSA. Its major symptoms include DIARRHEA, rectal BLEEDING, the passage of MUCUS, and ABDOMINAL PAIN.
The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Elements of limited time intervals, contributing to particular results or situations.
Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.
Operative procedures for the treatment of vascular disorders.
A mitosporic Ceratobasidiaceae fungal genus that is an important plant pathogen affecting potatoes and other plants. There are numerous teleomorphs.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)
Left bronchial arteries arise from the thoracic aorta, the right from the first aortic intercostal or the upper left bronchial artery; they supply the bronchi and the lower trachea.
Passage of blood from one fetus to another via an arteriovenous communication or other shunt, in a monozygotic twin pregnancy. It results in anemia in one twin and polycythemia in the other. (Lee et al., Wintrobe's Clinical Hematology, 9th ed, p737-8)
A stricture of the ESOPHAGUS. Most are acquired but can be congenital.
A tissue preparation technique that involves the injecting of plastic (acrylates) into blood vessels or other hollow viscera and treating the tissue with a caustic substance. This results in a negative copy or a solid replica of the enclosed space of the tissue that is ready for viewing under a scanning electron microscope.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.
Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.
Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).
The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A hydroxylated form of the imino acid proline. A deficiency in ASCORBIC ACID can result in impaired hydroxyproline formation.
Surgical formation of an opening into the DUODENUM.
A polyposis syndrome due to an autosomal dominant mutation of the APC genes (GENES, APC) on CHROMOSOME 5. The syndrome is characterized by the development of hundreds of ADENOMATOUS POLYPS in the COLON and RECTUM of affected individuals by early adulthood.
Control of bleeding during or after surgery.
Pathological processes consisting of the union of the opposing surfaces of a wound.
Incision into the side of the abdomen between the ribs and pelvis.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
The vein which drains the foot and leg.
The normal process of elimination of fecal material from the RECTUM.
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
Any surgical procedure performed on the biliary tract.
A series of steps taken in order to conduct research.
A noninflammatory, progressive occlusion of the intracranial CAROTID ARTERIES and the formation of netlike collateral arteries arising from the CIRCLE OF WILLIS. Cerebral angiogram shows the puff-of-smoke (moyamoya) collaterals at the base of the brain. It is characterized by endothelial HYPERPLASIA and FIBROSIS with thickening of arterial walls. This disease primarily affects children but can also occur in adults.
Abnormal passage communicating with the PANCREAS.
Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.
A variety of surgical reconstructive procedures devised to restore gastrointestinal continuity, The two major classes of reconstruction are the Billroth I (gastroduodenostomy) and Billroth II (gastrojejunostomy) procedures.
The duration of a surgical procedure in hours and minutes.
Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).
The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.
The period following a surgical operation.
A plastic operation on the esophagus. (Dorland, 28th ed)
An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells.
Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.
Pathological development in the JEJUNUM region of the SMALL INTESTINE.
A segment of the COLON between the RECTUM and the descending colon.
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.
The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Tumors or cancer of the RECTUM.
Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.
Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.
Opening or penetration through the wall of the INTESTINES.
Tumors or cancer of the ESOPHAGUS.
Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.
A short thick vein formed by union of the superior mesenteric vein and the splenic vein.
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons.
Congenital obliteration of the lumen of the intestine, with the ILEUM involved in 50% of the cases and the JEJUNUM and DUODENUM following in frequency. It is the most frequent cause of INTESTINAL OBSTRUCTION in NEWBORNS. (From Stedman, 25th ed)
The inferior and superior venae cavae.
Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Veins which drain the liver.
Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.
A procedure in which total right atrial or total caval blood flow is channeled directly into the pulmonary artery or into a small right ventricle that serves only as a conduit. The principal congenital malformations for which this operation is useful are TRICUSPID ATRESIA and single ventricle with pulmonary stenosis.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
The vessels carrying blood away from the heart.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
The transference of a part of or an entire liver from one human or animal to another.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
Congenital abnormality characterized by the lack of full development of the ESOPHAGUS that commonly occurs with TRACHEOESOPHAGEAL FISTULA. Symptoms include excessive SALIVATION; GAGGING; CYANOSIS; and DYSPNEA.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
Short thick veins which return blood from the kidneys to the vena cava.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.
Temporary or permanent diversion of the flow of urine through the ureter away from the URINARY BLADDER in the presence of a bladder disease or after cystectomy. There is a variety of techniques: direct anastomosis of ureter and bowel, cutaneous ureterostomy, ileal, jejunal or colon conduit, ureterosigmoidostomy, etc. (From Campbell's Urology, 6th ed, p2654)
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Loss of blood during a surgical procedure.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.
Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.
Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.
The act of dilating.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
An autologous or commercial tissue adhesive containing FIBRINOGEN and THROMBIN. The commercial product is a two component system from human plasma that contains more than fibrinogen and thrombin. The first component contains highly concentrated fibrinogen, FACTOR VIII, fibronectin, and traces of other plasma proteins. The second component contains thrombin, calcium chloride, and antifibrinolytic agents such as APROTININ. Mixing of the two components promotes BLOOD CLOTTING and the formation and cross-linking of fibrin. The tissue adhesive is used for tissue sealing, HEMOSTASIS, and WOUND HEALING.
Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.
A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.
Radiography of blood vessels after injection of a contrast medium.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
The plan and delineation of prostheses in general or a specific prosthesis.
Application of a ligature to tie a vessel or strangulate a part.
Methods of creating machines and devices.
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.
Restoration of an organ or other structure to its original site.
The main trunk of the systemic arteries.
Artificial openings created by a surgeon for therapeutic reasons. Most often this refers to openings from the GASTROINTESTINAL TRACT through the ABDOMINAL WALL to the outside of the body. It can also refer to the two ends of a surgical anastomosis.
A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.
The period of confinement of a patient to a hospital or other health facility.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.
A dead body, usually a human body.
Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
The largest of the cerebral arteries. It trifurcates into temporal, frontal, and parietal branches supplying blood to most of the parenchyma of these lobes in the CEREBRAL CORTEX. These are the areas involved in motor, sensory, and speech activities.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.
Removal of an endotracheal tube from the patient.
A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.
The deformation and flow behavior of BLOOD and its elements i.e., PLASMA; ERYTHROCYTES; WHITE BLOOD CELLS; and BLOOD PLATELETS.
Wounds caused by objects penetrating the skin.
The segment of LARGE INTESTINE between ASCENDING COLON and DESCENDING COLON. It passes from the RIGHT COLIC FLEXURE across the ABDOMEN, then turns sharply at the left colonic flexure into the descending colon.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
The largest cartilage of the larynx consisting of two laminae fusing anteriorly at an acute angle in the midline of the neck. The point of fusion forms a subcutaneous projection known as the Adam's apple.
A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.
Vein formed by the union (at the hilus of the spleen) of several small veins from the stomach, pancreas, spleen and mesentery.
The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM.
Non-cadaveric providers of organs for transplant to related or non-related recipients.
Apparatus, devices, or supplies intended for one-time or temporary use.
A group of compounds having the general formula CH2=C(CN)-COOR; it polymerizes on contact with moisture; used as tissue adhesive; higher homologs have hemostatic and antibacterial properties.
Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.
The flow of BLOOD through or around an organ or region of the body.
The 7th cranial nerve. The facial nerve has two parts, the larger motor root which may be called the facial nerve proper, and the smaller intermediate or sensory root. Together they provide efferent innervation to the muscles of facial expression and to the lacrimal and SALIVARY GLANDS, and convey afferent information for TASTE from the anterior two-thirds of the TONGUE and for TOUCH from the EXTERNAL EAR.
A vascular connective tissue formed on the surface of a healing wound, ulcer, or inflamed tissue. It consists of new capillaries and an infiltrate containing lymphoid cells, macrophages, and plasma cells.
Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.
Pathological processes involving any part of the AORTA.
The circulation of the BLOOD through the LUNGS.
Surgery performed on the thoracic organs, most commonly the lungs and the heart.

Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis. (1/1718)

OBJECTIVE: Many surgeons continue to place a prophylactic drain in the pelvis after completion of a colorectal anastomosis, despite considerable evidence that this practice may not be useful. The authors conducted a systematic review and meta-analysis of randomized controlled trials to determine if placement of a drain after a colonic or rectal anastomosis can reduce the rate of complications. METHODS: A search of the Medline database of English-language articles published from 1987 to 1997 was conducted using the terms "colon," "rectum," "postoperative complications," "surgical anastomosis," and "drainage." A manual search was also conducted. Four randomized controlled trials, including a total of 414 patients, were identified that compared the routine use of drainage of colonic and/or rectal anastomoses to no drainage. Two reviewers assessed the trials independently. Trial quality was critically appraised using a previously published scale, and data on mortality, clinical and radiologic anastomotic leakage rate, wound infection rate, and major complication rate were extracted. RESULTS: The overall quality of the studies was poor. Use of a drain did not significantly affect the rate of any of the outcomes examined, although the power of this analysis to exclude any difference was low. Comparison of pooled results revealed an odds ratio for clinical leak of 1.5 favoring the control (no drain) group. Of the 20 observed leaks among all four studies that occurred in a patient with a drain in place, in only one case (5%) did pus or enteric content actually appear in the effluent of the existing drain. CONCLUSIONS: Any significant benefit of routine drainage of colon and rectal anastomoses in reducing the rate of anastomotic leakage or other surgical complications can be excluded with more confidence based on pooled data than by the individual trials alone. Additional well-designed randomized controlled trials would further reinforce this conclusion.  (+info)

Is early post-operative treatment with 5-fluorouracil possible without affecting anastomotic strength in the intestine? (2/1718)

Early post-operative local or systemic administration of 5-fluorouracil (5-FU) is under investigation as a means to improve outcome after resection of intestinal malignancies. It is therefore quite important to delineate accurately its potentially negative effects on anastomotic repair. Five groups (n = 24) of rats underwent resection and anastomosis of both ileum and colon: a control group and four experimental groups receiving daily 5-FU, starting immediately after operation or after 1, 2 or 3 days. Within each group, the drug (or saline) was delivered either intraperitoneally (n = 12) or intravenously (n = 12). Animals were killed 7 days after operation and healing was assessed by measurement of anastomotic bursting pressure, breaking strength and hydroxyproline content. In all cases, 5-FU treatment from the day of operation or from day 1 significantly (P<0.025) and severely suppressed wound strength; concomitantly, the anastomotic hydroxyproline content was reduced. Depending on the location of the anastomosis and the route of 5-FU administration, even a period of 3 days between operation and first dosage seemed insufficient to prevent weakening of the anastomosis. The effects of intravenous administration, though qualitatively similar, were quantitatively less dramatic than those observed after intraperitoneal delivery. Post-operative treatment with 5-FU, if started within the first 3 days after operation, is detrimental to anastomotic strength and may compromise anastomotic integrity.  (+info)

Right atrial bypass grafting for central venous obstruction associated with dialysis access: another treatment option. (3/1718)

PURPOSE: Central venous obstruction is a common problem in patients with chronic renal failure who undergo maintenance hemodialysis. We studied the use of right atrial bypass grafting in nine cases of central venous obstruction associated with upper extremity venous hypertension. To better understand the options for managing this condition, we discuss the roles of surgery and percutaneous transluminal angioplasty with stent placement. METHODS: All patients had previously undergone placement of bilateral temporary subclavian vein dialysis catheters. Severe arm swelling, graft thrombosis, or graft malfunction developed because of central venous stenosis or obstruction in the absence of alternative access sites. A large-diameter (10 to 16 mm) externally reinforced polytetrafluoroethylene (GoreTex) graft was used to bypass the obstructed vein and was anastomosed to the right atrial appendage. This technique was used to bypass six lesions in the subclavian vein, two lesions at the innominate vein/superior vena caval junction, and one lesion in the distal axillary vein. RESULTS: All patients except one had significant resolution of symptoms without operative mortality. Bypass grafts remained patent, allowing the arteriovenous grafts to provide functional access for 1.5 to 52 months (mean, 15.4 months) after surgery. CONCLUSION: Because no mortality directly resulted from the procedure and the morbidity rate was acceptable, this bypass grafting technique was adequate in maintaining the dialysis access needed by these patients. Because of the magnitude of the procedure, we recommend it only for the occasional patient in whom all other access sites are exhausted and in whom percutaneous dilation and/or stenting has failed.  (+info)

Endovascular stent graft repair of aortopulmonary fistula. (4/1718)

Two patients who had aortopulmonary fistula of postoperative origin with hemoptysis underwent successful repair by means of an endovascular stent graft procedure. One patient had undergone repeated thoracotomies two times, and the other one time to repair anastomotic aneurysms of the descending aorta after surgery for Takayasu's arteritis. A self-expanding stainless steel stent covered with a Dacron graft was inserted into the lesion through the external iliac or femoral artery. The patients recovered well, with no signs of infection or recurrent hemoptysis 8 months after the procedure. Endovascular stent grafting may be a therapeutic option for treating patients with aortopulmonary fistula.  (+info)

Factors influencing the development of vein-graft stenosis and their significance for clinical management. (5/1718)

OBJECTIVES: To assess the influence of clinical and graft factors on the development of stenotic lesions. In addition the implications of any significant correlation for duplex surveillance schedules or surgical bypass techniques was examined. PATIENTS AND METHODS: In a prospective three centre study, preoperative and peroperative data on 300 infrainguinal autologous vein grafts was analysed. All grafts were monitored by a strict duplex surveillance program and all received an angiogram in the first postoperative year. A revision was only performed if there was evidence of a stenosis of 70% diameter reduction or greater on the angiogram. RESULTS: The minimum graft diameter was the only factor correlated significantly with the development of a significant graft stenosis (PSV-ratio > or = 2.5) during follow-up (p = 0.002). Factors that correlated with the development of event-causing graft stenosis, associated with revision or occlusion, were minimal graft diameter (p = 0.001), the use of a venovenous anastomosis (p = 0.005) and length of the graft (p = 0.025). Multivariate regression analysis revealed that the minimal graft diameter was the only independent factor that significantly correlated with an event-causing graft stenosis (p = 0.009). The stenosis-free rates for grafts with a minimal diameter < 3.5 mm, between 3.5-4.5 and > or = 4.5 mm were 40%, 58% and 75%, respectively (p = < 0.05). Composite vein and arm-vein grafts with minimal diameters > or = 3.5 mm were compared with grafts which consisted of a single uninterrupted greater saphenous vein with a minimal diameter of < 3.5 mm. One-year secondary patency rates in these categories were of 94% and 76%, respectively (p = 0.03). CONCLUSIONS: A minimal graft diameter < 3.5 mm was the only factor that significantly correlated with the development of a graft-stenosis. However, veins with larger diameters may still develop stenotic lesions. Composite vein and arm-vein grafts should be used rather than uninterrupted small caliber saphenous veins.  (+info)

Cylindrical or T-shaped silicone rubber stents for microanastomosis--technical note. (6/1718)

The ostium of the recipient artery and the orifice of the donor artery must be clearly visualized for the establishment of microvascular anastomosis. Specially designed colored flexible cylindrical or T-shaped silicone rubber stents were made in various sizes (400 or 500 microns diameter and 5 mm length) and applied to bypass surgery in patients with occlusive cerebrovascular disease such as moyamoya disease and internal carotid artery occlusion. The colored flexible stents facilitated confirmation of the ostium of the artery even in patients with moyamoya disease and allowed precise microvascular anastomosis without problems caused by the stent.  (+info)

Subclavian artery resection and reconstruction for thoracic inlet cancers. (7/1718)

PURPOSE: We previously described an original transcervical approach to resect primary or secondary malignant diseases that invade the thoracic inlet (TI). The purpose of this study was to evaluate the technical aspects and long-term results of the resection and revascularization of the subclavian artery (SA). METHODS: Between 1986 and 1998, 34 patients (mean age, 49 years) underwent en bloc resection of TI cancer that had invaded the SA. The surgical approach was an L-shaped transclavicular cervicotomy in 33 patients. In 14 of these patients, this approach was associated with a posterolateral thoracotomy (n = 10) or a posterior midline approach (n = 4). In one patient, the procedure was achieved with a single posterolateral thoracotomy approach. An end-to-end anastomosis was performed in 16 patients. In one patient, a subclavian-left common carotid artery transposition was performed. In one other patient, an end-to-end anastomosis was performed between the proximal innominate artery and the SA. The right carotid artery was transposed into the SA in an end-to-side fashion. In 16 patients, prosthetic revascularization with a polytetrafluoroethylene graft was performed. Thirty-three patients underwent postoperative radiation therapy. RESULTS: There were no cases of perioperative death, neurologic sequelae, graft infections or occlusions, or limb ischemia. There were two delayed asymptomatic polytetrafluoroethylene graft occlusions at 12 and 31 months. The 5-year patency rate was 85%. During this study, 20 patients died: 18 died of tumor recurrence (5 local and systemic and 13 systemic), one of respiratory failure, and one of an unknown cause at 74 months. The overall 5-year survival rate was 36%, and the 5-year disease-free survival rate was 18%. CONCLUSION: Tumor arterial invasion per se should not be a contraindication to TI cancer resection. This study shows that cancers that invade the SA can be resected through an L-shaped transclavicular cervicotomy, with good results with a concomitant revascularization of the SA.  (+info)

Laparoscopic aortofemoral bypass grafting: human cadaveric and initial clinical experiences. (8/1718)

