[Healing of esophagogastric anastomosis performed with the use of compression suturing equipment].
The authors' findings permit a conclusion that a compression formation of an esophagogastroanastomosis is a simpler and more reliable method than other techniques used in cases of proximal resection of the stomach. The anastomosis sutures have failed in only one of the 44 surgeries. The surgical procedure is the same as that used when the routine IIKC or CIITY equipment is employed. Unlike the anastomoses formed manually, compression anastomoses rule out one of the major drawbacks of a suture made by hand, i.e. bacterial contamination of the anastomosis area. Clamps and needles of the compression rings in anastomoses formed by means of compression apparatus AKA-2 and modified CIITY apparatus with silicone gaskets are free of the wick characteristics typical of the common suturing material, when the bacterial flora is transported into the deep-lying layers of the anastomosed organs along the thread fibers from the side of the mucosa. Resection of the proximal portion of the stomach and the lower thoracic portion of the esophagus has been carried out in 2 patients, making use of a compression anastomosis. The course of the postoperative period has been normal.
Pirogov
A I
AI
Morkhov
Iu K
IuK
Iushkov
S F
SF
Kaishin
N N
NN
Dzhabbarov
M M
MM
D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D004285:Dogs; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D013274:Stomach Neoplasms / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013536:Suture Techniques / Q000295:instrumentation*; D014945:Wound Healing
Zazhivlenie pishchevodno-zheludochnogo anastomoza, nalozhennogo s pomo'shchiu kompressionnykh sshivaiushchikh apparatov.