Anastomosis, Surgical: 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.Arteriovenous Anastomosis: 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.Surgical Staplers: 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)Anastomosis, Roux-en-Y: A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Anastomotic Leak: 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.Proctocolectomy, Restorative: 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.Colonic Pouches: Sacs or reservoirs created to function in place of the COLON and/or RECTUM in patients who have undergone restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Rectum: The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.Postoperative Complications: 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.Ileostomy: 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.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Polytetrafluoroethylene: 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.Pouchitis: Acute INFLAMMATION in the INTESTINAL MUCOSA of the continent ileal reservoir (or pouch) in patients who have undergone ILEOSTOMY and restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).Anal Canal: The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.Heart Bypass, Right: 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.Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Colon: The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON.Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.Ileum: The distal and narrowest portion of the SMALL INTESTINE, between the JEJUNUM and the ILEOCECAL VALVE of the LARGE INTESTINE.Arteriovenous Shunt, Surgical: Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)Colostomy: The surgical construction of an opening between the colon and the surface of the body.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Colonic Diseases: Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).Microsurgery: The performance of surgical procedures with the aid of a microscope.Esophagostomy: Surgical formation of an external opening (stoma) into the esophagus.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Internal Mammary-Coronary Artery Anastomosis: 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.Cerebral Revascularization: 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.Treatment Outcome: 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.Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.Esophagectomy: Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)Portacaval Shunt, Surgical: Surgical portasystemic shunt between the portal vein and inferior vena cava.Choledochostomy: 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.Wound Healing: Restoration of integrity to traumatized tissue.Esophagus: The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Pancreaticojejunostomy: Surgical anastomosis of the pancreatic duct, or the divided end of the transected pancreas, with the jejunum. (Dorland, 28th ed)Temporal Arteries: Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.Veins: The vessels carrying blood away from the capillary beds.Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Intestinal Obstruction: Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.Colitis, Ulcerative: 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.Jejunum: 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.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Hepatic Duct, Common: 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.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Rhizoctonia: A mitosporic Ceratobasidiaceae fungal genus that is an important plant pathogen affecting potatoes and other plants. There are numerous teleomorphs.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Laparoscopy: 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.Gastrectomy: Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)Bronchial Arteries: 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.Fetofetal Transfusion: 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)Esophageal Stenosis: A stricture of the ESOPHAGUS. Most are acquired but can be congenital.Corrosion Casting: 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.Vena Cava, Inferior: The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.Follow-Up Studies: 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.Stomach: 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.Gastrostomy: Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.Rectal Diseases: Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Retrospective Studies: 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.Hydroxyproline: A hydroxylated form of the imino acid proline. A deficiency in ASCORBIC ACID can result in impaired hydroxyproline formation.Duodenostomy: Surgical formation of an opening into the DUODENUM.Adenomatous Polyposis Coli: 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.Hemostasis, Surgical: Control of bleeding during or after surgery.Tissue Adhesions: Pathological processes consisting of the union of the opposing surfaces of a wound.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Tensile Strength: 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)Saphenous Vein: The vein which drains the foot and leg.Defecation: The normal process of elimination of fecal material from the RECTUM.Pancreaticoduodenectomy: The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.Intestinal Fistula: 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).Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Methods: A series of steps taken in order to conduct research.Moyamoya Disease: 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.Pancreatic Fistula: Abnormal passage communicating with the PANCREAS.Iliac Artery: Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.Gastroenterostomy: 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.Operative Time: The duration of a surgical procedure in hours and minutes.Coronary Artery Bypass, Off-Pump: 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).Bile Ducts: 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.Postoperative Period: The period following a surgical operation.Esophagoplasty: A plastic operation on the esophagus. (Dorland, 28th ed)Hyperplasia: 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.Arterial Occlusive Diseases: 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.Jejunal Diseases: Pathological development in the JEJUNUM region of the SMALL INTESTINE.Colon, Sigmoid: A segment of the COLON between the RECTUM and the descending colon.Surgical Flaps: 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.Diverticulitis, Colonic: Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.Fetoscopy: Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.Popliteal Artery: The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Rectal Neoplasms: Tumors or cancer of the RECTUM.Fecal Incontinence: Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.Tissue Adhesives: Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.Robotics: 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.Collateral Circulation: Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.Intestinal Perforation: Opening or penetration through the wall of the INTESTINES.Esophageal Neoplasms: Tumors or cancer of the ESOPHAGUS.Models, Animal: Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.Brachiocephalic Veins: 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.Tibial Arteries: 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.Vena Cava, Superior: The venous trunk which returns blood from the head, neck, upper extremities and chest.Ureter: One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.Portal Vein: A short thick vein formed by union of the superior mesenteric vein and the splenic vein.Sigmoid Diseases: Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).Arteriovenous Fistula: 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.Polyethylene Terephthalates: 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.Jugular Veins: Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.Polyglactin 910: 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.Intestinal Atresia: 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)Venae Cavae: The inferior and superior venae cavae.Surgical Fixation Devices: 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.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Hepatic Veins: Veins which drain the liver.Gastric Bypass: 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.Fontan Procedure: 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.Biliary Tract Diseases: Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Arteries: The vessels carrying blood away from the heart.Coronary Artery Bypass: 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.Liver Transplantation: The transference of a part of or an entire liver from one human or animal to another.Ileal Diseases: Pathological development in the ILEUM including the ILEOCECAL VALVE.Esophageal Atresia: 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.Bile Duct Diseases: Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.Heart Defects, Congenital: Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.Renal Veins: Short thick veins which return blood from the kidneys to the vena cava.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Urinary Diversion: 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)Duodenum: 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.Rats, Wistar: A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.Pulmonary Artery: The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.Blood Loss, Surgical: Loss of blood during a surgical procedure.Dogs: 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)Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Prospective Studies: 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.Intestinal Volvulus: A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.Models, Anatomic: Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.Surgical Equipment: Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.Dilatation: The act of dilating.Swine: 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).Fibrin Tissue Adhesive: 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.Arterio-Arterial Fistula: Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.Ischemia: 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.Angiography: Radiography of blood vessels after injection of a contrast medium.Radial Artery: 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.Laparoscopes: ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Ligation: Application of a ligature to tie a vessel or strangulate a part.Equipment Design: Methods of creating machines and devices.Fistula: Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.Replantation: Restoration of an organ or other structure to its original site.Aorta: The main trunk of the systemic arteries.Surgical Stomas: 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.Hepatic Artery: A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.Abdominal Wall: 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.Crohn Disease: 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.Omentum: A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.Carotid Arteries: 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.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Intraoperative Complications: 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.Subclavian Artery: 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.Thoracic Arteries: 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.Cadaver: A dead body, usually a human body.Endoscopes: 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.Common Bile Duct: The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.Middle Cerebral Artery: 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, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Postoperative Care: 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)Tunica Intima: The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.Surgical Procedures, Minimally Invasive: 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.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Aortic Coarctation: 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.Airway Extubation: Removal of an endotracheal tube from the patient.Random Allocation: 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.Hemorheology: The deformation and flow behavior of BLOOD and its elements i.e., PLASMA; ERYTHROCYTES; WHITE BLOOD CELLS; and BLOOD PLATELETS.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Colon, Transverse: 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.Pressure: 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)Esophageal Fistula: Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Thyroid Cartilage: 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.Colorectal Surgery: A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.Splenic Vein: Vein formed by the union (at the hilus of the spleen) of several small veins from the stomach, pancreas, spleen and mesentery.Intestine, Small: 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.Living Donors: Non-cadaveric providers of organs for transplant to related or non-related recipients.Disposable Equipment: Apparatus, devices, or supplies intended for one-time or temporary use.Cyanoacrylates: 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.Aneurysm: 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.Regional Blood Flow: The flow of BLOOD through or around an organ or region of the body.Facial Nerve: 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.Granulation Tissue: 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.Abdominal Wound Closure Techniques: Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.Aortic Diseases: Pathological processes involving any part of the AORTA.Pulmonary Circulation: The circulation of the BLOOD through the LUNGS.

