title: Prevention and treatment of intestinal dehiscence by an intraluminal bypass graft.
abstract: The most important cause of morbidity and mortality in the surgery of the colon, rectum and oesophagus is dehiscence. An experimental study to investigate a method of protecting intestinal anastomoses/dehiscences by an intraluminal bypass graft was carried out. This was accomplished by the implantation of a soft tube (graft) in the proximal intestine above the proposed anastomosis/dehiscence, which conducts the salivary, gastrointestinal secretion, food and faecal stream past the anastomosis/dehiscence into the distal intestine; these contents are thereby prevented from coming in contact with the anastomosis/dehiscence. Intestinal continuity is then completed. The graft is expelled spontaneously after a varying time. In the face of gross anastomotic dehiscences, faecal peritonitis and mediastinitis, primary healing without leakage occurs. A clinical study has been instituted.
mesh_terms: D000818:Animals; D003106:Colon / Q000601:surgery*; D004285:Dogs; D004947:Esophagus / Q000601:surgery*; D019736:Prostheses and Implants; D013529:Surgical Wound Dehiscence / Q000517:prevention & control* / Q000601:surgery; D013536:Suture Techniques; D013997:Time Factors