PURPOSE: Postoperative complications are mainly related to the surgical trauma derived from the extensive abdominal incision and dissection after a conventional aortofemoral bypass grafting procedure. In an attempt to reduce postoperative complications, a concept of video-endoscopic vascular surgery on the infrarenal aortoiliac artery has been developed. On the basis of our experience with the practicability of video-endoscopic vascular surgery in the pelvic region in an animal study and in a pilot study of human cadavers, the purpose of this report was to describe three different methods that we evaluated on human cadavers and that we partly applied to patients. METHODS: In this experimental study, three different approaches were used to perform video-endoscopic aortofemoral bypass grafting. We performed an observational trial on human corpses (n = 24) with the transabdominal-retroperitoneal approach (TARA), the extraperitoneal approach (EPA), and the transabdominal left paracolic approach (TAPA). The EPA also was applied to patients with aortoiliac occlusive diseases. RESULTS: The TARA on cadavers (n = 4) soon was abandoned because it caused a burdensome sliding of the intestine into the operative field adjacent to the renal vessels, particularly in cases with obese subjects. In comparison, the TAPA (n = 6) with right-sided positioning of the patient retained the intestine in the right upper abdomen throughout the procedure. Until a surgeon actually is acquainted with the anatomic landmarks and the laparoscopic preparation technique, the EPA (n = 14) is a challenging procedure that necessitates thorough training. As with the TAPA, the EPA represents a procedure that reveals constant exposure of the operating field, even in cases with obese subjects. In the clinical observational study (n = 7), aortobifemoral bypass grafting was achieved totally laparoscopically with the EPA. The mean operating time was 6.5 hours and ranged from 3 to 10 hours. Blood transfusions were necessary after surgery in three patients (range, 1 to 3 red packed blood cells). One patient, who had had occlusion of the inferior mesenteric artery, died of ischemic colitis at postoperative day 10. The other patients had uneventful postoperative courses with minor wound discomfort. CONCLUSION: Laparoscopic vascular surgery seems to be a promising procedure to minimize postoperative complications. On the basis of our experience, we do not favor the TARA. Because it necessitates steep Trendelenburg positioning to displace intra-abdominal organs, the TARA is not an appropriate approach, particularly in obese and cardiopulmonary frail cases. Contrarily, the TAPA and the EPA deliver potentially better results in terms of exposing the operative field and thus reducing operating time and perioperative morbidity rates. A prospective cadaveric and clinical trial may be justified to further evaluate the use of these surgical techniques.  (+info)