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)

*Surgical anastomosis

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 ...

*Vascular bypass

A surgeon sews the graft to the source and target vessels by hand using surgical suture, creating a surgical anastomosis. ... A vascular bypass (or vascular graft) is a surgical procedure performed to redirect blood flow from one area to another by ... The ELANA technique is a subtle modification of other methods to establish a connection between blood vessels (anastomosis) to ... In neurosurgery, excimer laser assisted non-occlusive anastomosis (ELANA) is a technique use to create a bypass without ...

*Colectomy

Basic surgical principles include ensuring a good blood supply to the opposing ends, and a lack of tension at the join. The use ... Study of Emergency Intestinal Resection and Anastomosis in Adults Authors: Dr Aarti Mitra, Dr Unmed Chandak, Dr Ninad Sawant, ... Colectomy (col- + -ectomy) is bowel resection of the large bowel (colon). It consists of the surgical removal of any extent of ... An anastomosis carries the risk of dehiscence (breakdown of the stitches), which can lead to contamination of the peritoneal ...

*Tubal reversal

Robotic Tubal Anastomosis: Surgical Technique and Cost Effectiveness. Fertil Steril. 2008 Oct;90(4):1175-9. PMID 18054354 http ... 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 ...

*Urinary diversion

Ureteral diversion can lead to normal anion gap acidosis.[citation needed] Surgical anastomosis Hautmann R (2003). "Urinary ... The ureteroenteric anastomosis can be created in a number of different ways. There is the option of a refluxing or a non- ... Urinary diversion is any one of several surgical procedures to reroute urine flow from its normal pathway. It may be necessary ... The non-refluxing type has been associated with higher incidence of ureteroenteric anastomosis stricture, and there is doubt ...

*Anastomosis

... such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. ... Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch, plantar arch) and potential arterial anastomosis ... An example of surgical anastomosis occurs when a segment of intestine is resected and the two remaining ends are sewn or ... An anastomosis (plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are ...

*Stapler

Surgeons can use surgical staplers in place of sutures to close the skin, or during surgical anastomosis. A surgical stapler ... 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 where a stapler is one of the plot objects Staple remover Staple gun ... Surgical staples are commonly preshaped into an "M". Pressing the stapler into the skin and applying pressure onto the handle ...

*Endarterectomy

... is also used as a supplement to a vein bypass graft at the sites of surgical anastomosis. Pulmonary hypertension ... Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery ...

*Endovascular aneurysm repair

... that directly augments the fixation and sealing between the graft and aorta to mimic the stability of a surgical anastomosis is ... Like many surgical procedures, EVAR has advanced to a more minimally invasive technique, by accessing the femoral arteries ... Standard EVAR involves a surgical cut-down on either the femoral or iliac arteries, with the creation of a 4-6 cm incision. ... One solution, however, is a hybrid repair, which combines an open surgical bypass with EVAR or TEVAR. In hybrid procedures, the ...

*Biliary fistula

... in which bile escapes the bile ducts through a perforation or faulty surgical anastomosis into the abdominal cavity. Damage to ... A biliary fistula often occurs in be suspected in a person who has recently undergone a surgical procedure, Pain may occur if ...

*Roux-en-Y anastomosis

In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct ... Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y. Typically, the two upper limbs of the Y represent ... and the lower part of the Y is formed by the distal small bowel beyond the anastomosis. Roux-en-Ys are used in several ... which then travel through the excluded small bowel to the distal anastomosis at the mid jejunum to aid digestion. The altered ...

*Pneumoperitoneum

... coli Bowel cancer Ischemic bowel Steroids After laparotomy After laparoscopy Breakdown of a surgical anastomosis Bowel injury ... Jacobs VR, Mundhenke C, Maass N, Hilpert F, Jonat W. "Sexual activity as cause for non-surgical pneumoperitoneum". JSLS. 4: 297 ... The practice is currently used by surgical teams in order to perform laparoscopic surgery. Perforated duodenal ulcer - The most ...

*Nasogastric intubation

... damage to a surgical anastomosis, pulmonary aspiration, a collapsed lung, or intracranial placement of the tube. Force feeding ...

*Urethrotomy

... 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, ... "Long-term Follow up for Excision and Primary Anastomosis for Anterior Urethral Strictures" (PDF). Indiana Purdue University ... "Cystoscopy and Optical Internal Urethrotomy Peri-Op Instructions: Urologic Surgical Associates of Delaware". usadelaware.com. ...

*Gastric bypass surgery

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 ...

*Bronchial artery

With modern surgical techniques, bronchial anastomoses heal well without bronchial artery reconnection. Largely for this reason ...

*Coloanal anastomosis

... is a surgical procedure in which the colon is attached to the anus after the rectum has been removed. Also ... Coloanal anastomosis entry in the public domain NCI Dictionary of Cancer Terms This article incorporates public domain material ...

*Bidirectional Glenn procedure

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 technique used to temporarily improve cardiac ...

*Jejunojejunostomy

... 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, ...

*Dinker Belle Rai

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 ...

*Aortic dissection

... thus it provides stronger anastomosis and better surgical results. A number of comorbid conditions increase the surgical risk ... The reason for surgical repair of type A dissections is that ascending aortic dissections often involve the aortic valve, which ... Indications for the surgical treatment of aortic dissection include an acute proximal aortic dissection and an acute distal ... The objective in the surgical management of aortic dissection is to resect (remove) the most severely damaged segments of the ...

*Diverticulitis

The first surgical approach consists of the resection and primary anastomosis. This first stage of surgery is performed on ... 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 patient is ... It may even allow for radiologically guided drainage of an associated abscess, sparing a patient from immediate surgical ...

