[Protection of cervical anastomosis after retrosternal coloplasty by an resorbable collagen impregnated lattice].
One of the main problems of retrosternal oesophagoplasty is the frequent fistulization of the cervical anastomosis. In 27 consecutive patients we protected the cervical anastomosis by means of a new absorbable polyglactin 910 mesh impregnated with collagen. The mesh, which was 3 cm wide and 4 cm long, was applied on two-thirds of the circumference of the anastomosis. A comparison between these patients and a series of 27 consecutive patients with unprotected cervical anastomosis showed a fall in fistulization rate from 41% to 14%, the difference being significant (P less than 0.05). No complication due to the use of this material was observed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003094:Collagen / Q000627:therapeutic use*; D003106:Colon / Q000601:surgery*; D004937:Esophageal Fistula / Q000517:prevention & control; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*
D003094:Collagen
Protection des anastomoses cervicales après coloplastie rétrosternale par un treillis résorbable imprégné de collagène.