TY - GEN. T1 - Growth effects of anastomosis site on patient-specific aortic hemodynamics after coarctation correction. T2 - 10th Asian Control Conference, ASCC 2015. AU - Mao, Le. AU - Zhang, Weimin. AU - Hong, Haifa. AU - Sun, Qi. AU - Huang, Junrong. AU - Liu, Jinfen. AU - Liu, Jinlong. AU - Zhu, Zhongqun. AU - Qian, Yi. AU - Wang, Qian. AU - Umezu, Mitsuo. PY - 2015/9/8. Y1 - 2015/9/8. N2 - Coarctation of the aorta (CoA) is one of the most common congenital cardiac anomalies that could be corrected by surgery. However, the effects of surgical anastomosis on aortic arch flow are still unknown. In this study, a unique three-dimensional way was utilized to measure the growth of anastomotic site and computational fluid dynamics (CFD) was applied to investigate the hemodynamic effects of the growth of anastomosis site on patient-specific aortic arch flow before, 1 year and 2 years after surgery. The volume of anastomotic site, distribution of total pressure, wall shear stress (WSS), streamlines, ...
TY - JOUR. T1 - Comparison of one-layer (continuous Lembert) versus two-layer (simple continuous/Cushing) hand-sewn end-to-end anastomosis in equine jejunum. AU - Nieto, Jorge. AU - Dechant, Julie E. AU - Snyder, Jack R.. PY - 2006/10. Y1 - 2006/10. N2 - Objective - To evaluate single and double layer end-to-end anastomosis in equine jejunum. Study Design - Experimental in vitro study. Animals - Mid-jejunal sections from 12 adult horses without gastrointestinal disease. Methods - Jejunal end-to-end anastomoses were performed by a continuous Lembert pattern or a simple continuous pattern oversewn with a Cushing pattern. Jejunal segments were distended with fluid at 1 L/min, and intraluminal pressure at failure, and mode of failure were recorded. Bursting pressure and bursting wall tension were calculated. Anastomosis construction time and degree of luminal reduction were recorded. Results - Single layer anastomoses were constructed in less time than 2-layer anastomoses. Both anastomotic ...
Invalidating anorectal dysfunctions are common after restorative rectal surgery. Improvement of functional results by the technically more demanding J-pouch has been demonstrated in comparison with the straight coloanal anastomosis. In the present multicenter randomized trial we assessed whether the J-pouch is also superior to the side-to-end coloanal anastomosis ...
PROGRAMME OUTLINE. MONDAY. 08:30 Meet at St. Marks Hospital Main Entrance. 08:45 Coffee. 09:00 Introduction to the microsurgical workshop. 09:15 Use and care of the operating microscope. 09:30 Demonstration: Microsurgical suturing techniques. 09:45 Exercise: End-to-end anastomosis of a simulated tissue. 10:30 Coffee. 10:45 Demonstration: End-to-end anastomosis of a simulated vessel. 11:00 Exercise: End-to-end anastomosis of a simulated vessel. 12:00 Lunch. 13:15 Demonstration: End-to-end anastomosis of the femoral artery. 13:30 Exercise: End-to-end anastomosis of the femoral artery. 14:45 Coffee. 15:00 Exercise: End-to-end anastomosis of the femoral artery. 16:30 End of session. TUESDAY. 08:30 Exercise: End-to-end anastomosis of the femoral artery. 10:15 Coffee. 10:30 Demonstration: End-to-end anastomosis of the femoral vein. 10:45 Exercise: End-to-end anastomosis of the femoral vein. 12:00 Lunch. 13:00 Exercise: End-to-end anastomosis of the femoral artery and vein. 15:00 Coffee. 15:45 ...
A cuff is used to provide a form for curing fluid about the exterior of an end-to-end anastomosis site. The cuff includes a port through which fluid may be injected to reach an interior space defined between the exterior of tissue at the anastomosis site and the inner surface of the cuff. A circular stapler may be used as a mandrel for the cuff and fluid. Alternatively, inflatable balloons may be used as a mandrel. The curing fluid may comprise a mixture of fibrin and thrombin.
PURPOSE: Functional results after low anterior resection with straight coloanal anastomosis are poor. Although certain functional aspects are improved with
The experiments in this report were designed to evaluate the effect of superficial temporal-middle cerebral artery (STA-MCA) anastomosis on the course of middle cerebral artery (MCA) occlusion by emboli while avoiding a vessel clipping technique as well as the use of long-acting barbiturate anesthesia. Dogs were divided into 3 general groups: A) embolus placement 1 h following anastomosis; B) embolus placement 5 h prior to anastomosis; C) control group without anastomosis. Anastomosis prior to MCA occlusion has a favorable clinical effect and reduces the size of an infarction. Anastomosis 5 h after embolus placement is deleterious unless other therapeutic modalities can be shown to delay the course of infarction. ...
TY - JOUR. T1 - [Development of hemostatic sealant for arterial anastomosis; clinical application].. AU - Morita, Shigeki. AU - Matsuda, Takehisa. AU - Eto, Masataka. AU - Oda, Shinichiro. AU - Tominaga, Ryuji. PY - 2013/5. Y1 - 2013/5. N2 - For the purpose of examining the clinical applicability of a newly developed surgical sealant, animal experiments were performed, and clinical trial was followed. In animal experiments, several animal models, including carotid artery anastomosis model and coronary artery bypass grafting model were undertaken. In each model, complete hemostasis of the anastomoses using four simple interrupted sutures, was obtained. In addition, elastomeric property of the sealant prevented thinning of the arterial wall. The clinical trial performed in patients with thoracic aortic surgery showed significantly better hemostasis even under heparinized condition. Based on these excellent results, clinical usage of the sealant was approved.. AB - For the purpose of examining the ...
Patient was in the right lateral decubitus position with the lower body slightly tilted to the left, and a left thoracoabdominal incision was performed. The cardiopulmonary bypass was established by a venous cannula placed in the right atrium through the left femoral vein and 2 arterial return cannulas inside both femoral artery and ascending aorta. If the proximal thoracic descending aorta was not involved by the aneurysm and was long enough for both clamping and anastomosis (usually Crawford extent III TAAA), proximal aortic anastomosis was performed under mild hypothermic cardiopulmonary bypass and beating heart. otherwise, it was performed using an open technique with profound hypothermic circulatory arrest.. During our modified multiple branched graft replacement of TAAA, the proximal aortic anastomosis was performed first. After a proximal aortic clamp was placed just distal to the left subclavian artery or profound hypothermic circulatory arrest was established, a distal aortic clamp was ...
Distal anastomosis devices and associated methodology are described herein. Connector and connector components as well as tools associated therewith are disclosed. The connectors are preferably adapted to produce an end-to-side anastomosis at a graft/coronary artery junction. A fitting alone, or a fitting in combination with a collar may be used as a connector. Each fitting may be deployed by deflecting its shape to provide clearance for a rear segment that rotates about adjoining hinge section(s) so to fit the connector within an aperture formed in a host vessel. Upon return to a substantially relaxed position, a rear segment anchors the fitting it in place. The distal fitting may include additional side features for interfacing with the host vessel/coronary artery. The collar may include features complimentary to those of a fitting and provisions for strain relief and securing the graft vessel.
Distal anastomosis devices and associated methodology are described herein. Connector and connector components as well as tools associated therewith are disclosed. The connectors are preferably adapted to produce an end-to-side anastomosis at a graft/coronary artery junction. A fitting alone, or a fitting in combination with a collar may be used as a connector. Each fitting may be deployed by deflecting its shape to provide clearance for a rear segment that rotates about adjoining hinge section(s) so to fit the connector within an aperture formed in a host vessel. Upon return to a substantially relaxed position, a rear segment anchors the fitting it in place. The distal fitting may include additional side features for interfacing with the host vessel/coronary artery. The collar may include features complimentary to those of a fitting and provisions for securing the graft vessel.
Methods and devices use magnetic force to form a magnetic port in a hollow body. Additional methods and devices form anastomoses between two or more hollow bodies. First and second anastomotic securing components create a fluid-tight connection between the lumens of the hollow bodies. End-to-side, side-to-side and end-to-end anastomoses can be created without using suture or any other type of mechanical fasteners, although mechanical attachment structure may be used in conjunction with the magnetic attachment. The securing components have magnetic, ferromagnetic or electromagnetic properties and may include one or more materials, for example, magnetic and nonmagnetic materials arranged in a laminated structure. The system of anastomotic securing components may be used in many different applications including the treatment of cardiovascular disease, peripheral vascular disease, forming AV shunts, etc. The system may be sized and configured for forming an anastomosis in or between a specific hollow body,
Head and neck anastomosis techniques present common aspects with any type of anastomosis but their localisation at the junction of the respiratory and digestive tracts makes them often delicate to perform. In the present article, we first review the different surgical indications and the laryngeal, tracheal, pharyngeal and oesophageal anastomosis techniques. The main types of flaps also used for this purpose are highlighted. We then review the cases observed during the 5 last years in our department, type and technique of surgery used. In this general review, we illustrate our stand point although aware of the multiple variants favoured by different schools. ...
INTRODUCTION. Conventional vascular anastomosis requires extensile exposure, circumferential dissection and temporary occlusion of the vessels. This technique was initially described by Alexis Carrel, in 1902[1], and despite several technical improvements it has remained basically the same.. Several devices for sutureless anastomosis were developed since that time, as grafts with rings[2], connectors[3], clips[4] and even magnets[5].. In complex aortic surgeries, the time to perform an anastomosis is related to ischemic and reperfusion injuries and can lead to renal failure, mesenteric ischemia and systemic inflammatory response. Thus, is advisable to simplify and shorten this period of the surgery.. In 2008, Lachat et al.[6] described a technique of sutureless anastomosis by telescoping a stent graft (Viabahn, W. L. Gore & Associates, Flagstaff, AZ) in order to facilitate complex vascular reconstruction in debranching procedures for thoracoabdominal aneurysms. The advantages of this technique ...
An apparatus for anastomosing an organ of a subject to be anastomosed such as patient comprises a pair of magnets being disposed to predetermined sites or regions of organs of the subject each other so as to be opposed through wall portions of the respective organs, the magnets being adsorbed to each other so as to form an anastomosis site having a through hole for making communication between the organ walls, a flexible soft guide wire detachably mounted to at least one of the paired magnets, and a guide tube inserted into a body of the subject with the guide wire being inserted therein, the guide tube coming into contact with a guide wire mount surface of the one of magnets so as to support the one magnet when the guide wire is removed from the one magnet and the guide tube being inserted into the through hole of the anastomosis site to maintain formation of the through hole.
A method and devices are provided for performing end-to-side anastomoses between the severed end of a first hollow organ and the side-wall of a second hollow organ utilizing transluminal approach with endoscopic assistance, wherein the first and second hollow organs can be secured utilizing a biocompatible glue, clips or by suturing. In an alternative embodiment, the method utilizes a modified cutter catheter which is introduced into the first hollow organ in combination with a receiver catheter which is introduced into the second hollow organ. The distal end of the receiver catheter includes a receiver cavity and a selectively activatable magnetic material. The magnetic material is selected so that it will interact with a magnetically susceptible material disposed in the distal end of the modified cutter catheter when the modified cutter catheter is disposed in proximity to the proposed site for anastomosis whereby the severed end of the first hollow organ is matingly engaged with the sidewall of the
An anastomotic device and method for receiving the free ends of anatomic tubular structures to be anastomosed, the device having a pair of ring members for securement to the free end of each of the tubular members to be anastomosed and the ring members having annular connecting structure which mate with each other to connect the ring members. Novel securement structure is associated with the annular connecting structure to enable the securement of the ring members in a fixed relationship at a predetermined distance from each other. Structure is provided to connect each tubular member free end over a ring member so that the free ends are positioned contiguous to each other around the connecting structure to enable the ends to grow together in an atmosphere outside the flow path of the tubular members to be anastomosed and approximate the outer surface of the tubular member.
The Cambridge Anastomosis Workshop is a practical hands-on intensive 4-day workshop covering a wide range of anastomoses - small and large bowel, oesophagus, stomach, vascular and urology. These are the fundamental techniques any surgeon must know. A leaking anastomosis usually kills the patient yet safe anastomoses can be reliably made. In the workshop, youll have each technique explained, then see it on live demonstration.. You will carry out the procedure under close supervision. You can expect to carry out over 20 anastomoses during the course and will have opportunities to examine them from the inside. Teaching is in a large lab in the Pathology Department with excellent facilities. Faculty members are surgeons with years of experience teaching practical surgical techniques.. Eligibility- Minimum of CT1 and designed for ST level trainees The course is held on Downing Site in their Path Lab ...
TY - JOUR. T1 - CO2‐welded venous anastomosis. T2 - Enhancement of weld strength with heterologous fibrin glue. AU - Cikrit, Dolores F.. AU - Dalsing, Michael C.. AU - Weinstein, Todd S.. AU - Palmer, Kevin. AU - Lalka, Stephen G.. AU - Unthank, Joseph L.. PY - 1990. Y1 - 1990. N2 - The milliwatt CO2 laser was used to perform end‐to‐end anastomoses in canine jugular veins. There was a high disruption rate (50%) in laser‐welded veins (n = 10). Fibrin glue (n = 17), formed from human fresh‐frozen plasma, enhanced the weld strength decreasing the disruption rate (18%), resulting in an 82% patency which nearly equaled the contralateral sutured vein patency (93%). The bursting strength was improved with fibrin glue. Transmural necrosis was present initially in all groups but extended for a longer distance in the vessel wall in laser‐welded anastomoses. Sutured anastomoses exhibited a greater inflammatory response. In laser‐welded anastomoses endothelial cells were not as confluent as in ...
Colectomy, Left End-to-End Anastomosis. In: Zollinger RM, Jr, Ellison E, Bitans M, Smith J. Zollinger R.M., Jr, Ellison E, Bitans M, Smith J Eds. Robert M. Zollinger, Jr, et al.eds. Zollingers Atlas of Surgical Operations New York, NY: McGraw-Hill; 2011.§ionid=42074473. Accessed January 18, 2018 ...
A method and instruments used to performing an end-to-end anastomosis between two portions of intestinal tissue is disclosed. The method involves drawing a first portion of intestinal tissue over a portion of a bioabsorbable stent. The end of the first portion of intestinal tissue is everted on the stent to create a collar of exposed inner intestinal tissue. A second portion of intestinal tissue is drawn over the stent and over the exposed intestinal tissue. A bandage containing one adhesive compound selected from the group of an adhesive and an adhesive initiator is wrapped about the juncture. The other adhesive compound is applied to saturate the bandage and the combination of an adhesive and an adhesive initiator sets the adhesive to adhere the first portion and the second portion of adhesive to the bandage.
Fingerprint Dive into the research topics of The effect of various pulmonary artery anastomoses on the hemodynamics of the hilar stripped lung. Together they form a unique fingerprint. ...
In the presence of risk factors, the anastomosis in the small intestine and in the colon are at risk for dehiscence and peritonitis. The apposition of a biological patch around the anastomosis might improve wound healing and therefore might prevent harmful, potentially life-threatening and costy complications. Aim: to verify if Tutomesh® facilitates the functional recovery of the intestinal anastomotic wound area (mucosa) in the pig ileum and colon. Methods: 24 Large White pigs (B.W. 25 kg; age 4-5 months) underwent ileal and colonic anastomosis with or without application of Tutomesh® and compared with healthy (intact) control intestinal segments. At days 2, 7, 14, 30 and 90 following surgery, ileal and colonic mucosa were isolated from similar anastomized and control tracts and mounted in Ussing chambers containing Krebs oxygenated solution at pH 7.4. Electrophysiological parameters, i.e. short circuit current (Isc) and transepithelial resistance (Rt), as markers of mucosal function, were ...
Low rectal anastomosis leakage, keep it or move it, Faramarz Karimian, Karim Darbanian*, Ali Aminian, Rasoul Mirsharifi, Farhad Mehrkhani, Farshad Gharaee
Technique for anastomosis of large bowel in low anterior resection can be done easily and save by suturing of anterior wall of rectum stump interupted stiches and these were used as suspended stitches for exposure of posterior rectal wall, then posterior wass of colon and rectum are sutured together using railroaded technique and the anastomosis is completed by suturing the previous anterior stitches of rectal wall to anterior wall of colon. One layer technique for anastomosis of large bowel was performed.. ...
Die Anastomose am Gastrointestinaltrakt / Intestinal Anastomosis: Symposium, Essen, Juni 1989 German Edition [F.W. Eigler, E. Gross, E. Vogt] on. FREE.
A surgical instrument for performing an end-to-end anastomosis of first and second luminal structures includes a housing having an actuator attached thereto and a selectively removable loading unit attached to a distal end of the housing which supports any array of surgical fasteners at a distal end thereof. The surgical fasteners are simultaneously deformable upon activation of the actuator such that a distal end of each surgical fastener secures each end of each luminal structure to complete the end-to-end anastomosis wherein the resulting eversion is exterior to the luminal structures.
Next is a lecture series detailing the correct procedure for placement of an intracorporeal anastomosis, complete with CD-ROM demonstration, lecture, photo review, and a detailed explanation of the criteria for evaluation of an anastomosis. Once students have become familiar with the methodology, the real challenge begins. Participants are first separated into teams of two, and must cooperate in the placement of an anastomosis on inanimate tissue, which must have no less than eight interrupted sutures on the back wall and a running anastomosis on the front wall. Surgeons will then be instructed in Dr. Rosser s principles regarding optical correctness, port placement, and overall preparation. The participants must then perform the anastomosis on a section of pig bowel, which is much more difficult to work with than inanimate tissue. Once the anastomosis has been completed, it is then examined by instructors using strict grading criteria such as: proper length and depth, uniformity of sutures, ...
Looking for anastomoses? Find out information about anastomoses. A surgical communication made between blood vessels, for example, between the portal vein and the inferior vena cava. An opening created by surgery, trauma,... Explanation of anastomoses
TY - JOUR. T1 - Safety, feasibility, and short-term outcomes of laparoscopic ileal-pouch-anal anastomosis. T2 - A single institutional case-matched experience. AU - Larson, David W.. AU - Cima, Robert R.. AU - Dozois, Eric J.. AU - Davies, Michael. AU - Piotrowicz, Karen. AU - Barnes, Sunni A.. AU - Wolff, Bruce. AU - Pemberton, John. PY - 2006/5/1. Y1 - 2006/5/1. N2 - OBJECTIVE: To compare safety and short-term outcomes of 100 laparoscopic ileal pouch-anal anastomosis (IPAA) versus 200 conventional open IPAA patients. SUMMARY BACKGROUND DATA: Outcomes of laparoscopic IPAA (LAP-IPAA) have been incompletely characterized. Previous reports are characterized by small numbers of patients and rarely include case-matched or randomized trial methodology. This report describes 100 LAP-IPAA patients case matched to 200 open IPAA patients. METHODS: Between 1998 and 2004, 100 consecutive LAP-IPAA patients (75 laparoscopic assisted, 25 hand assisted) were identified and case matched to 200 open IPAA control ...
Results: After exclusion of 10 noninformative pregnancies, perinatal, double, and any survival rates were 61%, 44%, and 77%, respectively. When an anastomosis was detected at each of the 3 time points, perinatal and double survival rates were higher than when one was not (at first treatment, perinatal survival 83% versus 53%, respectively, P = .003; double survival 78% versus 33%, P , .001). Perinatal and double survival (P ,= .01) were poorer with more advanced stage, but any survival rates were not influenced by stage or anastomosis detection. Multiple logistic regression demonstrated that anastomosis detection at treatment increased the chance of perinatal (odds ratio [OR] 5.1, 95% confidence interval [CI] 1.6, 15.9) and double survival (OR 19.3, 95% CI 2.7, 138), independently of stage. For stages I-III at treatment, anastomosis detection predicted better perinatal (100% versus 63%, 100% versus 59%, and 83% versus 44%, respectively) and double survival rates (100% versus 52%, 100% versus ...
Of 2609 relevant studies, 16 randomized controlled trials (RCTs) met our inclusion criteria. Nine RCTs (n=473) compared straight coloanal anastomosis (SCA) to the colonic J pouch (CJP). Up to 18 months postoperatively, the CJP was superior to SCA in most studies in bowel frequency, urgency, fecal incontinence and use of antidiarrheal medication. There were too few patients with long-term bowel function outcomes to determine if this advantage continued after 18 months postop. Four RCTs (n=215) compared the side-to-end anastomosis (STE) to the CJP. These studies showed no difference in bowel function outcomes between these two techniques. Similarly, three RCTs (n=158) compared transverse coloplasty (TC) to CJP. Similarly, there were no differences in bowel function outcomes in these small studies. Overall, there were no significant differences in postoperative complications with any of the anastomotic strategies. ...