*Urethroplasty

At this time, using micro surgical technique, the anastomosis is completed and fibrin glue is applied to the anastomotic suture ... and start of the anastomosis. The dorsal one-third of the urethral anastomosis is begun, completed, and the catheter is ... Using micro surgical techniques, the buccal graft will be sutured in place and fibrin glue applied to the suture line to ... Using micro surgical techniques, the scrotal graft or penile island flap will be sutured in place and fibrin glue applied to ...

*Apicoaortic Conduit

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 ...

*Circulatory anastomosis

These can be ameliorated by surgical intervention to create a bypass using the anastomosis technique. Coronary anastomoses are ... veno-venous anastomosis) or between an artery and a vein (arterio-venous anastomosis). Anastomoses between arteries and between ... A circulatory anastomosis is a connection (an anastomosis) between two blood vessels, such as between arteries (arterio- ... In the normal heart these anastomoses are non-functional. Superficial arterio-venous anastomoses open when the body reaches a ...

*Spinal cord

These intercostal and lumbar radicular arteries arise from the aorta, provide major anastomoses and supplement the blood flow ... Impaired blood flow through these critical radicular arteries, especially during surgical procedures that involve abrupt ...

*Richter's hernia

Treatment is resection and anastomosis. Mortality increases with delay in surgical intervention. Crabtree, TD. "General Surgery ...
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 ...
RATIONALE: It is not yet known whether a J-pouch colorectal anastomosis is more effective than a straight colorectal anastomosis in treating patients with rectal cancer who have undergone surgery to remove the tumor.. PURPOSE: This randomized clinical trial is studying J-pouch colorectal anastomosis to see how well it works compared with straight colorectal anastomosis in treating patients with rectal cancer who have undergone surgery to remove the tumor. ...
A surgical anastomosis is a surgical technique used to make a new connection made between two body structures that carry fluid, such as blood vessels or bowel. 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.. A surgical anastomosis can be created using suture sewn by hand, mechanical staplers and biological glues, depending on the circumstances. 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. 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.. ...
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.
The Cardiac Anastomosis model feels, sutures and behaves like real live tissue. Realistic and affordable products designed for the acquisition, practice and retention of cardiac surgery skills.. SUTURES AND BEHAVES LIKE REAL TISSUE. ...
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. ...
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.
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 ...
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. http://accesssurgery.mhmedical.com/content.aspx?bookid=430§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.
Anastomosis devices, tools and methods of performing sutureless anastomosis. Anastomosis devices are provided for fixing a first conduit to a second conduit in an anastomosis, where the conduits are joined by interfacing their inner walls together. The conduit which is loaded on the anastomosis device may be mounted in such a way that the internal wall of the conduit does not make contact with the anastomosis device.
A system for making anastomoses between hollow structures by mechanical means is provided with a device in the shape of an annular or tubular element comprising circumferentially provided means, such as pin-shaped elements, for joining the abutting walls of the hollow structures together. An applicator is intended for moving said annular or tubular element in position and activating the joining means thereof, so as to make the anastomosis. Possibly, intraluminal joining means can be inserted without using an annular or tubular element.
BACKGROUND: The Heartflo anastomotic device automates the suturing process with simultaneous delivery of 10 standard polypropylene sutures through the graft and the coronary vessel wall to construct the anastomosis. We performed clinical testing in 6
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.
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
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 ...
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 ...
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 ...
I am looking for a CPT for a Laparoscopic segmental colon resection of the cecum without anastomosis. Dx was benign polyp. Can anyone help????
Affiliation:千葉大,医学部附属病院,講師, Research Field:Medical systems, Keywords:吻合器,graft replacement,低侵襲手術,手術器械,arch aneurysm,弓部大動脈瘤,less invasive surgery,人工血管置換術,anastomotic device,自動吻合器, # of Research Projects:1, # of Research Products:6
An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a
From question on page 763 A repeat Doppler duplex ultrasound was performed which revealed a filiform circumscript stenosis at the site of the portal vein anastomosis, leading to blood flow acceleration up to 100 cm/s (fig 1A). A computed tomography scan confirmed the stenosis in the ...
Joining of two or more cell processes or multicellular tubules to form a branching system. Anastomosis of blood vessels allows alternative routes for blood flow
A three-piece anastomotic coupling device for end-to-end anastomosis of tubular members consisting of two open bore cylindrical adaptors and an open bore cylindrical connector. Each end of a tubular member is passed through the axial bore of an adaptor and everted over the end thereof. The adaptors are then inserted into opposite ends of the connector until the everted ends of the vessel abut under light compression. Integral locking means are provided to secure the adaptors and tubular members of the connector piece.
RESULTS: The interventions consisted of below-knee bypasses in 132 cases in group 1 (73%) and in 45 cases in group 2 (33%; P , .001); 48 patients in group 1 (27%) and 88 patients in group 2 (67%; P , .001) had distal tibial anastomosis. Patients in group 1 had more frequently adjunctive procedures performed at distal anastomotic sites to improve run-off status. Postoperative and long-term medical treatment consisted of single antiplatelet therapy in 93 cases (52%) in group 1 and in 64 cases (48%, P = ns) in group 2, of double antiplatelet therapy in 18 cases (10%) in group 1 and in four cases (3%; P = .05) in group 2 and of oral anticoagulants in 69 patients in group 1 (38%) and in 65 (49%; P = .02) in group 2. Mean duration of follow-up was 28.3 ± 21.4 months; 308 patients (98%) had at least one postoperative clinical and ultrasonographic examination and 228 (72%) reached at least a 1-year follow-up. Estimated 48-month survival rates were 76.6% in group 1 and 72.7% in group 2 (P = , .9, ...
Surgical workshop - designed especially for medical students in all years of study and especially to those who are interested in surgical disciplines. It is focused on basic sewing techniques of surgical wounds (surgical knots, skin and subcutaneous suture by various techniques) and hollow organs (vascular and intestinal anastomosis), which will be carried out on presentation models. ...
An intrapericardial ascending aorta-to-right pulmonary artery anastomosis was performed in 123 patients with cyanotic congenital heart disease associated with pulmonary stenosis or atresia during the eight year period from 1964 through 1971. While there were 20 early postoperative deaths (16%), 90% (93 patients) of the 103 survivors were symptomatically improved.. In the postoperative evaluation, 74 patients (72% of the survivors) returned for follow-up examination, which included cardiac catheterization in 57. The anastomosis was nonfunctioning in ten (13.5%) of these 74 patients and in an additional 13 (17.5%) patients, clinically silent right pulmonary artery stenosis was demonstrated angiographically at the anastomosis site. Clinical improvement had been maintained in the 64 patients with an open anastomosis (audible continuous murmur or angiographically demonstrated patency) including the 13 patients with acquired pulmonary stenosis at the operative site. Persistent right pulmonary artery ...