When a vein segment is grafted into arterial circulation, biomechanical forces stimulate modification of its structure. This morphological adaptive response is progressive during a medium or long term and occludes the vessel lumen, leading to a graft failure. The objective of this study was to characterize the early morphological response of the vascular wall in a terminal-terminal vascular vein graft model in Wistar rats. A segment of the femoral vein was placed in the femoral circulation. An end to end microsurgical graft anastomosis technique was implemented and standardized in twenty rats. The samples were processed with histological technique to analyze the overall structure with hematoxylin and eosin, the composition of the vessel wall with Masson trichrome technique, the proliferating and smooth muscle cells were detected with immunohistochemistry (anti-PCNA, anti-actin and anti CD68) and the induction of apoptosis with TUNEL technique. The times periods studied were 1, 3 and 5 days ...
REDWOOD CITY, Calif., April 29 /PRNewswire-FirstCall/ -- Cardica, Inc. (Nasdaq: CRDC) today announced that the PAS-Port(R) Proximal Anastomosis System achieved its primary endpoint in a large,
A tool for performing anastomosis connects two tissue structures end-to-end. A clamp holds each tissue structure. The clamps are movable relative to one another, and are registered together such that the flaps of one tissue structure are pressed against the corresponding flaps of the other tissue structure when the clamps come together. Each flap of one tissue structure is connected to a corresponding flap on the other corresponding tissue structure with at least one connector.
A total of 116 one-layer end-to-end anastomoses of the colon and the rectum in 112 patients were studied. Three patients died postoperatively (2.6 per cent). Significant disruption of anastomosis requiring a diverting colostomy occurred in five patie
Logistic regression was used in both univariate and multivariate modelling.. The team used the methods to identify independent preoperative variables associated with the presence of intraoperative leak.. Model parameters were estimated by the maximum likelihood method. From these estimates, odds ratios with 95% confidence intervals were computed.. The investigators found no postoperative anastomotic leaks or mortalities in these series.. Overall, endoscopic evaluation of the gastrojejunostomy resulted in the detection of 16% of intraoperative leaks.. The team noted a difference in the incidence of intraoperative leakage for patients, with 21% older than 40 years, and 10% in those younger than 40 years. In the initial 91 cases, the gastrojejunostomy was performed by the end-to-end anastomosis technique.. The team reported that the subsequent 249 were performed with a combination of linear stapling and handsewn technique. There was a non-significant trend to less leakage in 12% with end-to-end ...
A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or
Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis ...
LifeLike BioTissues Vesico - Urethral Anastomosis Holder SUTURES AND BEHAVES LIKE REAL TISSUE Our Vesico-Urethral Anastomosis Holder is designed to practice resection of the urethra to the bladder. The metal clamp allows for the adjustment or replacement of the bladder. This product is to be used with the LifeLikeBiot
MY VIRTUAL ANASTOMOSIS, is a digital portal that interactively connects scholars in training with expert faculty. The main goal is to help scholars develop their practical surgical skills, and to maximize the training effect through ongoing, personalized feedback provided by an expert surgeon-evaluator. Together with Ethicons Anastomotic Skills labs and the Arroyos Anastomotic Simulator, winner of the EACTS 2011 Ethicon CARDIOVACULAR SIMULATION AWARD, My Virtual Anastomosis delivers a comprehensive educational continuum for development of technical surgical skills in one of the key areas of cardiovascular surgery. ...
a cross-connection between two blood vessels; an interconnection between any two channels, passages or vessels; the surgical creation of a connecting passage between blood-vessels or other channels. Chabner, Davi-Ellen. 2007. The Language of Medicine. 8th ed. Saunders Elsevier, Missouri
RESULTS: In the period of study,19 patients aged over 90 underwent surgery in emergency department for complicated CRC. Of the total, 52.63% were female, with sex ratio F: M of 1.11: 1. Mean age was 92.52 years (range: 90-97 years; SD 1.49). Preoperative assessment of surgical risk was made using American Society of Anesthesiologists (ASA) score. There was no statistically significant difference in terms of in-hospital mortality between patients with ASA score ≤ 3 and patients with an ASA score >3. Primary anastomosis was performed in 6 of 19 patients (31.57%), all of whom had right-side colon cancer. Diverting stoma was created for 12 of 19 patients (63.15%). There was a statistically significant difference in incidence of postoperative complications between patients with right-side colon cancer and patients with left-side colon cancer (p=0.0498). Mean length of hospital stay was 12.78 days (range: 2 31 days; SD 6.31). In-hospital mortality rate was 21.05% (n=4). At follow up, overall ...
Method and apparatus for treating a carotid artery | Lumbar ostia occlusion devices and methods of deploying the same | Surgical string applicator for anastomosis surgery | Surgical clip applier | Flexible transoral endoscopic gastroesophageal flap valve restoration device and method |
The anastomosis device according to the present invention is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes a frame for receiving and holding the end of a graft vessel in an everted position and first and second spreading members configured to be inserted into an opening in the target vessel. The first and second spreading members are arranged substantially in a plane for insertion into an opening in a target vessel, and are moved away from one another to capture the edges of the opening in the target vessel securing the graft vessel to the target vessel. One version of the anastomosis device includes a plurality of linkages arranged in two rows for grasping opposite sides of an opening in the target vessel. A portion of the linkages fold outward to trap vessel walls on opposite sides of the opening in the target vessel. The anastomosis devices greatly
Research conducted in our laboratory focuses on the fundamental aspects of fluid mechanics and mass transport that are involved in the modulation of mammalian cell function. Special attention is given to the cells in the arterial circulation and to the development of tissue-engineered vascular implants.. Our research activities include the development of instrumentation and methods for the accurate in vitro evaluation of cell function in variable mechanical environments. A main objective is to develop experimental models and theoretical analysis that will provide a good description of the dynamic process occurring in the arterial surface in early atherosclerosis. We are interested in the identification of physical mechanisms involved in cell pathobiology. In specific, we study cell communication, adhesion and injury in well controlled disturbed flow fields in vitro.. Three dimensional numerical simulations of the fluid flow in models of graft anastomosis and arterio-venous reconstructions are ...
The management of concomitant aortic and aortic valve disease with left ventricular assist device (LVAD) implantation for patients with severe cardiomyopathy is challenging, and has not been established given the complexity of LVAD surgery with concomitant aortic interventions. A 45-year-old patient presented to our institution with end-stage heart failure symptoms and non-ischemic cardiomyopathy. The patient was found to have a bicuspid aortic valve, severe native aortic regurgitation, a significant ascending aortic aneurysm, and severely depressed left ventricular (LV) function requiring two inotropes. He underwent a successful hemiarch repair of the ascending aortic aneurysm using a back table outflow graft anastomosis technique, and subsequent placement of a HeartWare Ventricular Assist Device (HVAD) with concomitant aortic valve closure with a modified Parks stitch. The patient did well postoperatively and is currently listed for heart transplantation.. ...
Postoperative anastomotic suture line complications, such as hemorrhage and pseudoaneurysm, are often encountered in thoracic aortic surgery. To minimize these complications different anastomotic techniques have been developed. We hereby describe a new distal anastomotic technique, which involves positioning the graft inside the aorta at the distal end, reinforcing the suture line with an externally placed Teflon felt strip, and finishing the anastomosis with a circumferential and continued suture technique called backstitch.
Background: Fibrin-based biological adhesives are used for tissue adhesion improving the outcome of gastrointestinal sutures. The objective was to assess the effectiveness of fibrin-based biological adhesives for prevention of anastomotic leakage in high-risk gastrointestinal anastomoses. Methods: A randomized clinical trial was designed to recruit patients underwent a rectal resection surgery. A subgroup of patients with rectal anastomosis were recruited from 2 different hospital centres. Patients in which a biological fibrin-based biological adhesive was applied to the suture line (study group) were compared versus a control group under standard practice. The main outcome measures was presence or absence of leakage and need for reoperation. Results: Thirty seven patients underwent a rectal resection and anastomosis. In 21 standard practice was applied and a fibrin-based adhesive was used in 16. Fourteen patients (37.8%) had a clinical or subclinical anastomotic leak, 11 belonging to control group
For patients with interrupted aortic arches, distal aortic arch dysplasia, long coarctation segments, or obvious vascular calcification and older children and adults, we adopted a Gore-Tex vascular graft bypass (Figure 1). First, we performed end-to-side anastomosis between the Gore-Tex vascular graft and normal descending aorta distal from the coarctation, and the anastomosis was continuously sutured with 5/0 prolene line, tightened and lined with strips of autologous pericardium. Next, we restored the cardiopulmonary bypass, allowed perfusion, and warmed up the blood. After expelling gas from the vascular graft and clamping the said graft, we performed end-to-side anastomosis between the Gore-Tex vascular graft and normal ascending aorta. We only performed end-to-side anastomosis between the vascular graft and normal descending aorta with circulatory arrest. This can decrease the total surgical time and facilitate good anastomosis. Lining with stripped autologous pericardium can prevent vessel ...
Colorectal anastomotic complications are dreaded and dramatically affect outcomes. Causes are multifactorial, with the size of the end-to-end anastomosis (
Congenital long segment megacolon is still a serious therapeutic problem. It is generally accepted that conservative treatment without surgical intervention will not give satisfactory results. The purpose of this case report is to show how subtotal colectomy and anastomosis cecorectalis is the operation of choice. At the Childrens Hospital in Zagreb we have had only two cases on which we performed cecorectal anastomosis. The patients general condition and enormous dilatation of the ganglionic region indicated surgery and only anus praeter bipollaris was performed on the colon ascendens. The second operation took place one year after the first operation. At the second operation we performed subtotal colectomy with cecorectal anastomosis. The postoperative clinical course was without complications. The wound cured regularly. Digitorectal examination revealed no anomalies in the anastomosis. The children had 1-2 stools daily. After six months we performed a check up examination with irigography, ...
TY - JOUR. T1 - Early and midterm patency of the proximal anastomoses of saphenous vein grafts made with a Symmetry Aortic Connector System. AU - Kitamura, Hideki. AU - Okabayashi, Hitoshi. AU - Hanyu, Michiya. AU - Soga, Yoshiharu. AU - Nomoto, Takuya. AU - Johno, Hiroyuki. AU - Nakano, Jota. AU - Matsuo, Takehiko. AU - Kai, Masashi. AU - Umehara, Eitaro. PY - 2005/10/1. Y1 - 2005/10/1. N2 - Objective: The purpose of this study was to investigate (1) the early and midterm patency rates in saphenous vein grafts that were anastomosed with the Symmetry Aortic Connector System (St Jude Medical, Inc, St Paul, Minn) and (2) risk factors for graft occlusion. Methods: Thirty-one patients underwent off-pump coronary artery bypass grafting for proximal saphenous vein graft anastomoses with the aortic connector system. Intraoperative graft flow was studied with transit time flowmetry, and angiography was performed before discharge in 29 cases. Midterm (at least 1 year after the operation) saphenous vein ...
ASA 2018 Abstracts: Better Function With A Colonic J-pouch Or A Side-to-end Anastomosis? A Randomized Controlled Trial To Compare The Complications, Functional Outcome And Quality Of Life In Patients With Low Rectal Cancer After A J-pouch Or A Side-to- End Anastomosis
Fistula development after esophageal resection is considered as one of the most serious postoperative complications. The authors reported a case on clinical experiences in the postoperative diagnostic and successful therapeutic management of a tracheomediastinal fistula after esophageal resection, using endoscopic application of fibrin glue. The early approach of an anastomotic insufficiency after esophageal resection because of a squamous cell carcinoma (pT3pN0M0G2) below the tracheal bifurcation including transposition of a re-modelled gastric tube and end-to-side anastomosis 24 hours postoperatively in a 55-year old patient combined i) surgical re-intervention from the periesophageal site (reanastomosis, gastroplication, lavage, local and mediastinal drainage) and, later on, ii) extensive rinsing with consecutive endoscopic fibrin glue application into the tracheal mouth of the subsequently developed tracheomediastinal fistula as a consequence of the inflammatory changes within the ...
INTRODUCTION. In view of the high incidence of infection of the peritoneal cavity in surgical practice, many investigators have the relationship between peritonitis and healing of intestinal anastomoses. Contradictory results have been obtained in studies of the influence of infection on the development of colon anastomoses healing in experimental animals, with some investigators reporting high rates of dehiscense and mortality6,8,21 and others reporting little or no effect of infection on the anastomotic lesion12,18,20. Thus, the present study was conducted to determine the effect of peritonitis on the healing of experimentally induced colon anastomoses in rats.. METHOD. The study was conducted on 40 male rats (Rattus norvegicus albinus, Rodentia mammalia) of the Wistar-Tecpar strain aged 114 to 130 days and weighing on average 298 g. The animals were divided in two groups S (control) and P (experimental).. The animals were anesthetized with ether, weighed and identified. The ventral abdominal ...
1. (Science: anatomy) a vessel that directly interconnects an artery and a vein, and that acts as a shunt to bypass the capillary bed. Not to be confused with surgical anastomosis, nor with arteriovenous fistula. 2. (a) The direct or indirect connection of separate parts of a branching system to form a network, especially among blood vessels. (b) The surgical connection of separate or severed tubular hollow organs to form a continuous channel as between two parts of the intestine. 3. The connection of normally separate parts or spaces so they intercommunicate. An anastomosis may be naturally occurring or artificially constructed and be created during the process of embryonic development or by surgery, trauma or pathological means. An anastomosis may, for example, connect two blood vessels (as in a naturally occurring arteriovenous anastomosis, a connection between an artery and a vein) or it may connect the healthy sections of the colon or rectum after a cancerous or otherwise diseased portion ...
BACKGROUND: Revascularization of the posterior inferior cerebellar artery (PICA) is typically performed with the occipital artery (OA) as an extracranial donor. The p3 segment is the most accessible recipient site for OA-PICA bypass at its caudal loop inferior to the cerebellar tonsil, but this site may be absent or hidden due to a high-riding location. OBJECTIVE: To test our hypothesis that freeing p1 PICA from its origin, transposing the recipient into a shallower position, and performing OA-p1 PICA bypass with an end-to-end anastomosis would facilitate this bypass. METHODS: The OA was harvested, and a far lateral craniotomy was performed in 16 cadaveric specimens. PICA caliber and number of perforators were measured at p1 and p3 segments. OA-p3 PICA end-to-side and OA-p1 PICA end-to-end bypasses were compared. RESULTS: OA-p1 PICA bypass with end-to-end anastomosis was performed in 16 specimens; whereas, OA-p3 PICA bypass with end-to-side anastomosis was performed in 11. Mean distance from OA at the
Aortic coarctation | Resection with end-to-end anastomosis. Cardiosurgery: Treatment in Ulm, Germany ✈. Prices on - booking treatment online!
Planned elective and subacute procedures with a polytetrafluoroethylene (PTFE) graft including at least one expected end-to-side anastomosis of a PTFE graft to the femoral artery (e.g. femoral-femoral cross-over, aorto-(bi)femoral, axillo-(bi)femoral, femoro-popliteal, femoro-crural bypass grafting), a PTFE patch angioplasty of the femoral artery, or an end-to-side anastomosis of a PTFE graft to an upper extremity artery in connection with arteriovenous bypass grafting for dialysis access ...
Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis (costs for program #187291) ✔ University Hospital Marburg UKGM ✔ Department of Cardiac, Thoracic and Vascular Surgery ✔
Objective: due to the advantages of Laser Assisted Vascular Anastomosis (less occurrence of myointimal hyperplasia with better hemodynamic evolution, shorter surgical time, absence of diameter incompatibility, absence of anaphylaxis, easy execution) the evaluation of the ideal diode laser wavelength to perform anastomosis in elastic arteries, without solder, is a great advance in the surgical practice. Method: End-to-end anastomosis was performed on the common carotid arteries of swines, bilaterally, using diode lasers by the wavelengths: 808 nm (n=16), 980 nm (n=16), 1470 nm (n=16) and 1908 nm (n=16) with the same parameters (CW, spot size= 2mm, P≅ 5,1W, t=26s, E= 132,6J, I= 164,51 W/cm2, F= 4277,4 J/cm2). Following, the occurrence of bleeding was verified. When the anastomosis did not bleed a mechanical resistance test was performed. Results: In group 808 nm, there was no welding of the vessels. In group 1908 nm, carbonization of all arterial edges was observed. In groups 980 nm and 1470 nm, ...
Looking for online definition of preputial anastomosis in the Medical Dictionary? preputial anastomosis explanation free. What is preputial anastomosis? Meaning of preputial anastomosis medical term. What does preputial anastomosis mean?
Background: Antithrombin III is known as the most important natural inhibitor of thrombin activity and has been shown to attenuate local harmful effects of ischemia-reperfusion injury in many organs. In recent animal studies, delaying effect of remote organ ischemia-reperfusion injury on healing of intestinal anastomoses has been demonstrated. In this study, we investigated whether antithrombin III reduces deleterious systemic effects of ischemia-reperfusion injury on healing of colonic anastomoses in rats. ...
TY - JOUR. T1 - Impact of aberrant arterial anatomy and location of anastomosis on technical outcomes after liver transplantation. AU - Abouljoud, Marwan S.. AU - Kim, Dean Y.. AU - Yoshida, Atsushi. AU - Arenas, Juan. AU - Jerius, John. AU - Malinzak, Lauren. AU - Raoufi, Mohammad. AU - Brown, Kimberly A.. AU - Moonka, Dilip K.. PY - 2005/5/1. Y1 - 2005/5/1. N2 - Variations in donor and recipient arterial anatomy frequently present challenges for surgeons when attempting to establish proper arterial inflow during liver transplantation. We reviewed our data on 233 adult primary liver transplants, conducted from January 1996 through December 2001, to determine the impact of these variations on the outcomes after liver transplantation. Twenty-four (10.3%) arterial complications were encountered at a mean of 2.27 months after transplant. Carrel patches for the anastomoses were not used in 33 patients (14%), which had no relation to arterial complications (P = 0.7). Sixty-one donors (26.2%) had at ...
He was felt to be too high risk for surgery, and it was decided to attempt percutaneous angioplasty. A 4-F cut pigtail catheter and straight 0.035-inch wire was used to access the outflow cannula. Reference vessel diameter was 14 to 15 mm, and the region of stenosis was 8 to 9 mm in diameter (Fig. 4). An Amplatz 0.035-inch Super Stiff guidewire (St. Jude Medical, Golden Valley, Minnesota) was placed in the mid-cannula retrograde through the outflow graft, and a 14 mm × 4-cm Cordis Opta-Pro balloon angioplasty balloon (Cordis Corp., Miami, Florida) was inflated twice at the anastomosis to a maximal pressure of 4 atm. There was resolution of the waist narrowing with the second inflation (Figs. 5 and 6⇓⇓, Online Videos 1 and 2). During each inflation, HM2 flow was decreased transiently to 1 l/min for 3 to 4 s at a time. Post-angioplasty, Doppler flow velocity at the anastomosis improved from 1.9 m/s to 1 m/s. LVEDD decreased from 59 mm to 39 mm. The patient was discharged 4 days later, and HM2 ...
Additional to our previous edition of this workshop, we have included a practical part for our participants following the live demonstration performed by Dr. Victor Volovici.. In the first part, a theoretical lecture will be followed by a demonstration of a microvascular anastomosis technique, as well as an interactive demonstration on a live rat of an intermediate level anastomosis, performed by Dr. Victor Volovici. This part will end with a discussion on the future and directions of cerebrovascular microvascular anastomoses.. The second part of the workshop aims to provide an insight into a cutting edge procedure: surgery under the microscope. It will include an introductory presentation regarding microsurgery, the instruments that are used in this field, together with the correct handling of the surgical microscope. Among this, dexterity excercises and last but not least, knots and sutures under the microscope on non-biological material will be performed by the participants.. ...
The use of intraoperative procedures to prevent dehiscence of the anastomosis, such as the addition of additional manual points, the mechanical suture and / or patches of collagen (reinforcement so called also buttressing) or sealants (fibrin or cyanoacrylate glues, such as Glubran® 2) is the rationale that led to the design of this study. Although today we have technologically advanced mechanical staplers, it is crucial to prevent anastomotic dehiscence. At the moment experimental results show that Glubran® 2 is a suitable potential reinforcement of intestinal anastomoses both manual and linear intracorporeal. Glubran 2 applied after the packaging of the mechanical anastomosis, polymerizes in a short time closing the micro spaces of the suture line between one point and the other, expressing an adhesive, hemostatic and sealant action on the tissues, creating an effective antiseptic barrier against the most common infectious agents or pathogens.. The aim of the study is to evaluate the ...
The use of intraoperative procedures to prevent dehiscence of the anastomosis, such as the addition of additional manual points, the mechanical suture and / or patches of collagen (reinforcement so called also buttressing) or sealants (fibrin or cyanoacrylate glues, such as Glubran® 2) is the rationale that led to the design of this study. Although today we have technologically advanced mechanical staplers, it is crucial to prevent anastomotic dehiscence. At the moment experimental results show that Glubran® 2 is a suitable potential reinforcement of intestinal anastomoses both manual and linear intracorporeal. Glubran 2 applied after the packaging of the mechanical anastomosis, polymerizes in a short time closing the micro spaces of the suture line between one point and the other, expressing an adhesive, hemostatic and sealant action on the tissues, creating an effective antiseptic barrier against the most common infectious agents or pathogens.. The aim of the study is to evaluate the ...
Materials and Methods: Forty male Sprague Dawley rats were randomly divided into 2 groups. Femoral artery anasto- mosis was performed in rats of the control group (n = 20) through heparinized serum (10 U/ml) irrigation. In the rats of the study group (n = 20), however, femoral artery anastomosis was performed through heparinized serum (10 U/ml)+0.5 cc bile irrigation. After the 1st week, anastomosis patency was evaluated with color duplex ultrasonography. A 1 cm segment of the femoral artery involving the anastomosis line was removed for histopathological evaluation ...
Doctors give unbiased, helpful information on indications, contra-indications, benefits, and complications: Dr. Nishi on colectomy lap anastomosis: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis.
Nontraditional sites for vascular anastomoses to enable kidney transplantation in patients with major systemic venous thromboses.
A graft vessel preparation device and a method for using the graft vessel preparation device is provided. The graft vessel preparation device establishes and maintains a critical dimension on a graft vessel which corresponds to a dimension of an anastomosis site on a target vessel. One example of a graft vessel preparation device which prepares a graft vessel for a vascular anastomosis procedure includes a parallelogram linkage, a first spreader arm and a second spreader arm. The first spreader arm and the second spreader arm mount on opposing members of the parallelogram linkage in a parallel configuration. The spreader arms are configured in order to allow the placement of an end of a graft vessel over the spreader arms. The spreader arms are also configured to separate within an interior of the graft vessel once the graft vessel is placed over the spreader arms in order to establish a critical dimension. The critical dimension is established using a critical dimension locator. The critical dimension
Esophagogastric anastomosis in human surgery is part of the surgical treatment of esophageal cancer. Anastomotic leak is responsible for a third of all perioperative deaths. We suggest an enhanced healing of esophagogastric anastomosis, NO-system dependent, with stable gastric pentadecapeptide BPC 157. Throughout 4 days after esophagogastric anastomosis creation, rats received medication (/kg ip once daily: BPC 157 (10pg, 10ng), L-NAME (5mg), L-arginine (100mg) alone and/or combined). Daily assessment includes damage in stomach (sum of longest diameters, mm), esophagus (esophagitis, scored 0-4), anastomosis (ml H2O before leak), pressure in pyloric sphincter and in esophagus at anastomosis (cmH2O) and weight loss (g). In the control group we noted progressing stomach damage, severe esophagitis, rapid anastomosis leak, decrease of pressure, severe in pyloric sphincter as well as less pressure assessed in esophagus at anastomosis, alongside with prominent weight loss. By contrast, BPC 157 treated ...
Methods: Two patients, one with a congenital small bowel web, and one with a cecal mass are studied. The Gelpointtm System (Applied Medical, Rancho Santa Margarita, CA) is utilized for access. The congenital web is resected using endoscopic stapling devices, a stapled anastomosis is performed, and the common channel is closed with traction stitches and another firing of an endoscopic stapler. The cecal mass is resected via a right hemicolectomy, ileo-colic stapled anastomosis created, and closure of the common channel is accomplished with two layered running suture ...
Background: The aim of this study was to investigate patients with symptomatic anastomotic leakage diagnosed after hospital discharge. Methods: Patients undergoing low anterior resection of the rectum for cancer (n=234) who were included in a prospective multicenter trial (NCT 00636948) and who developed symptomatic anastomotic leakage diagnosed after hospital discharge (late leakage, LL; n=18) were identified. These patients were assessed in regard to patient characteristics, operative details, recovery on postoperative day five, length of hospital stay, and how the leakage was diagnosed. A comparison with those who did not develop symptomatic leakage (no leakage, NL; n=189) was performed. Minimum follow up was 24 months. Results: Median age was 69 years, 61% were females, and 6% had UICC cancer stage IV in LL. On postoperative day 5, LL had a postoperative course similar to NL in regard to morning temperature, per oral intake and bowel activity. The proportion of patients being on antibiotic ...
In the study of [Improvement in the healing of colonic anastomoses by vitamin B5 and C supplements. Experimental study in the rabbit] [Article in French], by Vaxman F, Chalkiadakis G, Olender S, Maldonado H, Aprahamian M, Bruch JF, Wittmann T, Volkmar P, Grenier JF., posted in US National Library of Medicine National Institutes of Health, researchers found that Vitamins B5 and C enhance the colonic wound healing process in the rabbit, acting together in synergy in vivo as well as in vitro, as previously demonstrated ...
PURPOSE: Colon anastomotic leakage remains a serious and common surgical complication. Animal models are valuable to determine the pathophysiological mechanisms and to evaluate possible methods of prevention. The aim of this study was to develop an optimal model of clinical colon anastomotic leakage in a technically insufficient anastomosis in the mouse. METHODS: A total of 110 mice were used in three pilot studies (1-3) and two experiments (A, B). Due to the high complication rates, the analgesic regimen and surgical techniques were changed throughout the pilot studies/experiments. In the final successful experiment (B), eight and four absorbable sutures were used in the control and intervention anastomoses, respectively, and buprenorphine in chocolate spread was used for pain treatment. RESULTS: In the final model (experiment B), significantly more animals in the intervention group had clinical anastomotic leakage compared with controls (40 vs. 0 %, p = 0.003). The weight loss was greater and ...
A medical device which can be implanted at a target site in a living body. The device includes an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The device can include an implant portion and a discard portion which separate from each other during formation of the outer flange. The separation can occur by fracturing a frangible linkage or by mechanically separating a portion of the outer flange from a deployment tool. The device can be a one piece anastomosis device for connecting a graft vessel to a target vessel without the use of conventional sutures. The inner and outer flanges capture the edges of an opening in a target vessel and secure the graft vessel to the opening in the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods.
The authors present a novel synthetic vascular model for microanastomosis training. This model is suitable for trainees with intermediate level of microsurgical skills, and useful as a bridging model between simple suturing exercise and in vivo rat vessel anastomosis during pre-clinical training.
The CycloneTM System (Castlewood Surgical, Inc., Concord, MA) is a novel device that facilitates the attachment of the saphenous vein onto the ascending aorta for the purpose of creating a bypass graft during a coronary artery bypass grafting (CABG) operation. It allows the surgeon to perform a hand-sewn anastomosis with no disruption of the intima of the aorta, and no need for partial clamping. During a 36-month period 109 CABG operations were performed, and the CycloneTM System (and its predecessor, the HexalonTM) was utilized to create 138 proximal anastomoses. This study demonstrates that this is a safe and effective method of creating a clampless, no-touch proximal anastomoses during off-pump CABG.
Two Kelly clamps are placed over a section of mesentery, and the section is divided with a knife or cautery pencil between the two clamps; then it is ligated. This process is continued, until the diseased portion and the anastomosis site have been isolated ...
Hypothesis: In France, approximately 12,000 new rectal cancers are diagnosed each year. Frequency is one and a half times higher in men than in w
The gastric pouch-jejunal limb anastomosis is usually done by circular staple in our institute. We use the instruments from commercial PEG set to facilitate the procedure. Under direct vision from the endoscope inside the pouch, The tiny hole is create by cautery from outside. The snare is passed through this hole into peritoneal cavity to retrieve the nilon loop which insert via the laparoscopic port. After the loop is bought out from the patients mouth, the anvil of the staple is fixed to this loop. The loop is drawn backward, so the anvil is introduced into the gastric pouch. The EEA staple shaft is inserted into peritoneal cavity via the extended port incision. The anvil is attached and approximated to the shaft, then the staple is fired. The completeness of the anastomosis is ensured.. Conclusion ...
The impact of donor arterial variations and their management was investigated retrospectively in 527 consecutive allografts. Anomalous arteries were found in 161 grafts (30.6 per cent). There was no significant difference in the overall incidence of arterial complications between grafts with normal (3.6 per cent) and abnormal (5.6 per cent) anatomy. However, there was a higher incidence of arterial complications in transplants requiring multiple arterial anastomoses (P = 0.02), or anastomosis of donor vessels to recipient aorta with (P = 0.0003) or without (P = 0.04) an interposition graft for arterial reconstruction. The incidence of biliary complications was similar in grafts with a normal (18.8 per cent) or anomalous (18.0 per cent) arterial supply. Anomalies of hepatic arterial anatomy occur in one-third of all livers and do not compromise graft outcome unless multiple anastomoses or direct anastomosis to the recipient aorta are required for arterial reconstruction.
Considering the fact that hemodynamics plays an important role in the patency and overall performance of implanted bypass grafts, this work presents a numerical investigation of pulsatile non-Newtonian blood flow in three different patient-specific aorto-coronary bypasses. The three bypass models are distinguished from each other by the number of distal side-to-side and end-to-side anastomoses and denoted as single, double and triple bypasses. The mathematical model in the form of time-dependent nonlinear system of incompressible Navier?Stokes equations is coupled with the Carreau?Yasuda model describing the shear-thinning property of human blood and numerically solved using the principle of the SIMPLE algorithm and cell-centred finite volume method formulated for hybrid unstructured tetrahedral grids. The numerical results computed for non-Newtonian and Newtonian blood flow in the three aorto-coronary bypasses are compared and analysed with emphasis placed on the distribution of cycle-averaged ...
TY - JOUR. T1 - Endo-therapies for biliary duct-to-duct anastomotic stricture after liver transplantation: Outcomes of a nationwide survey. AU - Cantù, P.. AU - Tarantino, I.. AU - Baldan, A.. AU - Mutignani, M.. AU - Tringali, A.. AU - Lombardi, G.. AU - Cerofolini, A.. AU - Di Sario, A.. AU - Catalano, G.. AU - Bertani, H.. AU - Ghinolfi, D.. AU - Boarino, V.. AU - Masci, E.. AU - Bulajic, M.. AU - Pisani, A.. AU - Fantin, A.. AU - Ligresti, D.. AU - Barresi, L.. AU - Traina, M.. AU - Ravelli, P.. AU - Forti, E.. AU - Barbaro, F.. AU - Costamagna, G.. AU - Rodella, L.. AU - Maroni, L.. AU - Salizzoni, M.. AU - Conigliaro, R.. AU - Filipponi, F.. AU - Merighi, A.. AU - Staiano, T.. AU - Monteleone, M.. AU - Mazzaferro, V.. AU - Zucchi, E.. AU - Zilli, M.. AU - Nadal, E.. AU - Rosa, R.. AU - Santi, G.. AU - Parzanese, I.. AU - De Carlis, L.. AU - Donato, M.F.. AU - Lampertico, P.. AU - Maggi, U.. AU - Caccamo, L.. AU - Rossi, G.. AU - Vecchi, M.. AU - Penagini, R.. N1 - Cited By :1 Export Date: ...
Lymphaticovenous anastomosis. Suction assisted lipectomy. Low level laser therapy. Mesenteric ischemia. Surgical ... Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic ... Early leaders of the field included Russian surgeon Nikolai Korotkov, noted for developing early surgical techniques, American ... Larger societies of surgery actively separate and encourage specialty surgical societies under their umbrella e.g. Royal ...
End-to-End Anastomosis), surgical repair of left upper abdominal colostomy (13 min). PMF 5002 (1947) - Abdominal Colostomy ... similarity of procedures followed in anastomosis; typical problems and applicable surgical techniques; some WW II developments ... The Surgical Treatment of Carotid Body Sensitivity In Man; Surgical correction of carotid body sensitivity; Comparison of pre- ... The series covered psychiatric, surgical, and tropical medicine, radiation health effects, and other health topics in an ...
Surgical loop connection relieves the obstruction distally. Roux-en-Y anastomosis "Stump blow-out". The Free Medical Dictionary ... Intravenous fluids should be started and adequate surgical drainage should be provided. Surgery is indicated when there is ...
Treatment is resection and anastomosis. Mortality increases with delay in surgical intervention. Crabtree, TD. "General Surgery ...
Dharia Patel, S. P.; Steinkampf, M. P.; Whitten, S. J.; Malizia, B. A. (2008). "Robotic tubal anastomosis: Surgical technique ... Each arm has a unique surgical instrument and performs a specialized surgical function. The surgeon sits near the patient at ... Atraumatic surgical techniques involve the use of local anesthesia at the incision site and other tissues operated upon. This ... Once the connection (anastomosis) is completed, a blue dye is injected through the cervix, traveling through the uterus and ...
The first surgical approach consists of resection and primary anastomosis. This first stage of surgery is performed on people ... Anastomosis is confirmed by filling the cavity with normal saline and checking for any air bubbles. When excessive inflammation ... After the mesenteric vessels are dissected, the colon is divided with special surgical staplers that close off the bowel while ... The traditional bowel resection is made using an open surgical approach, called colectomy. During a colectomy the person is ...
Severtsev A. N., Shugurov V. A., Malov U. I. "Modern methods of non-surgical treatment of bleeding from varicose veins of the ... portocaval anastomoses; parenteral nutrition; ERAS (Enhanced Recovery After Surgery). Alexey Nikolaevich Severtsev is a member ... International Surgical Week ISW95. Lisbon, Portugal, August 27 to September 2, 1995. Abstract Book». p. 207 (#825), 1995. ... 5. - p. 4-8. "Portal hypertension" (Severtsev A. N.). "Acute surgical diseases" (manuals for students of fifth-year and sixth- ...
Experience in surgical management with a modified cavopulmonary anastomosis". Thorax. 27 (1): 111-5. doi:10.1136/thx.27.1.111. ... The bidirectional Glenn shunt or hemi-Fontan procedure is one of several surgical techniques used to temporarily improve ...
Latest Advancement in Cardiac Surgery (Lecture)[permanent dead link], XI International Surgical Conference of Society of ... Primary resection and Anastomosis". Journal of Society of Surgeons of Nepal. 4: 50-52. Shrestha BM, Sayami P, Timila R, ... IV International Surgical conference of Surgeons in Nepal, 1998 Best Doctor Award, T.U. Teaching Hospital in 1996 Honors for ... Shrestha UK, Sharma J, Koirala B, Sharma GP (2001). "Role of Feeding Jejunostomy in the Surgical Treatment of Esophageal ...
The Surgical Relief of Aortic Stenosis By Means of Apical-aortic Valvular Anastomosis. Circulation 1955; 11:564-74. Cooley DA, ... Apicoaortic Conduit (AAC), also known as Aortic Valve Bypass (AVB), is a cardiothoracic surgical procedure that alleviates ...
ISBN 978-1-4160-4572-4. Suh JG, Choi WS, Paick JS, Kim SW (July 2013). "Surgical Outcome of Excision and End-to-End Anastomosis ... Surgical repair of severe hypospadias may require multiple procedures and mucosal grafting. Preputial skin is often used for ... 1986]. "Chapter 9.1:Surgical Conditions in Older Children". In South M (ed.). Practical Paediatrics, Seventh Edition. Churchill ... For these reasons or others, people with hypospadias may choose to seek urethroplasty, a surgical extension of the urethra ...
... and advocate excision of the damaged area followed by either a surgical anastomosis of the (now) patent urethral ends, or a ... Prior to discharge from the surgical facility, the patient will be instructed on proper care of the urinary drainage system, ... Urethrotomy is a much simpler operation requiring much less recovery time and that open surgical excision of a simple, short ... "Long-term Follow up for Excision and Primary Anastomosis for Anterior Urethral Strictures" (PDF). Indiana Purdue University ...
... is a bariatric surgical technique to lose weight. The SADI-S is a type of bariatric surgery with a single surgical anastomosis ... A duodenum-intestinal anastomosis is carried out, 250 centimetres (98 in) from the ileocecal valve. Therefore, the common ... The objective of this surgical technique is to lessen the intestinal loop where nutrients are absorbed. It can be performed by ... The SADI-S is a single anastomosis bariatric surgery. It is different from the classic duodenal switch, the gastric bypass (RNY ...
This is commonly called the anastomosis of Galen (Latin: ansa galeni), even though anastomosis usually refers to a blood vessel ... Quan-Yang Duh; Orlo H. Clark; Electron Kebebew (October 14, 2009). Atlas of Endocrine Surgical Techniques. Elsevier Health ... Naidu, L.; Ramsaroop, L.; Partab, P.; Satyapal, K. S. (2012). "Galen's "Anastomosis" revisited". Clinical Anatomy. 25 (6): 722- ... and is one of several documented anastomoses between the two nerves. As the recurrent nerve hooks around the subclavian artery ...
... is a surgical technique used in an anastomosis between two portions of the jejunum. It is a type of bypass ... The surgical procedure can lead to complications including infections, hemorrhage, strictures, ulcers, intestinal obstruction, ...
In the procedure, the fistula is ligated at a location slightly proximal to the anastomosis. A bypass to the venous outflow is ... Revision Using Distal Inflow (RUDI) is a surgical treatment for Dialysis-associated Steal Syndrome. RUDI was first proposed by ...
With modern surgical techniques, bronchial anastomoses heal well without bronchial artery reconnection. Largely for this reason ...
In 1888 he became director of the surgical clinic at the University of Jena. Riedel was a pioneer in the surgical treatment of ... In 1888 he performed the first choledochoduodenostomy (anastomosis of the common bile duct to the duodenum). His name is lent ... later being appointed chief physician of the surgical department at the Städtisches Krankenhaus in Aachen (1881). ...
Surgical microscopes are used in anastomosis procedures carried out to join blood vessels in vascular surgery. Surgical ... An operating microscope or surgical microscope is an optical microscope specifically designed to be used in a surgical setting ... In Eye (ophthalmic) surgery, there are procedures which routinely utilize a surgical microscope, such as cataract surgery and ...
He created a surgical technique for small vessel anastomosis in arterial surgery and vein patch arterioplasty. Earl U. Bell of ... He devised a surgical procedure for vein valve transplantation and a surgical procedure for venous embolectomy. He also ... He did his surgical training in the General Surgery Residency training program at the Brooklyn Jewish Hospital and Medical ... Rai's videotapes on these surgical procedures is available in the American College of Surgeon Education Library: Infragenicular ...
"Effect of fibrin glue on small and large bowel anastomoses in the rat". European Surgical Research. 30 (1): 8-12. doi:10.1159/ ... Fibrin glue (also called fibrin sealant) is a surgical formulation used to create a fibrin clot for hemostasis or wound healing ... Mücke T, Wolff KD (2009). "Performing microvascular anastomosis with fibrin glue--faster, easier, and more reliable?". ... for the improvement of hemostasis where standard surgical techniques are insufficient or impractical. It is also used for ...
Jameson L. Chassin, et al.: "Errors and Pitfalls in Stapling Gastrointestinal Tract Anastomoses. (Chapter 2 in "The Surgical ... The Surgical Clinics of North America: Symposium on Surgical Stapling Techniques, vol. 64, No. 3. (Philadelphia: W.B. Saunders ... The Surgical Clinics of North America: Symposium on Surgical Stapling Techniques, vol. 64, No. 3. (Philadelphia: W.B. Saunders ... Chapter 8 in "The Surgical Clinics of North America: Symposium on Surgical Stapling Techniques," vol. 64, No. 3. Mark M. ...
... after end-to-end anastomosis. Aortic coarctation using different imaging techniqes Surgical treatment involves resection of the ... Surgical Approach to Coarctation of the Aorta and Interrupted Aortic Arch at eMedicine Brant, William E.; Helms, Clyde A., eds ... Long-term follow-up and prediction of outcome after surgical correction". Circulation. 80 (4): 840-5. doi:10.1161/01.CIR.80.4. ... In adults and children found to have coarctation, treatment is conservative if asymptomatic, but may require surgical resection ...
A head transplant is an experimental surgical operation involving the grafting of one organism's head onto the body of another ... Canavero, S (2013). "HEAVEN: The head anastomosis venture Project outline for the first human head transplantation with spinal ... Furr, A; Hardy, MA; Barret, JP; Barker, JH (May 2017). "Surgical, ethical, and psychosocial considerations in human head ... Ren, X; Orlova, EV; Maevsky, EI; Bonicalzi, V; Canavero, S (July 2016). "Brain protection during cephalosomatic anastomosis". ...