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 ...
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 ✔ BookingHealth.com
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?
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 ...
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.
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
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 ...
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.
One of the widely accepted adjunctive agents in the variety of surgical modalities are sealants. Our study aim was to compare four commonly used modern sealants in a standardized experimental setting to assess their feasibility, and hemostatic efficacy in vascular anastomosis. Forty landrace pigs (weight: 24.7 ± 3.8 kg) were randomized into the control (n = 8) and four sealant groups; TachoSil® (n = 8), Tissucol Duo® (n = 8), Coseal® (n = 8), and FloSeal® (n = 8). After doing a portal vein end-to-end anastomosis as well as stitches of aortic incision, the sealants were applied on anastomotic site ...
Relative displacement of anastomotic site of pancreato-jejunostomy in pancreatico-duodenectomy: a novel surgical reconstructive technique. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
You also get to say that youve got been able to expertise each (Regardless that I know you actually didnt need the C-part). Guarantee pregnancy after tubal reanastomosis youve urinated on the stick, or held the stick in your urine for the required amount of time thats specified on the directions, prengancy is usually just a few seconds. At the same time, the hair across the nipples begins to skinny out, in preparation for nursing puppies, so once you give your dog a belly rub the changes may be very apparent. Pregnancy after tubal reanastomosis you know how to kind out fertility truth from fiction. During the next week or so, the embryo receives its nourishment and oxygen from the cells that make up the liner of the uterus. You can too prop a number of pillows underneath your toes and sleep in brown stringy discharge early pregnancy left facet at night, so blood flows again to your coronary heart. A pre-conception checkup ought to include a check for diabetes if a physician suspects you may ...
A patient complaining of typical tie douloureux is found to have a persistent carotid-basilar anastomosis. The incidence, review of literature, embryology and anatomy are presented. The relationship of the anomaly to trigeminal neuralgia and to collateral circulation in thrombosis or ligation of cervical carotid artery has been discussed. Although tic douloureaux was considered earlier in the literature as a possible cause and effect situation, this is the first patient to he reported with tie douloureux in the presence of an ipsilateral persistent carotid-basilar anastomosis. We believe the incidence to be around 1 to 1.5 per cent rather than .001 per cent, and bears investigating in a young patient with tie douloureux of unknown etiology ...
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 ...
Understand the surgical techniques used for hand-sewn bowel anastomosis. Understand the potential complications associated with bowel anastomosis and their management. Perform a Lambert stitch and a Connell stitch. Perform a hand-sewn double-layer bowel ...
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 ...
SPU 2017 Abstracts: Surgical Trial of a Somatic to Autonomic Intradural Nerve Anastomosis (Xiao Procedure) in Children with Neurogenic Bladder Undergoing Spinal Cord Detethering: A Randomized, Prospective, Double Blinded Study.
I had my colon removed due to dysplasia showing up in colonoscopy biopsies. At that time I had moderate inflammation from Chrons but no symptoms. Since my surgery there has been some inflammation at the connection. My GI did say that some believe that will always be there as a result of the surgery. But in the end he said it looks like Chrons to him. So he wants to use a biologic to try to clear it. If dysplasia were to show up in what I have left of my colon it would mean surgery and a bag. So I guess clearing the inflammation will decrease the likelihood of dysplasia showing up. Im not sure but I think people with UC dont have to worry so much about the dysplasia. I have a very manageable and typical experience with my IRA. Dont even pay attention to the 4-6 BM per day and have been able to expand my diet some as well ...
(Note: This was posted initially in August 2011. The data in the table is drawn from the 2012 updated, published report #S190.) In light of the recent…
The facial-cavernous anastomoses are the communications of the facial and deep facial veins with the cavernous sinus. Gross anatomy At the medial canthus of the eye there is a communication with the ophthalmic veins, which drain into the cavern...
You neednt be a rocket scientist to understand that by taking the end of a piece of colon or small intestine and folding it back upon itself, will look like the letter "J" when viewed from the side. Furthermore, connecting the two, folded, separate pieces of bowel together in the middle of the "J", crates a pouch, or a new rectum (the neorectum). The neorectum is a pouch which recreates the capacity of the natural rectum.. In the case of the small bowel pouch, the end of the ileum is fashioned into the pouch, the so called IPAA, or ileopouch-anal anastomosis. In the case of the colon, the remaining end of the colon is folded back to form a colonic J pouch. Different pieces of intestine with the same idea; to hold the fecal material until it can be voluntary discharged.. ...
TY - JOUR. T1 - Coarctation of the aorta. T2 - Lifelong surveillance is mandatory following surgical repair. AU - Brown, Morgan L.. AU - Burkhart, Harold M.. AU - Connolly, Heidi M.. AU - Dearani, Joseph A.. AU - Cetta, Frank. AU - Li, Zhuo. AU - Oliver, William C.. AU - Warnes, Carole A.. AU - Schaff, Hartzell V. PY - 2013/9/10. Y1 - 2013/9/10. N2 - Objectives The objective of our study was to review the long-term outcomes of patients undergoing surgical repair of aortic coarctation. Background Surgical repair of aortic coarctation has been performed at the Mayo Clinic, Rochester, Minnesota, for over 60 years. Methods Between 1946 and 2005, 819 patients with isolated coarctation of the aorta underwent primary operative repair. Medical records were reviewed and questionnaires mailed to the patients. Results Mean age at repair was 17.2 ± 13.6 years. The majority (83%) had pre-operative hypertension. Operations included simple and extended end-to-end anastomosis (n = 632), patch angioplasty (n = ...
Professional information about Medtronic cannulae, tissue stabilizers, heart positioners, retractor systems, anastomotic devices and accessories used for cardiopulmonary bypass.
Click here for Anastomoses of arteries pictures! You can also find pictures of Annular ligament, Amygdala, Amniotic cavity, Amnion.
We offer discount medical surgical supplies and instruments in the Cardiovascular Clamps category, such as the Cooley Satinsky Anastomosis Clamp 5 1/2 52-6950
El linfedema es una enfermedad crónica progresiva originada por una anomalía funcional del sistema linfático, que puede llegar a ser muy invalidante. El cáncer de mama es la primera causa de linfedema en países desarrollados. A pesar de su notable incidencia (más de 2.000 nuevos casos por año secundarios a cáncer de mama en España), no ha recibido la atención necesaria durante mucho tiempo. Y esto se debe principalmente a la dificultad para visualizar las finas estructuras del sistema linfático y a la complejidad para entender su fisiopatología. Durante las últimas décadas ha resurgido un interés por el sistema linfático y sus patologías asociadas, con el objetivo de conseguir un tratamiento definitivo para el linfedema. La evolución de las técnicas de diagnóstico por imagen y el desarrollo de las técnicas de supermicrocirugía han permitido avanzar en el campo de la linfología. Las anastomosis linfático-venosas son un tratamiento quirúrgico para el linfedema, que ...
In colon surgery fibrin glue is commonly used for the additional sealing of high-risk colonic anastomoses. As every anastomosis must be considered contaminated, and fibrin is a culture medium for...
Colonic anastomotic leaks occur in the early or late postoperative phase, in which the enteric anastomosis fails. This may be a small leak that can be managed conservatively or less commonly complete dehiscence requiring repeat surgery. Epidemio...
In the sixth of a seven module Peripheral Arterial Review eCourse, Kathy Carter BSN, RN, RVT, FSVU discusses mesenteric anatomy and mesenteric vascular disease, including acute mesenteric disease, ischemic colon disease, celiac axis syndrome and mesenteric venous occlusion. Module length: Core concepts 21 minutes plus 16 minutes customized review ...
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.. ...
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MY VIRTUAL ANASTOMOSIS offers trainee surgeons or healthcare professionals the opportunity to join in a training continuum aimed at technical development of their surgical skills in the area of cardiovascular anastomosis. All users should note that the rankings and evaluations received from the expert faculty are for evaluation purposes according to the standards of the course and they are intended to assist the user in improving his technique in the environment of low fidelity simulation.. As such, the evaluations are not part of the users accredited qualifications as a surgeon and they have no impact on the users formal qualification process. As such the evaluations are for guidance and learning purposes only and should not be used as an indication of the users actual ability to perform the task on a real patient in live surgery.. ...
Initial experience with side-to-side anastomosis of the brachial artery to the median cubital vein is reported in 11 patients in whom it was impossible to use or continue using the more normal sites. Eleven patients have so far been dialysed for a total of 80 fistula months. There was one early failure and no late ones. The appreciable morbidity was considered acceptable in these otherwise difficult patients.. ...
The Elana products facilitate the creation of a bypass in the brains without the need to occlude the blood flow through the recipient artery. In traditional bypass techniques the surgeon needs to occlude the recipient artery in order to establish a bypass, and by this the blood flow to the brain is interrupted. It actually turns the principle of a conventional anastomosis around, in which patients can suffer from long occlusion times. With the ELANA Bypass the blood flow is maintained, and there is no time pressure for the surgeon to perform the bypass.. ...
Doyens Intestinal Clamp is used to occlude the lumen of the intestine and the blood vessels during resection anastomosis. It is non-crushing intestinal clamp
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We report the outcome of 63 consecutive patients with Crohns colitis treated by colectomy and ileorectal anastomosis between 1951-1981. There were no operative deaths. Serious postoperative complications occurred in 10 patients. The mean follow up since colectomy was 9.5 years. At 10 years the cumulative reoperation rate was 48% and the cumulative recurrence rate (based upon operative, radiological, and sigmoidoscopic evidence) was 64%. Ten patients have died during follow up. Two-thirds of the patients still under review have an intact ileorectal anastomosis. These results show that colectomy and ileorectal anastomosis is a useful operation in young patients with chronic ill health, diarrhoea, and anaemia in whom there is minimal anorectal disease. For suitable patients, the operation avoids the morbidity of a permanent stoma, pelvic dissection, and rectal excision. Recurrence developing in the ileum proximal to the anastomosis can often be resected and intestinal continuity preserved, whereas ...
Looking for online definition of anastomotic stricture in the Medical Dictionary? anastomotic stricture explanation free. What is anastomotic stricture? Meaning of anastomotic stricture medical term. What does anastomotic stricture mean?
PURPOSE To analyze the effects of hyperbaric oxygen therapy (HBO) on the mechanical resistance of anastomosis performed in rats distal colon presenting peritonitis induced by ligature and cecal punction using the Total Energy Rupture biomechanical test (ETR). METHODS It was used 45 rats divided into three groups of 15 animals each. In Control Group (CG), it was performed anastomosis in distal colon without peritonitis. In Peritonitis Group (PG), it was performed anastomosis six hours after the induction of peritonitis by ligature and cecal punction. In Hyperbaric Chamber Group (HCG), it was performed six hours after the induction of peritonitis by ligature and cecal punction. The animals on CG and PG were kept at place air while the animals on HCG were placed on an experimental hyperbaric chamber in order to inhale oxygen at 100%, two absolute atmospheres, for 120 minutes, for four consecutive days. Euthanasia took place on the fifth day of the experiment. All the animals underwent to Total Energy
In the 20-year period ending December 31, 1973 we operated on 105 patients for palliation of tricuspid atresia (TA) with reduced pulmonary blood flow. Potts anastomosis (85), Blalock-Taussig anastomosis (19), intrapericardial aorta (Ao)-to-right pulmonary artery (RPA) (18), Glenn procedure (3) and miscellaneous shunts (2) have been used. Of patients undergoing operation more than 15 years ago, 45% (9/20) are still alive. The over-all operative mortality was 9%. It was highest in patients less than one month of age (7/23, 30%). There were no operative deaths in patients older than 12 months. The median age at first operation for the entire series was five months. Our results indicate the Potts anastomosis and Ao-to-RPA anastomosis are superior to the Blalock-Taussig anastomosis (BT) for palliation of TA. Of patients surviving BT, 69% (11/16) required reoperation, compared to 22% (17/78) surviving Potts anastomosis and 13% (2/16) surviving Ao-to-RPA shunts. All three patients undergoing Glenn ...
Much debate surrounds the one-stage surgical management of acute left colon obstruction. Many surgeons are still reluctant to perform primary anastomosis in unprepared bowel fearing the risk of anastomotic dehiscence. Although intraoperative lavage and subtotal colectomy have recently proved effective for preventing fecal loading, both of these procedures have drawbacks and the search for additional alternative surgical procedures continues. We conducted an experimental study to examine a new one-stage operation, consisting of the interposition of a jejunal segment to the resection site of the colon, to manage acute left colon obstruction. The colons of 20 domestic pigs were obstructed, and 2 days later, segmental resection and either primary colo-colonic anastomosis or interposition of a jejunal segment was performed. Autopsies were done 6 weeks after the operations and the anastomotic regions were subjected to bursting pressure analysis. The operating time was longer in the interposition group at 49
Chorioretinal venous anastomosis{ref47}{ref48}{ref49}{ref50}{ref51} is performed by creating an anastomosis to bypass the site of venous occlusion in the optic disc. In this procedure, retinal veins a... more
BACKGROUND/AIMS: Anastomotic leakage remains the most serious complications of colorectal surgery. To prevent colorectal anastomotic leakage (CAL), an air leak test (ALT) with intraoperative colonoscopy (IOCS) is performed to detect mechanically insufficient colorectal anastomoses. The approaches to an intraoperative anastomotic air leak (IOAL) have not been fully investigated. This study aimed to clarify the safe management of an IOAL in laparoscopic colorectal surgery. METHODS: One hundred forty-eight consecutive patients who underwent laparoscopic resection with double-stapling technique (DST) anastomosis for left-sided colorectal cancer between April 2015 and June 2016 were included and retrospectively reviewed ...
Roliie.....When Dillon had his colectomy he was given an END ileostomy. The rectum was left, but closed at the top. We were told it was left in order to keep the anal tissue healthy. Being an end ileostomy, it was very easy to deal with and he could wait as long as he wanted before heading toward a J pouch. His second surgery was building the J pouch. If all had gone 100% by the books and his tissues were healthy they would have closed the ileostomy site and allowed the pouch to start working right away (he would have been in the hospital for a couple of weeks, while they kept an anal tube in to allow the pouch to heal). Unfortunately surgery did not go that smoothly and he was given a LOOP ileostomy for 8 weeks while the pouch healed. He then had a third operation which was the closing of the ileostomy site ...