A short distal bypass is created and the artery just distal to the AV anastomosis is ligated. Schanzer H, Schwartz M, ... DRIL (Distal revascularization-interval ligation) is a surgical method of treating vascular access steal syndrome. DRIL was ...
Surgeons can use surgical staplers in place of sutures to close the skin, or during surgical anastomosis. A skin stapler does ... staplers can also be used in a surgical setting to join tissue together with surgical staples to close a surgical wound (much ... Skin stapler Surgical stapler Office Space, a 1999 comedy film where a stapler is one of the plot objects Staple remover Staple ... The staples, made from surgical steel, are typically supplied in disposable sterilized cartridges. A long reach stapler is used ...
An anastomosis is a surgical connection between the stomach and bowel, or between two parts of the bowel. The surgeon attempts ... This conference, composed of physicians and scientists of both surgical and non-surgical disciplines, reached several ... and total out of pocket costs will depend on the surgical practice they choose and the hospital in which the surgical practice ... Leakage of an anastomosis can occur in about 2% of Roux-en-Y gastric bypass and less than 1% in mini gastric bypass. Leaks ...
He is remembered for introduction of new surgical procedures, as well as his work involving techniques of vascular anastomosis ... described as two buttonlike cylinders used in performing lateral intestinal anastomosis without the need of sutures. In 1906 ... he introduced a procedure for arterial anastomosis (Jaboulay's method), and is the namesake of "Jaboulay's button", ...
The surgical procedure is called a gastroduodenostomy. Anatomical terms of location Billroth II Roux-en-Y anastomosis " ...
The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which ... connection between blood vessels or other tubular or hollow structures such as loops of intestine is called anastomosis. ... Surgical procedure Surgeon's assistant Surgical Outcomes Analysis and Research Surgical sieve Trauma surgery Reconstructive ... Surgical masks are worn by the surgical team to avoid germs on droplets of liquid from their mouths and noses from ...
Non-surgical therapeutic measures 8-01...8-02: administration of medications and nutritional and therapeutic injection 8-03...8 ... With end-to-end anastomosis) Notation: numeric first three points, 4 Alphanumeric Centre, 5 / 6 Numerically or place: x - any ... Multiple listing in exchange of the surgical area and intra-operative complications Inclusion and exclusion rules, further ... additional information about non-surgical therapeutic measures 9: Additional measures 9-20...9-20: and nursing care of patients ...
Female genital surgical and other procedures (gynecological surgery) (ICD-9-CM V3 65-71, ICD-10-PCS 0U) ... van Seeters, Jacoba A.H.; Chua, Su Jen; Mol, Ben W.J.; Koks, Carolien A.M. (1 May 2017). "Tubal anastomosis after previous ... Tubal ligation (commonly known as having one's "tubes tied") is a surgical procedure for female sterilization in which the ... Boeckxstaens, A.; Devroey, P.; Collins, J.; Tournaye, H. (25 July 2007). "Getting pregnant after tubal sterilization: surgical ...
... such as surgical nephrectomy, laparoscopic nephrectomy, and renal artery embolization in cases of anesthesia risk. ...
Surgical anastamosis techniques include Linear Stapled Anastomosis,[3] Hand Sewn Anastomosis,[3] End-to-End Anastomosis (EEA).[ ... Surgical[edit]. An example of surgical anastomosis occurs when a segment of intestine, blood vessel, or any other structure are ... Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch, plantar arch) and potential arterial anastomosis ... such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. ...
Some of the surgical problems that landed on the operating table at Children's had not even been named. Many of the operations ... "Management of Meconium Ileus: Resection, Roux-en-Y Anastomosis and Ileostomy Irrigation with Pancreatic Enzymes". Annals of ... In all he operated on many children and babies with congenital defects 'incompatible with life but amenable to surgical ... He invented anesthetic and surgical techniques for small bodies and metabolisms and participated in the separation of several ...
Surgical clipping[edit]. Main article: Surgical clipping. Aneurysms can be treated by clipping the base of the aneurysm with a ... If possible, either surgical clipping or endovascular coiling is usually performed within the first 24 hours after bleeding to ... Whilst this is typically carried out by craniotomy, a new endoscopic endonasal approach is being trialled.[25] Surgical ... While a large meta-analysis found the outcomes and risks of surgical clipping and endovascular coiling to be statistically ...
As a radical treatment for portal hypertension, surgical creation of a portacaval fistula produces an anastomosis between the ... For example, surgical treatment of fistulae in Crohn's disease can be effective, but if the Crohn's disease itself is not ... It is important to note that surgical treatment of a fistula without diagnosis or management of the underlying condition, if ... Treatment for fistula varies depending on the cause and extent of the fistula, but often involves surgical intervention ...
There are several surgical options that involve the removal of either the colon or both the colon and rectum. ... may require total colectomy with ileo-rectal anastomosis only when prophylactic colectomy is advised". ? ...
"FDA approves non-surgical temporary balloon device to treat obesity". U.S. Food and Drug Administration. July 30, 2015. ... It involved anastomosis of the upper and lower intestine, which bypasses a large amount of the absorptive circuit, which caused ... It was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which ... Robinson MK (July 2009). "Editorial: Surgical treatment of obesity-weighing the facts". The New England Journal of Medicine. ...
Surgical[edit]. Atrial septostomy is a surgical procedure that creates a communication between the right and left atria. It ... It is the surgical removal of an organized thrombus (clot) along with the lining of the pulmonary artery; it is a very ... Pulmonary thromboendarterectomy (PTE) is a surgical procedure that is used for chronic thromboembolic pulmonary hypertension. ... There is a post-surgical median survival of just over five years.[83] ...
Astrom, M.; Rausing, A. (1995). "Chronic Achilles Tendinopathy - A survey of Surgical and Histopathologic findings". Clinical ... with occasional branching transverse anastomoses. ...
The arteries supplying the joint are derived from an extensive circulatory anastomosis between the brachial artery and its ... Surgical and Radiologic Anatomy. 26 (1): 19-23. doi:10.1007/s00276-003-0185-z. PMID 14648036.. Richmond, Brian G; Fleagle, John ... "Surgical Approach to Ulnar Nerve Compression at the Elbow Caused by the Epitrochleoanconeus Muscle and a Prominent Medial Head ...
"Transactions of the ... Meeting of the American Surgical Association. 124 (4): 220-227. doi:10.1097/01.sla.0000239006.33633.39 ... Their skillful anastomosis operations and the new suturing techniques laid the groundwork for later transplant surgery and won ... Medical Center marks 50th anniversary of momentous surgical achievement[permanent dead link], University of Mississippi Medical ... In 1968 surgical pioneer Denton Cooley performed 17 transplants, including the first heart-lung transplant. Fourteen of his ...
In this procedure, surgical instruments are passed through the nose towards the sphenoid bone, which is opened to give access ... Treatment is by the timely correction of hormone deficiencies, and in many cases surgical decompression is required. Many ... If there is any deterioration, or expected spontaneous improvement does not occur, surgical intervention may still be indicated ... and may be required to decide on surgical treatment.[1] ... Portacaval anastomosis *Caput medusae. *Esophageal varices. * ...
In hospitalized non-surgical patients, mortality does not appear to change.[28][29][30] It does not appear, however, to ... Data on the effectiveness of compression stockings among hospitalized non-surgical patients without stroke is scarce.[28] ... gave three strong recommendations with moderate quality evidence on VTE prevention in non-surgical patients: that hospitalized ...
"Surgical Endoscopy". Retrieved 2019-01-26.. *^ Wang S, Shi N, You L, Dai M, Zhao Y (December 2017). " ... create an anastomosis). Many other surgeons feel that since they will have to make a larger incision for specimen removal ... Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical ... Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two ...
Surgical avulsions[edit]. An avulsion is sometimes performed surgically to relieve symptoms of a disorder, or to prevent a ... Successful replantation of a completely avulsed ear by microvascular anastomosis. Plastic and Reconstructive Surgery, 65(6), ... Neuropathic pain can be treated with medication, but it is only through surgical reattachment or nerve grafts that function can ... and botulinum toxin injections have been shown to be more effective than surgical avulsions in treating benign essential ...
Clinical guideline 46: Venous thromboembolism (surgical). London, April 2007. *^ a b Geerts WH, Pineo GF, Heit JA, et al. ( ... Treatment varies between therapy and surgical intervention by the use of shunts.[citation needed] ... Brunner, Lillian (2010). Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia: Wolters Kluwer Health/ ... In patients with medical rather than surgical illness, LMWH too is known to prevent thrombosis,[29][30] and in the United ...
"FDA approves non-surgical temporary balloon device to treat obesity". U.S. Food and Drug Administration. July 30, 2015. ... It involved anastomosis of the upper and lower intestine, which bypasses a large amount of the absorptive circuit, which caused ... It was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which ... Sleeve gastrectomy, or gastric sleeve, is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its ...
Surgical intervention usually results in longer recovery time at the hospital. Prognosis is very good, and horses treated with ... and an ileocecal or jejunocecal anastomosis is made to allow intestinal contents to bypass the affected area. If surgery and ... The colon may be irreversibly damaged in as little as 3-4 hours from the initial time of the volvulus, so immediate surgical ... This problem requires surgical correction. Survival for mesenteric rent entrapment is usually lower than other small intestinal ...
The adjective "surgical" means pertaining to surgery; e.g. surgical instruments or surgical nurse. The patient or subject on ... connection between blood vessels or other tubular or hollow structures such as loops of intestine is called anastomosis. ... A surgical team is made up of surgeon, surgeon's assistant, anaesthesia provider, circulating nurse and surgical technologist. ... Surgical masks are worn by the surgical team to avoid germs on droplets of liquid from their mouths and noses from ...
The surgical aspects are not included in cardiology and are in the domain of cardiothoracic surgery. For example, coronary ... They eventually figured out how to do just that by the anastomosis of the systemic artery to the pulmonary artery and called ... The surgical repair varies depending on the severity of the disease.[10] ... They are trained to perform interventional and surgical procedures to treat cardiac arrhythmia. ...
Brem H, Kirsner RS, Falanga V (2004). "Protocol for the successful non-surgical treatment of venous ulcers". Am. J. Surg. 188 ( ... or surgical incision) may ultimately fail to heal if underlying (often undiagnosed) venous disease is not properly addressed. ...
Surgical Care Improvement Project. *Surgical management of fecal incontinence. *Surgical positions. *Surgical sieve ...
Kolessov, VI (1967). "Mammary artery-coronary artery anastomosis as method of treatment for angina pectoris". J Thorac ... surgical treatment by the saphenous vein graft technique". Am J Cardiol. 28 (5): 598-607. doi:10.1016/0002-9149(71)90104-4. ... Kolesov, VI; Kolesov, EV (1991). "Twenty years' results with internal thoracic artery-coronary artery anastomosis". J Thorac ...
Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. Jan 1965, 49: 130-49. PMID 14261867.. ... Aluffi A, Berti A, Buniva P, Rescigno G, Nazari S. Improved device for sutureless aortic anastomosis applied in a case of ... Expandable device type III for easy and reliable approximation of dissection layers in sutureless aortic anastomosis. Ex vivo ...
... postoperative damage or an altered structure of the bile ducts such as narrowing at the site of an anastomosis (surgical ... This is often necessary in the case of a proximal stricture or a bilioenteric anastomosis (a surgical connection between the ... A probe uses electricity to generate shock waves that break down the obstructing stone.[18] Rarely, surgical exploration of the ... In 1992 it was shown that ERCP was generally safer than surgical intervention in ascending cholangitis.[26] ...
"da Vinci Si Surgical System". Intuitive Surgical. Retrieved 30 September 2013.. *^ Oliveira CM, Nguyen HT, Ferraz AR, Watters K ... Ademonstration of an open bowel anastomosis was given to the Association of Military Surgeons of the US.[49] Although the ... A robotically assisted surgical system used for prostatectomies, cardiac valve repair and gynecologic surgical procedures ... Surgical with the introduction of the da Vinci Surgical System and Computer Motion with the AESOP and the ZEUS robotic surgical ...
"Essential Surgical Practice". Basic surgical training (4 ed.). pp. 62-65.. *^ Schwesinger, WH; Hunter, JG (1992). Laser in ... Other applications include laser assisted angioplasties and laser-assisted vascular anastomosis. Foot and ankle surgeryEdit. ... other conventional surgical methods such as segmental or wedge resections with surgical stapling will normally lead to a bigger ... Wynn D.P.M., Michael H. (October 1986). "Soft-Tissue Bunion Repair with a CO2 Surgical Laser". The Journal of Current Podiatric ...
A surgical anastomosis is a surgical technique used to make a new connection between two body structures that carry fluid, such ... Fashioning an anastomosis is typically a complex and time-consuming step in a surgical operation, but almost always crucial to ... A surgical anastomosis can be created using suture sewn by hand, mechanical staplers and biological glues, depending on the ... For example, an arterial anastomosis is used in vascular bypass and a colonic anastomosis is used to restore colonic continuity ...
A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler ... the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical ... also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical ... Methods and devices for performing a surgical anastomosis. US9757123. 7 Mar 2013. 12 Sep 2017. Ethicon Llc. Powered surgical ...
The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil ... This application is directed to a surgical stapling device for performing circular anastomoses. ... Surgical suturing instrument. US5005749. 1 Jul 1988. 9 Apr 1991. United States Surgical Corp.. Anastomosis surgical stapling ... Surgical anastomosis stapling instrument. US5275322. 28 Jan 1993. 4 Jan 1994. Ethicon, Inc.. Surgical anastomosis stapling ...
Coronary artery bypass grafting (CABG) is the surgical technique of cardiac revascularization. In 1910, Dr. Alexis Carrel ... Most of the surgeons usually do distal anastomoses first, but proximal anastomoses can be done before distal anastomoses. ... The proximal anastomosis of the graft is performed just after the distal anastomosis of the same graft is completed before ... Shahbaaz Khan (November 13th 2019). Coronary Artery Bypass Grafting: Surgical Anastomosis: Tips and Tricks, The Current ...
New Fully Automated Surgical Robot Sutures Tissues, Anastomoses Intestines. May 5th, 2016 Editors Ob/Gyn, Surgery, Thoracic ... Concept Idea for a New da Vinci Surgical System. New Probes from Johns Hopkins Provide Closeup View of Internal Tissues Like ...
A transanal insertion device for surgically inserting an anastomosis ring having two unitary members into a tubular anatomic ... Surgical anastomosis device Abstract. A transanal insertion device for surgically inserting an anastomosis ring having two ... 1. A surgical device for inserting an anastomosis ring, having first and second separable unitary members formed to interlock, ... 7. A surgical applicator for inserting an anastomosis ring having first and second unitary members into separated upper open ...
Surgical Outcomes of Ileal Pouch Anal Anastomosis (IPAA) in a Community Based Hospital.. Nezar Jrebi, MD, Theodor Asgeirsson, ... SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES ... Background: Ileal pouch anal anastomosis (IPAA) is the treatment of choice for chronic, medically refractory ulcerative colitis ...
Surgical palliation of primary pulmonary arterial hypertension by a unidirectional valved Potts anastomosis in an animal model. ... allowing a safe surgical procedure. Intrapulmonary injection of Erciplex glue (Peters Surgical, Bobigny, France), diluted in 70 ... Potts anastomosis has been demonstrated as a good palliation in children to alleviate symptoms and medical therapy despite ... Creating a Potts anastomosis involved a unidirectional valve between the left pulmonary artery and the descending aorta. ...
Four (11.42%) patients had the anastomosis made anteriorly. Three (8.57%) patients had a positive test of the anastomosis ... The anastomosis was examined in all patients. There was no case of fecaloma in the rectal stump. Although the initial results ... SILVA, José Hyppolito da; SODRE, Luciana de Azevedo; MATHEUS, Cláudio de Oliveira and FORMIGA, Galdino J. S.. Surgical ... Keywords : Chagasic megacolon; Recto-colectomy; Mechanical anastomosis. · abstract in Portuguese · text in Portuguese · ...
A disposable surgical stapling instrument for the joining together of tubular body organs such as the organs of the alimentary ... Intralumenal anastomosis surgical stapling instrument Abstract. A disposable surgical stapling instrument for the joining ... Becht and entitled INTRALUMENAL ANASTOMOSIS SURGICAL STAPLING INSTRUMENT, teach exemplary types of surgical stapling ... The invention relates to an intralumenal anastomosis surgical stapling instrument and more particularly to such an instrument ...
Surgical suturing instrument for performing anastomoses between structures of the digestive tract ... 1. A surgical suturing instrument for performing anastomoses between structures of the digestive tract comprising a tubular ... The surgical suturing instrument for performing anastomoses between structures of the digestive tract (FIG. 1) comprises a ... 4 is a view showing the abutment head of the surgical suturing instrument for performing anastomoses between structures of the ...
Surgical Outcomes After Colonic and Colon Rectal Anastomosis with and Without Using Buttressing Material Seam Guard R (Gore): A ... Much of the morbidity and approximately one third of the deaths are caused by leakage of the anastomosis. Recently, anastomotic ... This is a retrospective study to compare results of colo-rectal anastomosis with and without Seam Guard, an absorbable ... There were 301 colo-rectal resections with anastomosis. Two hundred and thirty two resections were performed before Seam Guard ...
We offer discount medical surgical supplies and instruments in the Cardiovascular Clamps category, such as the Cooley Satinsky ... Diagnostics & Surgical Instruments / Surgical Instruments / Cardiovascular / Clamps / Cooley Satinsky Anastomosis Clamp 5 1/2 ... Cooley Satinsky Anastomosis Clamp 5 1/2" - 52-6950. Regular Price: $465.17 ...
Anastomosis Device Market by Product, Surgical Staplers (Manual, Powered), Surgical Sutures (Absorbable, Non-absorbable), and ... What are the Known and Unknown Adjacencies Impacting the Anastomosis Device Market ... Surgical Sealants and Adhesives, Application (GI, CVD, Other), & End Users (Hospital, ASCs/Clinic) - Global Forecast to 2024 ...
... Cir Cir 2008; 76 (1) ... Many surgical techniques have been developed to improve the patient s quality of life.. Methods: We designed a non-transplant ... Background: Some surgical pathologies eventually require intestinal resection. This may lead to an extended procedure such as ... Artificial sphincter as surgical treatment for experimental massive resection of small intestine. Am J Surg 1982;143:721-726. ...
GARCIA CABALLERO, Manuel et al. Revision surgery for one anastomosis gastric bypass with anti-reflux mechanism: a new surgical ... Conclusions: A few number of patients with tailored BAGUA for morbid obesity will require a surgical rescue procedure due to ... Methods: We measure the common channel from gastro-jejunal anastomosis until the ileocecal valve. Depending on the measure, we ... This new procedure has been proven to be easy and safe, avoiding the surgical difficulties of the classical revision through ...
Laparoscopic intracorporeal anastomosis has potential advantages such as reduction of wound surgical site infections, no ... The stenosis has become increasingly incapacitating, not only at the level of the anastomosis but especially at the level of ... This video presents the case of a right colectomy, with an intraoperative complication of the anastomosis, requiring a redo of ... Melani details the surgical laparoscopic approach of colorectal cancer presenting with simultaneous liver metastasis. ...
A retrospective chart review of patients who required surgical intervention for recalcitrant marginal ulcers was performed from ... Thoracoscopic truncal vagotomy versus surgical revision of the gastrojejunal anastomosis for recalcitrant marginal ulcers. ... Thoracoscopic truncal vagotomy versus surgical revision of the gastrojejunal anastomosis for recalcitrant marginal ulcers ... Surgical Endoscopy Autoren:. Alicia Bonanno, Brandon Tieu, Elizabeth Dewey, Farah Husain. » Jetzt Zugang zum Volltext erhalten ...
A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler ... the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical ... also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical ... Surgical stapling device for performing circular anastomoses US5718360A (en) 1998-02-17. Surgical apparatus and detachable ...
Surgical mammalian vessel anastomosis is accomplished by connecting first vessel and second vessel stumps with generally ... annular openings using an anastomosis apparatus, having a stent and a stent placement member. The method comprises ... Methods of surgical mammalian vessel anastomosis - Google Patents. Methods of surgical mammalian vessel anastomosis Download ... A61B17/11-Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis ...
Suprapubic single incision laparoscopic right hemicolectomy with intracorporeal anastomosis G Dapri, MD, PhD, FACS, FASMBS, Hon ... Intracorporeal anastomosis is carried out without traction, and the gravitational effect of the operating table allows to ... The intracorporeal anastomosis is beautifully described and substantiated here. Finally, the author underlines the benefit of ... Clinical case: A 50-year-old male, without previous surgical history and a body mass index of 22 kg/m2 underwent colonoscopy ...