Results. Right atrial emptying fraction was significantly higher in the bicaval (mean [±SD] 37 ± 9%) than in the biatrial group (22 ± 11%, p , 0.05) and similar to that in the control group (48 ± 4%). Left atrial emptying fraction was significantly higher in the bicaval (30 ± 5%) than in the biatrial group (15 ± 4%, p , 0.05) and significantly lower in both transplant groups than in the control group (47 ± 5%, p , 0.05). The left atrium was larger in the biatrial than in the control group (p , 0.05). Cardiac index, stroke index, heart rate and blood pressure were similar in the transplant groups. ...
The principles of vascular repair with sutures were established in the first decade of the 20th century by Alexis Carrel, who in 1912 was awarded the Nobel Pri…
[104 Pages Report] Check for Discount on Global Vascular Bypass Sales Market Report 2017 report by QYResearch Group. In this report, the global Vascular Bypass market is valued...
Colonic J-pouch is a type of neorectum, performed during surgery for rectal cancer. This may improve the quality of life of patients over a straight end-to-end anastomosis by forming a reservoir for faeces with patients experiencing less urgency ...
INTRODUCTION:. Ileal pouch anal anastomosis (IPAA) is the standard procedure for reconstruction after colectomy for ulcerative colitis (UC). However, ileorectal anastomosis (IRA) as an alternative has, recently experienced a revival. This study from a single center compares the clinical outcomes of these procedures.. METHODS:. From 1992 to 2006, 253 patients consecutively underwent either IRA (n=105) or IPAA (n=148). Selection to either procedure was determined on the basis of rectal inflammation, presence of dysplasia/cancer or patient preferences. Patient-records were retrospectively evaluated. Mean follow-up time was 5.4 and 6.3 years respectively.. RESULTS:. Major postoperative complications occurred in 12.4% of patients after IRA and in 12.8% after IPAA (ns). Complications of any kind after IRA or IPAA, even including subsequent stoma-closure, occurred in 23.8% and 39.9% respectively (p,0.01). Estimated cumulative failure rates after 5 and 10 years were 10.1% and 24.1% for IRA and 6.1% and ...
PURPOSE: Disconnection of an ileal pouch-anal anastomosis with repeat ileal pouch-anal anastomosis has been proposed for treatment of ileal pouch-anal anastomosis failure caused by septic or functional complications. We report our experience with repeat ileal pouch-anal anastomosis, and document functional outcome and quality of life.. METHODS: Of 101 patients undergoing laparotomy, ileoanal disconnection, and repeat ileal pouch-anal anastomosis, 80 were referred from other institutions. Indications included: chronic anastomotic leak (n=27), perineal or pouch-vaginal fistula (n=47), anastomotic stricture (n=22), dysfunction/long efferent limb of S-pouch (n=36), and previous ileal pouch-anal anastomosis excision or exclusion (n=6). In 64 cases a "septic" indication was observed. Pathologic features of Crohns disease were present in 4 patients preoperatively and 15 more after repeat ileal pouch-anal anastomosis. Four patients had clinical features of Crohns disease.. RESULTS: Three patients had ...
The proliferative activity and polyamine levels of the rectal epithelium in unoperated ulcerative colitis patients and in ulcerative colitis patients after total colectomy and ileorectal anastomosis were determined and compared with control subjects. Cell proliferation was evaluated in rectal biopsies by in vitro 3H thymidine incorporation by measuring the labeling index and the position of labeled cells along the crypt; polyamines were determined with a chromatographic method. In ulcerative colitis patients the labeling index was significantly increased, and labeled cells were shifted toward the upper part of the crypt when compared with controls. Ileorectal anastomosis patients showed a normalization of the labeling index and a distribution of labeled cells similar to controls. Polyamine levels were also increased in ulcerative colitis patients; in ileorectal anastomosis patients, the level of polyamines was decreased in respect to unoperated patients and return to normal values except for ...
A 67-year-old man, who had suffered from right cerebral infarction that resulted in left hemiparesis, underwent right superficial temporal artery-middle cerebral artery anastomosis in 1991. From March 2000, dizziness occurred during use of his right hand. His arteriogram revealed late filling of the occluded right subclavian artery by reversed flow from the right vertebral artery and 50% stenosis of the left internal carotid artery. We performed subcutaneous axillo-axillary bypass grafting with mild hypothermia on June 1st, 2000. An 8mm ePTFE tube with a ring was anastomosed to both axillary arteries in end-to-side fashion with continuous sutures. Thereafter, symptoms disappeared. One month after the procedure, his arteriogram showed that the bypass filled the right vertebral artery in an antegrade fashion as well as the right axillary artery. Axillo-axillary bypass grafting with mild hypothermia seemed to be safe and effective for high-risk subclavian steal syndrome ...
Patients underwent anal manometry before ileal pouch-anal anastomosis (IPAA) and coloanal anastomosis (CAA) and again six weeks after ileostomy closure following these procedures. The aim of this study was to map the occurrence of orofacial clefts reported in the area of Eastern Slovakia during the years american made generic viagra 1996-2013. In all cases, including ours, HU medication was usually administered over a 3- to 12-week period, mostly for 4 weeks (five of eleven cases). Indications for treatment by means of artificial kidney with special reference to chronic kidney insufficiency. In a light-adapted retina they form numerous spinules having membrane densities at their tips. Is resected stomach volume related to weight loss after laparoscopic sleeve gastrectomy? In three cases, this imperfect result with dysphagia and esophageal 50% off viagra coupons dilatation, is transient and is due to restoration of the sphincter. Observations on the free-living stages of strongylid nematodes of ...
Abstract: Objective: Outcome of staged palliation for hypoplastic left heart syndrome (HLHS) has improved over the past decades. We sought to evaluate the outcome of the second palliative procedure, the superior cavopulmonary anastomosis (SCPA), in a single-centre cohort and to identify risk factors for adverse outcome. Methods: Full data on all 119 HLHS patients who underwent SCPA in our centre between January 1996 and December 2007 were analysed. Results: Early adverse outcome (death or cardiac transplant within 30 days after surgery or before hospital discharge) was 3.4%. Late adverse outcome (death or transplant after hospital discharge but before the next operative procedure) was 8.7%. Postoperative complications occurred in 30% of patients (n =36), with transient arrhythmia (n =11; 9%) and pulmonary artery stenosis or thrombosis (n =10; 8%) being the most common. The presence of more than moderate tricuspid valve regurgitation after surgery proved to be a strong predictor of late adverse ...
Ulcerative colitis (UC) is a chronic inflammatory disease that affects the colon. According to the literature, some thirty percent of UC patients may require a subtotal colectomy and ileostomy due to failure of medical treatment, acute toxic colitis or dysplasia/cancer diagnosis. Some patients choose to get continence restored with either an ileorectal anastomosis (IRA) or an ileal pouch-anal anastomosis (IPAA). Worldwide most surgeons prefer an IPAA to an IRA, despite reports of pouchitis, impaired fertility and fecundity. Fear of recurring proctitis and fear of rectal cancer in the remaining rectum is contributing to the choice of an IPAA. Little is known regarding the outcomes of IRA compared with IPAA in UC patients. We aimed to investigate the anorectal function, quality of life (QoL), risk of failure and rectal cancer in patients with UC restored with IRA and IPAA respectively. Methods: Data about all Inflammatory bowel disease (IBD) patients was obtained from the Swedish National Patient ...