We now have a surgical robot (da Vinci Xi™ robotic surgical system, Intuitive Surgical) and we use it for most of the ... LIVE INTERACTIVE SURGERY: robotic total gastrectomy highlighting esojejunal anastomosis. WJ Hyung, MD, PhD S Perretta, MD, PhD ... His past surgical history included a cholecystectomy and a prostatectomy. Work-up started with an endoscopy which showed an ... The surgical procedure consisted in a transanal full-thickness resection including partial TME for lymph node sampling. Since ...
The optimal surgical approach to reconnecting bowel ends safely after resection is of great importance. OBJECTIVES: This ... The effect of three different surgical techniques for colon anastomosis on regional postoperative microperfusion: Laser Doppler ... Blood microcirculation in the anastomosis region was monitored using Laser Doppler Flowmetry (LDF). Anastomosis healing was ... 27 young female domestic pigs divided into three subgroups of 9 animals according to each surgical method of anastomosis ...
Surgical anastamosis techniques include Linear Stapled Anastomosis,[3] Hand Sewn Anastomosis,[3] End-to-End Anastomosis (EEA).[ ... Surgical[edit]. An example of surgical anastomosis occurs when a segment of intestine, blood vessel, or any other structure are ... Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch, plantar arch) and potential arterial anastomosis ... such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. ...
Surgical modifications in bladder neck reconstruction and vesicourethral anastomosis during radical retropubic prostatectomy to ... PURPOSE: We describe surgical modifications in radical retropubic prostatectomy (RRP) which have significantly reduced the ... Simple, easily applied modifications to the management of the BN and vesicourethral anastomosis can substantially reduce the ... Group II comprised 429 men operated upon January 2000-December 2004, with the following surgical modifications: 1) ...
Surgical Therapy of Central Retinal Vein Occlusion by Creation of Choroidal Retinal Anastomosis ... Surgical Therapy of Central Retinal Vein Occlusion by Creation of Choroidal Retinal Anastomosis ... Surgical Therapy of Central Retinal Vein Occlusion by Creation of Choroidal Retinal Anastomosis . Invest. Ophthalmol. Vis. Sci. ... Our purpose was to evaluate the safety and potential efficacy of surgical creation of a RCA by different surgical methods in ...
The sitting position facilitates the surgical maneuvers of the two surgical teams. In particular, a custom-made turning stand ... Organ explantation in R is possible by a third surgical team.. Rs head is subjected to PH (ca 10°C), while Ds body will only ... HEAVEN: The head anastomosis venture Project outline for the first human head transplantation with spinal linkage (GEMINI). ... Experience with surgical clipping of aneurysms shows the safety of the procedure.[. 22 ] ...
Chen Yao-Li and Hung Yu-Ju-An Alternative way to Secure the Anastomosis of Tiny Hepatic Artery in Living Donor Liver ... Surgical Technique. A 57 year-old male received a right partial liver graft from his son for alcohol related liver cirrhosis. ... An Alternative way to Secure the Anastomosis of Tiny Hepatic Artery in Living Donor Liver Transplantation Hung Yu-Ju* ... 6] used open-Y anastomosis technique to overcome size mismatch in head and neck free flap surgery, but we cant always find a ...
Surgical" by people in this website by year, and whether "Anastomosis, Surgical" was a major or minor topic of these ... "Anastomosis, Surgical" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ... Below are the most recent publications written about "Anastomosis, Surgical" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Anastomosis, Surgical". ...
An anastomosis tool may include a connector holder connected to an anvil. The connector holder may be bifurcated and configured ... Surgical anastomosis methods and devices. US3254651. 12 Sep 1962. 7 Jun 1966. Babies Hospital. Surgical anastomosis methods and ... Surgical stapler pressure regulator. US5005749. 1 Jul 1988. 9 Apr 1991. United States Surgical Corp.. Anastomosis surgical ... Anastomosis surgical stapling instrument. US5205459. 1 Sep 1992. 27 Apr 1993. Ethicon, Inc.. Surgical anastomosis stapling ...
  • Surgical Outcomes of Ileal Pouch Anal Anastomosis (IPAA) in a Community Based Hospital. (
  • J-pouch surgery is also known as ileal pouch-anal anastomosis (IPAA) surgery. (
  • Anal canal pressure after ileal pouch-anal anastomosis with strengthened internal anal sphincter. (
  • mean age, 35.52 years) with ulcerative colitis and familial adenomatous polyposis underwent ileal pouch-anal anastomosis after proctocolectomy in 1986 to 2002. (
  • In 26 patients (54.17 percent of the cases), 10 males and 16 females, ileal pouch-anal anastomosis was performed after a modified surgical technique for strengthening the internal anal sphincter by creation of a smooth muscle cuff through plication of a mucosectomized segment of residual rectum. (
  • This effect was absent after the standard ileal pouch-anal anastomosis. (
  • CONCLUSIONS: We concluded that ileal pouch-anal anastomosis with rectal plication perhaps improved sphincter function. (
  • Patients quality of life was improved for those undergoing the modified ileal pouch-anal anastomosis. (
  • Colectomy, mucosal proctectomy, and ileal pouch-anal anastomosis. (
  • What is the major complication of the ileal pouch/anal anastomosis (IPAA) in the treatment of inflammatory bowel disease (IBD)? (
  • We describe herein a rare case of spinal epidural abscess as a complication of ileal pouch anal anastomosis. (
  • A 37-year-old man who had previously undergone restorative proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis presented with complaints of persistent low-grade fever and lumbago with unusual sensation in the lower legs. (
  • COLISURG Prospective, Multicentric Cohort of Ulcerative Colitis Requiring Surgical Treatment With Ileal Pouch-anal Anastomosis. (
  • We evaluated the risk factors for late complications and functional outcome after total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC). (
  • Laparoscopic intracorporeal anastomosis has potential advantages such as reduction of wound surgical site infections, no manipulation, or reduction of abdominal wall incision. (
  • An intracorporeal anastomosis using a linear stapler was performed, the mesenteric defect was closed, and the access site was finally used for specimen extraction. (
  • Intracorporeal anastomosis is carried out without traction, and the gravitational effect of the operating table allows to expose the operative field and to maneuver the colon and the small bowel intracorporeally. (
  • The search strategy included Medline, Embase, CINAHL, ACP Journal Club, and Cochrane databases with laparoscopic right colectomy and intracorporeal anastomosis as keywords. (
  • Casciola L, Ceccarelli G, Di Zitti L et al (2003) Laparoscopic right hemicolectomy with intracorporeal anastomosis. (
  • Hellan M, Anderson C, Pigazzi A (2009) Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. (
  • Chaves JA, Idoate CP, Fons JB et al (2011) A case control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy. (
  • MIRCAST study is an observational, prospective, parallel cohorts, international, multi-center to compare robotic assisted and laparoscopic minimally invasive right colectomy, and intracorporeal anastomosis versus extracorporeal anastomosis. (
  • The objectives of study are to compare of the peri-operative complications after robotic assisted and laparoscopic minimally invasive right colectomy with intracorporeal anastomosis versus extracorporeal anastomosis. (
  • Intracorporeal anastomosis: when the anastomosis is performed inside the abdominal cavity with a laparoscopic or robotic technique. (
  • The randomization, will be done before the beginning of the study and it will consist with an ordered series of numbers with a corresponding letter: A for intracorporeal anastomosis and B for extracorporeal anastomosis. (
  • Only surgeons with at least 30 right colectomies performed with intracorporeal anastomosis will be allowed to recruit patients as first operator. (
  • Fashioning an anastomosis is typically a complex and time-consuming step in a surgical operation, but almost always crucial to the outcome of the procedure. (
  • Via a left thoracotomy, an aorto-aortic shunt between the aortic isthmus and the distal descending thoracic aorta was instituted, allowing a safe surgical procedure. (
  • We designed a non-transplant surgical approach and performed the procedure on two patients with postoperative short bowel syndrome with ‹40 cm of proximal jejunum and left colon. (
  • A few number of patients with tailored BAGUA for morbid obesity will require a surgical rescue procedure due to excess or insufficient weight loss or weight regain. (
  • This new procedure has been proven to be easy and safe, avoiding the surgical difficulties of the classical revision through the scar tissue. (
  • Surgical anastomosis is the procedure of choice to relieve or correct blocked, diseased or otherwise inoperative luminal vessels. (
  • The presence of a successful RCA was determined by fluorescein angiography six weeks following the surgical procedure. (
  • Compared with the Er:YAG laser, the PEAK demonstrated less tissue ejection, fewer gas bubbles, and convenient endo illumination allowing for bimanual surgical maneuvers including aspiration of blood associated with the procedure. (
  • 16 34 ] Experience with surgical clipping of aneurysms shows the safety of the procedure. (
  • Anastomosis is a procedure by which two hollow tissue structures are joined together. (
  • More particularly, vascular anastomosis is a procedure by which two blood vessels within a patient are surgically joined together. (
  • The suturing process is a time consuming and difficult procedure requiring a high level of surgical skill. (
  • The procedure is known as an intestinal anastomosis. (
  • As part of the procedure, Stavrou performed gastric resection and anastomosis , a process that restores communication between the two portions of the intestine after removal of the problem affecting the area. (
  • The role of primary surgical procedure in maintaining intestinal continuity for patients with Crohn's colitis. (
  • Sometimes, the resection and anastomosis of the bowel could be components of another major surgical procedure, such as a Whipple procedure, gastrectomy, urinary diversion, or resection of a retroperitoneal tumor. (
  • The surgical procedure used depends on the length of intestine involved. (
  • Background: Intraoperative epicardial ultrasonography of coronary artery bypass graft anastomoses is a procedure used for anatomical quality assessment of peripheral anastomoses during coronary artery bypass grafting. (
  • The procedure provides surgeons with non-deformed echocardiographic longitudinal and transverse images of all parts of the anastomoses. (
  • Sleeve gastrectomy, now the most common weight-loss operation in the United States, is a surgical procedure in which the stomach size is reduced to the shape of a banana or "sleeve," restricting the amount of food you can eat. (
  • However, the procedure was recently abandoned because of complications such as hyperchloremia, renal failure, urinary infection, and adenocarcinoma at the ureterosigmoid anastomosis site. (
  • Dr Canavero has named the procedure HEAVEN, which is an acronym for head anastomosis venture. (
  • Lymphoscintigraphy with technetium isotopes is a valuable investigative modality in the perioperative evaluation of patients undergoing this surgical procedure. (
  • It is a simple, painless procedure requiring minimal skill and no surgical intervention. (
  • Currently, some veterinary schools conduct surgery laboratories where the animal survives one or more minor procedures and is euthanized at the termination of a major surgical procedure. (
  • Distal and proximal anastomoses are usually performed in an end-to-side manner, but in the case of doing sequential grafting, side-to-side anastomosis is also performed proximal to the end-to-side anastomosis. (
  • A transanal insertion device for surgically inserting an anastomosis ring having two unitary members into a tubular anatomic member comprises a distal adapter, a proximal adapter and an actuator. (
  • With the interposition graft, hepatic artery was reconstructed with rational diameter ratio at both distal and proximal anastomosis sites and with appropriate vessel length (Figure 1) . (
  • Distal anastomosis devices and associated methodology are described herein. (
  • A passive fixation device, defined by a generally elongated body with proximal and distal ends, and a connecting member to connect the two, is used for the anastomosis of body lumens without sutures. (
  • 4. The anastomosis device of claim 3, wherein the passive fixation device comprises a coiled passive fixation device distal end and a coiled passive fixation device proximal end connected by a connecting member. (
  • 12. The anastomosis device of claim 1 , further comprising a plurality of barbs at the distal end of said second section. (
  • 13. The anastomosis device of claim 1 , further comprising a plurality of members extending substantially axially from the distal end of said second section. (
  • The stapled anastomosis was proximal and the sutured was distal. (
  • This acquisition provides Aesculap with a portfolio of premium solutions for beating heart coronary and video-assisted thoracic surgery as well as grants the the MicroCutter 5/80 stapler, PAS-Port proximal anastomosis system, C-Port distal anastomosis system and technology for cardio-thoracic surgery market. (
  • Dextera Surgical also markets the only automated anastomosis devices for coronary artery bypass graft surgery on the market: the C-Port Distal Anastomosis Systems and PAS-Port Proximal Anastomosis System. (
  • Direct surgical intervention comprising trapping of the aneurysm through a subtemporal approach and intradural anterior petrosectomy combined with revascularization of the distal SCA using the superficial temporal artery (STA) was performed. (
  • A three-dimensional (3D) computational fluid dynamics study of shear rates around distal end-to-side anastomoses has been conducted. (
  • Consequently, distal placement of an end-to-side bypass graft anastomosis was found to have an influence on the shear rate magnitudes. (
  • The primary site for graft failure is the distal anastomosis [ 2 , 3 ], where intimal hyperplasia is thicker along the floor of the host artery under the anastomosis and along the wall just distal to the toe of the anastomosis [ 4 ]. (
  • Previous computational studies of the effect post-stenotic blood flow phenomena has on wall shear stress around a distal end-to-side anastomosis include Bertolotti and Deplano's [ 10 ] low Reynolds number work and a low resolution work by Kute and Vorp [ 11 ]. (
  • Moreover, if such a relationship between distal placement and wall shear stress is determined, then to some degree vascular surgeons can control the influence of wall shear stress around the anastomosis, which may lead to a prolongation of bypass graft functionality. (
  • The circulatory anastomosis is further divided into arterial and venous anastomosis. (
  • One particular surgical technique that actually has been around for number of years is lymphatic venous anastomosis. (
  • What is the role of chorioretinal venous anastomosis in the treatment of central retinal vein occlusion (CRVO)? (
  • Chorioretinal venous anastomosis reduces macular edema and may improve vision in nonischemic CRVO. (
  • METHODS:The experimental study involved 27 young female domestic pigs divided into three subgroups of 9 animals according to each surgical method of anastomosis construction in the sigmoid colon region: by manual suture, by stapler, or by gluing. (
  • Our purpose was to evaluate the safety and potential efficacy of surgical creation of a RCA by different surgical methods in patients with CRVO. (
  • The device greatly increases the speed with which anastomosis can be performed over known suturing methods. (
  • Additional methods and devices form anastomoses between two or more hollow bodies. (
  • His research interests include development and assessment of innovative methods to train students and residents in core surgical skills, as well as investigating a wide range of soft tissue surgical conditions. (
  • METHODS: We evaluated the morbidity, clinical leakage rate, and mortality in an unselected population of a teaching hospital after elective, left-sided colorectal resections with stapled rectal anastomoses. (
  • Methods: This is a retrospective analysis of all patients with malignant tracheal tumours who underwent resection and anastomosis in the period 2005-2009. (
  • METHODS: From November 2010 to January 2012, 20 patients with chronic lymphoedema of the upper limb were treated by lymphaticovenular anastomosis. (
  • A surgical stapler includes a head in which a plurality of staples are stored. (
  • The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed. (
  • The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler. (
  • 2. The elliptical surgical stapler according to claim 1 , further including a knife held within the head for cutting tissue held between the anvil and the head. (
  • 3. The elliptical surgical stapler according to claim 1 , wherein the annular facing surface of the anvil is oriented at an oblique angle relative to a longitudinal axis of the anvil. (
  • The invention relates to a surgical stapler for anastomosis. (
  • More particularly, the invention relates to an intraluminal surgical stapler providing for the creation of an elliptical profile during anastomosis. (
  • This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. (
  • The experimental anastomosis was performed with a new prototype surgical stapler. (
  • In all experiments, it was possible to perform the experimental anastomosis with the stapler. (
  • Randomized prospective evaluation of the EEA stapler for colorectal anastomoses. (
  • Analysis of the impact of EEA stapler size on risk of anastomotic complications in colorectal anastomosis: does size matter? (
  • Causes are multifactorial, with the size of the end-to-end anastomosis (EEA) stapler a modifiable factor and potential target for risk reduction. (
  • A prospective divisional database was reviewed for consecutive elective left-sided resections with a colorectal anastomosis using an EEA stapler from January 2013 May 2018 inclusive. (
  • A surgical anastomosis can be created using suture sewn by hand, mechanical staplers and biological glues, depending on the circumstances. (
  • A suture-free method for anastomosis of the colon to colon or rectum has been developed. (
  • End-to-side, side-to-side and end-to-end anastomoses can be created without using suture or any other type of mechanical fasteners, although mechanical attachment structure may be used in conjunction with the magnetic attachment. (
  • The ideal suture material is one that is easy to handle, ties without fraying, is easy to sterilize, elicits little or no inflammation, and maintains the strength of the anastomosis during the lag phase of healing. (
  • In one-layer anastomoses, a nonabsorbable suture such as silk is preferred. (
  • Specialized techniques are employed in which surgeons use superfine surgical suture and a high power microscope. (
  • Surgical devices such as implants or suture fastenings are assembled from a plurality of discrete components, one of which components includes a heat bondable plastic material for bonding the components together. (
  • abstract = "Objectives: To evaluate the feasibility and safety of the new REVO-I robotic platform by performing Fallopian tube transection and anastomosis in live porcine models. (
  • The device can be a one piece anastomosis device for connecting a graft vessel to a target vessel without the use of conventional sutures. (
  • The standard anastomosis employed continuous mattress sutures. (
  • Brennan SS, Pickford IR, Evans M, Pollock AV. Staples or sutures for colonic anastomoses-a controlled clinical trial. (
  • Staples or sutures for low colorectal anastomoses: a prospective randomized trial. (
  • Generally, in two-layer anastomoses, absorbable sutures of polyglycolic acid or polyglactin are used, with an outer seromuscular stitch of silk. (
  • An intestinal anastomosis can be fashioned by using either simple (continuous) or interrupted sutures. (
  • Furthermore, the end-to-side anastomosis is a common technique used in bypass grafting, where anastomosis refers to a connection between two vessels, and in the case of an end-to-side anastomosis, the end of a graft is attached to the side of an artery with sutures. (
  • For example, an arterial anastomosis is used in vascular bypass and a colonic anastomosis is used to restore colonic continuity after the resection of colon cancer. (
  • Most vascular procedures, including all vascular bypass operations (e.g. coronary artery bypass), aneurysmectomy of any type, and all solid organ transplants require vascular anastomoses. (
  • Vascular anastomosis is performed during treatment of a variety of conditions including coronary artery disease, diseases of the great and peripheral vessels, organ transplantation, and trauma. (
  • The creation of successful vascular anastomoses is of primary importance in many surgical fields. (
  • Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries , veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. (
  • Commonly, stenotic arteries are repaired by vascular surgical procedures that bypass the stenosis with a conduit called a graft. (
  • Esophagojejunal anastomosis leakage (EAL) after total gastrectomy for gastric adenocarcinoma represents one of the most serious complications, with increased mortality rates and prolonged hospital stay after surgery. (
  • Surgical complications in gastric cancer patients preoperatively treated with chemotherapy: their risk factors and clinical relevance. (
  • Pouchitis is one of the most common complications of ileoanal anastomosis. (
  • It is concluded that a standard three-dose perioperative course of intravenous antibiotics provides adequate prophylaxis in the prevention of infectious complications in patients undergoing colectomy, mucosal proctectomy, and ileoanal anastomosis. (
  • However, randomized trials and meta-analyses comparing the two techniques of intestinal anastomosis did not find increases in the rate of anastomotic leakage, the incidence of perioperative complications, mortality, or the length of hospital stay with the single-layer technique. (
  • Eric M. Pauli, MD discusses endoscopic management of surgical complications, including bleeding and other problems that are common within the realm of general surgery. (
  • Early postoperative: mortality, non-surgical site complications. (
  • The reported prevalence of surgical morbidity after laparoscopic colectomy varies widely from 5-15%16-39, usually depending on the definition of complications and the type of resection performed. (
  • Anastomotic leakage (AL) remains one of the most devastating complications after colorectal surgery despite improvements in surgical techniques and perioperative management. (
  • Anastomotic fistula and pelvic sepsis are the most severe complications which could dramatically compromise the surgical issue and functional status. (
  • Their potential impact on postoperative complications after ileo anal anastomosis (AIA) remains debated. (
  • To clearly determine within a large prospective cohort the impact of anti-TNF agents and biotherapies on the postoperative complications seems to be essential in order to adapt and to optimize the therapeutic strategy, especially the surgical sequences, in patients with UCR whom benefit a surgery. (
  • The secondary outcomes were measurements of intra-operative variables and the complications or difficulties arising when using the REVO-I. Results: Fallopian tube anastomosis was successfully performed in four porcine models. (
  • 4. The anastomosis device of claim 2 , wherein at least one said breakable link is positioned at a proximal end of said second section. (
  • 6. The surgical fastener applying apparatus according to claim 5 , wherein the proximal end of each reinforcing rib extend proximally beyond a pivot axis of the anvil half-section, wherein the pivot axis extends transverse to a longitudinal axis of the anvil half-section. (
  • OBJECTIVES:This project is focused on assessment of the perianastomotic microcirculation quality in the short postoperative period when using three different anastomosis techniques in experimental animal. (
  • The primary purpose of this prospective, randomized multicenter center study is to evaluate and compare the outcomes of colorectal, coloanal and ileoanal anastomoses reinforced with a bioabsorbable staple line reinforcement material compared with standard non-reinforced colorectal, coloanal and ileoanal techniques with respect to the incidence of postoperative anastomotic leakage, anastomotic stricture and time to ileostomy closure, if applicable. (
  • The aim of this study was to evaluate, in a prospective, randomized, double-blind fashion, the efficacy of a short perioperative course compared to an extended postoperative course of intravenous antibiotics (cefoxitin) in patients undergoing colectomy with ileoanal anastomosis. (
  • Postoperative care and ability to be discharged from the hospital will be determined by the second surgical team. (
  • In order to reduce the surgical trauma and the postoperative cardiopulmonary complication, minimal invasive thoracolaparoscopic esophagectomy with cervical gastroesophageal anastomosis was performed in our department from 2010. (
  • The term reanastomosis is also used to describe a surgical reconnection usually reversing a prior surgery to disconnect an anatomical anastomosis, e.g. tubal reversal after tubal ligation. (
  • 6 ] used open-Y anastomosis technique to overcome size mismatch in head and neck free flap surgery, but we can't always find a bifurcation branch for anastomosis in right partial liver graft every time. (
  • The other six patients (18.8%) underwent surgery: two cases of abdominal drainage, two cases of primary repair, and two cases of reconstruction of anastomosis. (
  • Ileoanal anastomosis (il-e-o-A-nul uh-nas-tuh-MOE-sis) surgery (commonly called J-pouch surgery) allows you to eliminate waste normally after removal of your entire large intestine (colon and rectum). (
  • His primary research interests include surgical site infections and minimally invasive surgery. (
  • PURPOSE: Stapled anastomoses are currently an established technique in colorectal surgery. (
  • Thiede A, Jostarndt L, Schröder D, Schubert G, Hamelmann H. Prospective and controlled studies in colorectal surgery: comparison of hand-sutured and stapled rectal anastomoses. (
  • Robot-assisted surgery (RAS), allows many types of complex MIS procedures using robotic systems to aid in surgical procedures providing more precision, flexibility and control than is possible with other MIS techniques. (
  • Case presentation: We report a method using a stabilizing connecting device for an ultrasound transducer to be used for visualization of coronary anastomoses without application of ultrasound gel during on-pump coronary bypass surgery. (
  • Gastric bypass, also known as Roux-en-Y gastric bypass, is the most proven and "time-tested" successful weight loss surgery in the United States. (
  • Primary endpoint: Surgical morbidity rate defined as any diagnosed morbidity related to surgical technique (anastomotic leakage, anastomotic bleeding, wound infection, ileus) within 60 days from surgery. (
  • Stapled esophagojejunal anastomoses: particular aspects of minimally invasive surgery and comparison with manual anastomoses--a single team experience. (
  • Technical feasibility of robot-sewn anastomosis in robotic surgery for gastric cancer. (
  • Moran BJ (1996) Stapling instruments for intestinal anastomosis in colorectal surgery. (
  • Larger societies of surgery actively separate and encourage specialty surgical societies under their umbrella e.g. (
  • The department ranks among the leading scientific centers in Germany in the field of coronary bypass surgery and surgical treatment of end-stage coronary artery disease. (
  • This surgery includes a simple replacement of the aortic and mitral valves with biological or mechanical prostheses in the context of isolated interventions on the heart valves or in combination with the surgical treatment of other heart diseases (e.g. bypass). (
  • Finding a lymphatic vessel is a minimum requirement for lymphaticovenular anastomosis surgery, but no study has reported comprehensive analysis on factors associated with lymphatic vessel detection. (
  • One hundred thirty-four female secondary lower extremity lymphedema patients who underwent indocyanine green lymphography and lymphaticovenular anastomosis without a history of lymphedema surgery were included. (
  • In this study cohort, lymphatic vessel detection rate was 100 percent in the L-region, which revealed usefulness of indocyanine green lymphography guidance to detect lymphatic vessels in lymphaticovenular anastomosis surgery. (
  • The overall lymphatic vessel detection rate was 96.1 percent in this study cohort, which seemed high enough for lymphaticovenular anastomosis surgery. (
  • Historically, surgery was taught to veterinary and medical students through the use of live animals on which multiple surgical procedures were taught over one or more successive weeks. (
  • Multiple colonic anastomoses in the surgical treatment of short bowel syndrome. (
  • The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses. (
  • The aim of this study was to investigate the impact of OTR4120 on the early healing of experimental colonic anastomoses under normal conditions by measuring the breaking strength and hydroxyproline (indicator for collagen). (
  • The primary aim of this study was to investigate the effect of a new adhesion barrier, polyvinyl alcohol gel, on healing of colonic anastomoses using a rat model. (
  • Conclusions: This experimental study showed no significant differences in anastomotic leakage, anastomotic bursting pressure, or collagen content of the anastomosis when using the adhesion barrier polyvinyl alcohol around colonic anastomoses. (
  • Determine the Efficacy and Further Substantiate Safety of CBSG Used in Conjunction With Circular Staplers When Performing High-risk Colorectal, Coloanal, and Ileoanal Anastomoses. (
  • Larger series about the use of circular staplers in rectal anastomoses within daily clinical routine are rare. (
  • The 25-29 mm EEA staplers were associated with an increased rate of anastomotic stricture compared to 30-33 mm staplers in left-sided colorectal anastomoses. (
  • Ileoanal anastomosis is most often used to treat chronic ulcerative colitis and inherited conditions, such as familial adenomatous polyposis (FAP), that carry a high risk of colon and rectal cancer. (
  • Ileoanal anastomosis is also sometimes used to treat colon cancer and rectal cancer. (
  • Grams J, Tong W, Greenstein AJ, Salky B (2010) Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. (
  • However, there remains controversy regarding whether robotic assistance is advantageous for this technique and whether an intracorporeal (ICA) or extracorporeal anastomosis (ECA) is best. (
  • We have developed the revision for One Anastomosis Gastric Bypass (BAGUA) working always in healthy tissue not previously used. (
  • Coblijn UK, Lagarde SM, de Castro SMM, Kuiken SD, van Wagensveld BA (2015) Symptomatic marginal ulcer disease after Roux-en-Y gastric bypass: incidence, risk factors and management. (
  • Coblijn UK, Goucham AB, Lagarde SM, Kuiken SD, Van Wagensveld BA (2014) Development of ulcer disease after Roux-en-Y gastric bypass, incidence, risk factors, and patient presentation: a systematic review. (
  • Laparoscopic one anastomosis gastric bypass (OAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are common treatments for morbid obese patients who suffer from type 2 diabetes mellitus (T2DM). (
  • Coronary artery bypass grafting (CABG) is the surgical technique of cardiac revascularization. (
  • Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch , plantar arch ) and potential arterial anastomosis (e.g. coronary arteries and cortical branch of cerebral arteries ). (
  • The connectors are preferably adapted to produce an end-to-side anastomosis at a graft/coronary artery junction. (
  • The system may be sized and configured for forming an anastomosis in or between a specific hollow body, for example, a coronary artery, the aorta, a radial artery, etc. (
  • Conclusion: Use of a stabilizing device and coagulated blood from the patient as an alternative for ultrasound gel facilitates peroperative ultrasonography of coronary anastomoses. (
  • The main focuses of the department are placed on the surgical treatment of coronary heart disease and its consequences, reconstruction or replacement of the affected heart valves and surgical treatment of heart arrhythmias. (
  • A surgical anastomosis is a surgical technique used to make a new connection between two body structures that carry fluid, such as blood vessels or bowel. (
  • Microsurgery: The advent of microsurgical technique allowed anastomoses previously thought impossible, such as so-called "nerve anastomoses" (not strictly an anastomosis according to the above definition), and operations to restore fertility after tubal ligation or vasectomy. (
  • Thirty five patients with chagasic megacolon were operated on by the technique of recto-colectomy with colo-rectal mechanical end-to-side anastomosis, anterior or posterior during the period of 1993 to 1997. (
  • There are a variety of non-transplant surgical procedures that, due to their complex technique or high mortality rate, have not resolved this important problem. (
  • Short bowel syndrome, intestinal failure, non-transplant surgical technique. (
  • The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses. (
  • CONCLUSION: Use of the stapling technique facilitates the performance of anastomoses, particularly in regions with difficult anatomy. (
  • Further adequately powered studies will enable identification of other local and systemic factors influencing anastomotic healing, which will lead to improved patient and anastomotic technique selection for optimal surgical outcomes. (
  • Many factors, including pathological conditions, surgical technique, the localization (left colon or right colon) and type of operation, the patient's age, the presence of obstruction and whether the operation was elective or emergency, which may affect the success of anastomotic healing have been studied (12-26). (
  • Microvascular anastomosis is a basic neurosurgical technique that should be mastered in the laboratory. (
  • This is a "micro"-surgical technique that involves the placement of a "shunt" to bypass a lymphatic blockage. (
  • Full robotic gastrectomy with extended (D2) lymphadenectomy for gastric cancer: surgical technique and preliminary results. (
  • Insufficiency risk of esophagojejunal anastomosis after total abdominal gastrectomy for gastric adenocarcinoma. (
  • PMF 5001 (1947) - Colostomy Closure (End-to-End Anastomosis), surgical repair of left upper abdominal colostomy (13 min). (
  • Surgical anastamosis techniques include Linear Stapled Anastomosis, [3] Hand Sewn Anastomosis, [3] End-to-End Anastomosis (EEA). (
  • Is hand-sewn anastomosis superior to stapled anastomosis following oesophagectomy? (
  • The question addressed was: In patients undergoing oesophagectomy is stapled anastomosis (STA) superior to hand-sewn anastomosis (HSA) with respect to post-operative outcomes. (
  • Much of the morbidity and approximately one third of the deaths are caused by leakage of the anastomosis. (
  • The potential exists to utilize CBSG as a means of lowering the rate of post-operative anastomotic leakage and bleeding in high-risk colorectal, coloanal, and ileoanal anastomoses. (
  • In HSA, increasing surgical experience and intra-operative air leakage testing after anastomotic creation are associated with reduced risk of anastomotic leakage. (
  • The purpose of this study is to evaluate the effect of perioperative administration of glutamine and synbiotics on the biological behavior of intestinal mucosal barrier and the healing of colonic anastomosis in rats. (
  • Two mechanical parameters, breaking strength and bursting pressure, have been used to evaluate the healing of colonic anastomosis (42-47). (
  • We have evaluated the morbidity and the efficacy of patent blue lymphatic enhancement, with a view to perform lymphaticovenular anastomosis. (
  • It is recommended for a surgeon with less experience with lymphaticovenular anastomosis to perform lymphaticovenular anastomosis on patients with a lower body mass index and a linear pattern on indocyanine green lymphography. (
  • While an anastomosis may be end-to-end, equally it could be performed side-to-side or end-to-side depending on the circumstances of the required reconstruction or bypass. (
  • Intestinal wound healing is an essential process for surgical reconstruction of the digestive tract. (
  • 5 ] mentioned four models to manage size discrepancy included an invagination anastomosis, a fish-mouth incision of the smaller vessel, and an oblique section of the smaller vessel and a wedge excision of the larger vessel. (
  • Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. (
  • A second surgeon team (different from the one who participate in the intervention), aware of the operative findings but not the management of the anastomosis, will then assume the care of the patient. (
  • The handbook is aided by intra-operative images highlighting the salient anatomy and surgical points. (
  • Despite advances in surgical techniques, anesthetic techniques, and perioperative care, morbidity and mortality rates of McKeown or Ivor Lewis approach are consistently high. (
  • Much of Dr. Wexner's work has been focused on improving surgical techniques for the avoidance of permanent stomas in patients with colorectal cancer, ulcerative colitis, and fecal incontinence. (
  • Sealing maneuver for microvascular anastomoses in rats. (
  • MEDICUS SHUPPAN published the first offering in a series, "Trainings of Microsurgery - For Neurosurgeons and Plastic surgeons" (Author: Masahiro Indo, Editor: Kazuo Tsutsumi), in December 2016, and the second publication in that series is "Mastering Intracranial Microvascular Anastomoses -Basic Techniques and Surgical Pearls" (Author: Taku Sugiyama, Editors: Garnette Sutherland/Kiyohiro Houkin/Hiroyasu Kamiyama), which was written by world-renowned bypass surgeons. (
  • The success rate is low, and the complication rate can be quite high, including vitreous hemorrhages and choroidal neovascularization at the anastomosis site. (
  • There were 301 colo-rectal resections with anastomosis. (
  • RESULTS: A total of 615 elective colorectal resections with stapled rectal anastomoses was performed by 18 surgeons from 1984 to 1993. (
  • This paper describes the surgical and functional results of tracheal resections done in the surgical oncology department of a tertiary care cancer centre. (
  • An anastomosis connecting an artery to a vein is also used to create an arteriovenous fistula as an access for hemodialysis. (
  • He underwent surgical drainage of the abscess, excision of the fistula, and defunctioning ileostomy. (
  • The best strategy for reducing pancreatic fistula rate includes a standardized institutional concept of pancreatic anastomosis, documentation of surgical quality, and continuous enhancement by benchmarking. (
  • The present invention relates to dissolvable intraluminal stents for mammalian anastomoses. (
  • Primary Anastomosis versus Ostomy after Colon Resection during Debulking of Ovarian Carcinomatosis: A NSQIP Analysis. (
  • The only way to perform a cephalic exchange in man is to cool the body-recipient (R)'s head to such a low temperature to allow the surgeons to disconnect and reconnect it to the donor (D)'s body, whose head has been removed in the same operating theater by a second surgical team. (
  • We believe this process will continue our mission of keeping our surgical stapling platform and cardiac anastomosis products in the hands of surgeons who understand the promise of our products and technology. (
  • Intracorporeal ileocolic anastomosis following laparoscopic resection of the right colon is not commonly performed, but offers potential benefits if carried out by experienced surgeons in selected patients. (
  • Chekan E, Whelan RL (2014) Surgical stapling device-tissue interactions: what surgeons need to know to improve patient outcomes. (
  • Conclusions: This preclinical chronic porcine study showed that the REVO-I robotic surgical system is a feasible and safe robotic instrument that can be used by surgeons to perform skillful robotic procedures in porcine models. (
  • It is recommended for lymphatic surgeons to avoid the D-region for lymphaticovenular anastomosis. (
  • Surgical mammalian vessel anastomosis is accomplished by connecting first vessel and second vessel stumps with generally annular openings using an anastomosis apparatus, having a stent and a stent placement member. (
  • The invention relates to an apparatus and method for performing anastomosis. (
  • 2. The surgical fastener applying apparatus according to claim 1 , wherein each of the first and second fixation points includes welds between the ribs and the respective side walls of the anvil half-section. (
  • 4. The surgical fastener applying apparatus according to claim 3 , wherein the second stage of deflection takes effect when the reveal between an upper portion of the hole formed in each reinforcing rib and an upper portion of the cam is zero. (
  • The heat bondable plastic material is preferably a polymeric or composite material suitable for surgical applications and implantation in humans, and may be a biodegradable material. (
  • Portacaval anastomosis , by contrast, is an anastomosis between a vein of the portal circulation and a vein of the systemic circulation , which allows blood to bypass the liver in patients with portal hypertension , often resulting in hemorrhoids , esophageal varices , or caput medusae . (
  • Aortobifemoral Bypass Using End to End Anastomosis. (
  • This approach provided sufficient space for the bypass instruments to be introduced into the deep surgical field at a more favorable angle to enhance microscopic visualization of the anastomosis with minimal retraction of the temporal lobe. (
  • This book introduces the basic technical nuances of microvascular anastomosis, as well as the fundamental concepts that lead to the success of intracranial bypass surgeries. (
  • Clinical case: A 50-year-old male, without previous surgical history and a body mass index of 22 kg/m2 underwent colonoscopy due to anemia. (
  • Park JS, Choi GS, Lim KH et al (2010) Clinical outcome of laparoscopic right hemicolectomy with transvaginal resection, anastomosis, and retrieval of specimen. (
  • Therefore, we conducted this prospective study of ANH, comparing it with standard intraoperative management, undergoing gastric anastomosis in rats . (
  • This study is a narrative review of the current literature regarding intracorporeal ileocolic anastomosis in laparoscopic right colon resection for benign or malignant diseases of the right colon and terminal ileum. (
  • Thirteen papers including 611 patients undergoing laparoscopic right colon resection with intracorporeal ileocolic anastomosis for benign or malignant diseases of the right colon and terminal ileum were identified. (
  • pancreaticoduodenectomy is considered a massive operation, in part, because it requires three separate anastomoses (stomach, biliary tract and pancreas to small bowel). (
  • Surgical approaches to improving intestinal function in the short bowel syndrome. (
  • Surgical approach to short-bowel syndrome. (
  • Surgical therapy of the short bowel syndrome. (
  • BACKGROUND:The optimal surgical approach to reconnecting bowel ends safely after resection is of great importance. (
  • CONCLUSIONS:Sewing, stapling, and gluing techniques for bowel anastomosis each have a different effect on regional microcirculation during 120 min. (
  • Everett WG, Friend PJ, Forty J. Comparison of stapled and handsuture for leftside large bowel anastomosis. (
  • Stay up-to-date with emails on the latest advances, news, and innovations in surgical endoscopy. (
  • Four (11.42%) patients had the anastomosis made anteriorly. (
  • The anastomosis was examined in all patients. (
  • In the group of 232 patients where the buttressing material was not used, there were 5 anastomotic leals (2 right colon, 3 low pelvic anastomosis). (
  • A retrospective chart review of patients who required surgical intervention for non-healing marginal ulcers was performed from 1 September 2012 to 1 September 2017. (
  • Surgical treatment of CRVO by the creation of a RCA may be an effective therapy for some patients with CRVO. (
  • A report (N = 858) on the use of single-layer continuous horizontal mattress anastomosis (n = 369) instead of the conventional double-layer interrupted anastomosis (n = 489) in pediatric patients undergoing colonic anastomosis documented a reduced rate of dehiscence in emergency or elective settings. (
  • In this study, we reported the clinical outcomes of 51 patients undergoing thoracolaparoscopic esophagectomy with cervical gastroesophageal anastomosis compared with 62 patients undergoing McKeown esophagectomy at the same period. (
  • This book has been scientifically designed and meticulously written, keeping in view the latest advances in the care of patients with medical-surgical conditions. (
  • This live interactive video demonstrates a robotic total gastrectomy for gastric cancer, including a stepwise lymphadenectomy and precise thorough description of esojejunal anastomosis. (
  • The operation consisted of resection of the dilated colon, closure of the rectal stump at the level of the peritoneal reflexion, dissection of the rectrorectal space down to the level of the levator ani and posterior end to side colo-rectal mechanical anastomosis. (
  • This is a retrospective study to compare results of colo-rectal anastomosis with and without Seam Guard, an absorbable anastomotic buttressing material. (
  • Some surgical pathologies eventually require intestinal resection. (