US Patent # 4,319,576. Intralumenal anastomosis surgical stapling instrument - Patents.comUS Patent # 4,319,576. Intralumenal anastomosis surgical stapling instrument - Patents.com

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 ...
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Surgical anastomosis - WikipediaSurgical anastomosis - Wikipedia

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 ...
more infohttps://en.wikipedia.org/wiki/Surgical_anastomosis

US Patent # 5,282,810. Surgical anastomosis device - Patents.comUS Patent # 5,282,810. Surgical anastomosis device - Patents.com

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 ...
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Patent US7422138 - Elliptical intraluminal surgical stapler for anastomosis - Google PatentsPatent US7422138 - Elliptical intraluminal surgical stapler for anastomosis - Google Patents

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 ...
more infohttp://www.google.ca/patents/US7422138

Multiple colonic anastomoses in the surgical treatment of short bowel syndrome. A new techniqueMultiple colonic anastomoses in the surgical treatment of short bowel syndrome. A new technique

... 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. ...
more infohttps://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=15549

New Fully Automated Surgical Robot Sutures Tissues, Anastomoses Intestines | MedgadgetNew Fully Automated Surgical Robot Sutures Tissues, Anastomoses Intestines | Medgadget

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 ...
more infohttps://www.medgadget.com/2016/05/surgical-robot-sutures-tissues-anastomoses-intestines.html

US20070175963A1 - Elliptical intraluminal surgical stapler for anastomosis 
        - Google PatentsUS20070175963A1 - Elliptical intraluminal surgical stapler for anastomosis - Google Patents

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 ...
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US5549122A - Methods of surgical mammalian vessel anastomosis 
        - Google PatentsUS5549122A - Methods of surgical mammalian vessel anastomosis - Google Patents

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 ...
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Patent US9307994 - Surgical stapling device for performing circular anastomoses - Google PatentsPatent US9307994 - Surgical stapling device for performing circular anastomoses - Google Patents

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 ...
more infohttp://www.google.co.uk/patents/US9307994

Spinal epidural abscess: a rare complication of ulcerative colitis after ileal pouch anal anastomosis | Surgical Case Reports |...Spinal epidural abscess: a rare complication of ulcerative colitis after ileal pouch anal anastomosis | Surgical Case Reports |...

We describe herein a rare case of spinal epidural abscess as a complication of ileal pouch anal anastomosis. A 37-year-old man ... He underwent surgical drainage of the abscess, excision of the fistula, and defunctioning ileostomy. Although a second ... who had previously undergone restorative proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis presented with ... He underwent surgical drainage of the abscess, excision of the fistula, and defunctioning ileostomy. Although a second ...
more infohttps://surgicalcasereports.springeropen.com/articles/10.1186/s40792-016-0253-3

Intracorporeal anastomosis | WebSurg, the e-surgical reference of Laparoscopic surgery |   WebSurg, the online university of...Intracorporeal anastomosis | WebSurg, the e-surgical reference of Laparoscopic surgery | WebSurg, the online university of...

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. ...
more infohttps://websurg.com/doi/lt03ensalky004/

Surgical suturing instrument for performing anastomoses between structures of the digestive tract - Vsesojozny, Naucho...Surgical suturing instrument for performing anastomoses between structures of the digestive tract - Vsesojozny, Naucho...

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 ...
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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 |...

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 ...
more infohttps://www.springermedizin.de/thoracoscopic-truncal-vagotomy-versus-surgical-revision-of-the-g/16061598

Suprapubic single incision laparoscopic right hemicolectomy with intracorporeal anastomosis  | WebSurg, the e-surgical...Suprapubic single incision laparoscopic right hemicolectomy with intracorporeal anastomosis | WebSurg, the e-surgical...

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 ...
more infohttps://www.websurg.com/doi/vd01en3814/

LIVE INTERACTIVE SURGERY: robotic total gastrectomy highlighting esojejunal anastomosis | WebSurg, the e-surgical reference of...LIVE INTERACTIVE SURGERY: robotic total gastrectomy highlighting esojejunal anastomosis | WebSurg, the e-surgical reference of...

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 ...
more infohttps://www.websurg.com/es/doi/vd01en5480/

The effect of three different surgical techniques for colon anastomosis on regional postoperative microperfusion: Laser Doppler...The effect of three different surgical techniques for colon anastomosis on regional postoperative microperfusion: Laser Doppler...

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 ...
more infohttps://content.iospress.com/articles/clinical-hemorheology-and-microcirculation/ch170297

Surgical Outcomes After Colonic and Colon Rectal Anastomosis with and Without Using Buttressing Material Seam Guard R (Gore): A...Surgical Outcomes After Colonic and Colon Rectal Anastomosis with and Without Using Buttressing Material Seam Guard R (Gore): A...

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 ...
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Cooley Satinsky Anastomosis Clamp 5 1/2 - 52-6950 - Each - Surgical Instruments - CardiovascularCooley Satinsky Anastomosis Clamp 5 1/2' - 52-6950 - Each - Surgical Instruments - Cardiovascular

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 ...
more infohttp://www.medicalsupplygroup.com/p-4309-cooley-satinsky-anastomosis-clamp-5-12-52-6950.aspx

Surgical palliation of primary pulmonary arterial hypertension by a unidirectional valved Potts anastomosis in an animal model....Surgical palliation of primary pulmonary arterial hypertension by a unidirectional valved Potts anastomosis in an animal model....

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. ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/21592527?dopt=Abstract

Courses and events | ACPGBICourses and events | ACPGBI

Surgical Anastomosis Techniques Date. 22 February 2017. Venue. Royal College of Physicians and Surgeons. ... Clinical Leadership and Management Course for Surgical Specialties Date. 20 February - 22 February 2017. ...
more infohttps://www.acpgbi.org.uk/events/?filter_archive=true&filter_page=23

Colectomy, Left End-to-End Anastomosis | Zollingers Atlas of Surgical Operations, 9e | AccessSurgery | McGraw-Hill MedicalColectomy, Left End-to-End Anastomosis | Zollinger's Atlas of Surgical Operations, 9e | AccessSurgery | McGraw-Hill Medical

"Colectomy, Left End-to-End Anastomosis." Zollingers Atlas of Surgical Operations Zollinger RM, Jr, Ellison E, Bitans M, Smith ... Colectomy, Left End-to-End Anastomosis. In: Zollinger RM, Jr, Ellison E, Bitans M, Smith J. Zollinger R.M., Jr, Ellison E, ... Robert M. Zollinger, Jr, et al.eds. Zollingers Atlas of Surgical Operations New York, NY: McGraw-Hill; 2011. http:// ...
more infohttp://accesssurgery.mhmedical.com/content.aspx?bookid=430§ionid=42074473

Surgery: Meckels diverticulum | Surgical resection of diverticulum with anastomosis. Treatment in St. Gallen, Switzerland |...Surgery: Meckels diverticulum | Surgical resection of diverticulum with anastomosis. Treatment in St. Gallen, Switzerland |...

Surgical resection of diverticulum with anastomosis. Treatment in St. Gallen, Switzerland ✈ Find the best medical programs at ... Surgery: Meckels diverticulum - Surgical resection of diverticulum with anastomosis. Treatment in Switzerland, St. Gallen ...
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Univ of Arizona Mock Exam C Flashcards by Stanton Gray | BrainscapeUniv of Arizona Mock Exam C Flashcards by Stanton Gray | Brainscape

Surgical anastomosis of two animals. Reference: Fox JG, Barthold SW, Davisson MT, Newcomer CE, Quimby FW, Smith AL, eds. 2007. ... In stereotactic surgical procedures, what do the terms "bregma" and "lambda" refer to? ... Which of the following statements is FALSE regarding the use of 70% isopropyl alcohol for bacterial decontamination of surgical ... Efficacy of soaking in 70% isopropyl alcohol on aerobic bacterial decontamination of surgical instruments and gloves for serial ...
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Patente US6763993 - Surgical stapling instrument and method thereof - Google PatentesPatente US6763993 - Surgical stapling instrument and method thereof - Google Patentes

Surgical anastomosis methods and devices. US3254651. 12 Sep 1962. 7 Jun 1966. Babies Hospital. Surgical anastomosis methods and ... Surgical anastomosis apparatus and method thereof. US5947363. 20 Mar 1998. 7 Sep 1999. Heartport, Inc.. Surgical stapling ... Surgical instrument for intraluminal anastomosis. US3692224. 15 Oct 1970. 19 Sep 1972. Ozhgikhin Anatoly Nikolaevich. Surgical ... Surgical instrument for performing anastomosis. US4646745. 22 Nov 1985. 3 Mar 1987. United States Surgical Corporation. ...
more infohttp://www.google.es/patents/US6763993?hl=es&dq=flatulence

Patent US6155264 - Percutaneous bypass by tunneling through vessel wall - Google PatentsPatent US6155264 - Percutaneous bypass by tunneling through vessel wall - Google Patents

Surgical instrument for establishing compression anastomosis. US4911164 *. Apr 26, 1988. Mar 27, 1990. Roth Robert A. Surgical ... United States Surgical Corporation. Method of performing a vessel anastomosis using a surgical clip applier. ... Surgical anastomosis device. US5287861 *. Oct 30, 1992. Feb 22, 1994. Wilk Peter J. Coronary artery by-pass method and ... United States Surgical Corporation. Circular anastomosis device. US5441507 *. Apr 11, 1994. Aug 15, 1995. Wilk; Peter J.. ...
more infohttp://www.google.com/patents/US6155264?dq=6,595,873
  • This complex syndrome leads to different metabolic and water and acid/base imbalances, as well as nutritional and immunological issues along with the problem accompanying an abdomen subjected to many surgical procedures and high mortality. (medigraphic.com)
  • 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. (medigraphic.com)
  • Alternative endoscopically treatment modalities are welcome especially in cases of failure of the above mentioned endoscopic treatment modalities to prevent the necessity of surgical reintervention which is associated with high mortality or mutilating surgical outcome such as proximal diversion with cervical esophagostomy. (clinicaltrials.gov)
  • The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. (google.co.uk)
  • A disposable surgical stapling instrument for the joining together of tubular body organs such as the organs of the alimentary canal. (patents.com)
  • 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. (patents.com)
  • Potts anastomosis has been demonstrated as a good palliation in children to alleviate symptoms and medical therapy despite desaturation in the lower part of the body. (nih.gov)
  • Surgical treatment of CRVO by the creation of a RCA may be an effective therapy for some patients with CRVO. (arvojournals.org)
  • Radical prostatectomy and radical cystectomy both require anastomosis of the bladder to the urethra in order to restore continuity. (wikipedia.org)
  • Conclusion: Our study showed very favorable results from using Seam Guard (W.L. Gore and associates, Flagstaff, AZ) for colorectal anastomosis. (sages.org)
  • 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. (springeropen.com)
  • However, vitrectomy and induction of retino-choroidal anastomosis (RCA) with Er:Yag laser for this purpose has been reported previously (IOVS 2000;41(4):B523 Abs nr 3425). (arvojournals.org)
  • An anastomosis connecting an artery to a vein is also used to create an arteriovenous fistula as an access for hemodialysis. (wikipedia.org)
  • WL Gore & Associates Inc, Newark, Del) was used to create the unidirectional valve and implanted in the Potts anastomosis. (nih.gov)
  • Intrapulmonary injection of Erciplex glue (Peters Surgical, Bobigny, France), diluted in 70% alcohol, was used to create acute pulmonary hypertension. (nih.gov)
  • There appeared to be specific advantages and disadvantages associated with different instrumentation employed to create these anastomosis. (arvojournals.org)
  • This live interactive video demonstrates a robotic total gastrectomy for gastric cancer, including a stepwise lymphadenectomy and precise thorough description of esojejunal anastomosis. (websurg.com)