COMPARISON OF BURSTING PRESSURE OF SUTURED, STAPLED AND BAR ANASTOMOSES

被引:25
作者
BUNDY, CA [1 ]
JACOBS, DM [1 ]
ZERA, RT [1 ]
BUBRICK, MP [1 ]
机构
[1] HENNEPIN CTY MED CTR,DEPT SURG,701 PK AVE,MINNEAPOLIS,MN 55415
关键词
D O I
10.1007/BF00341267
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The study was undertaken to compare anastomotic bursting pressure (ABP) of colorectal canine anastomoses using three different anastomotic techniques. Biofragmentable anastomotic ring (BAR), stapled, and sutured colon anastomoses were sequentially placed in each of 48 dogs following division of the colon at three equally spaced sites. Four groups of 12 dogs were sacrificed either on day 0, 3, 7, or 28 and ABP and bursting wall tension were determined. The data revealed that BAR anastomoses have the greatest strength on the day of surgery, sutured anastomoses are the strongest on the third day and all are comparable by the 7th day. Bursting pressures for all groups by day 28 approach normal colonic bursting pressure, with any differences likely to be a reflection of variation in anastomotic fibrosis and other factors.
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页码:1 / 3
页数:3
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  • [1] Fielding L.P., Stewart-Brown S., Blesovsky L., Kearney G., Anastomotic integrity after operations for large bowel cancer: a multicentre study, Br Med J, 281, pp. 411-414, (1980)
  • [2] Bubrick M.P., Corman M.L., Cahill C.J., Hardy T.G., Nance F.C., Shatney C.H., Prospective, randomized trial of the biofragmentable anastomosis ring, Am J Surg, 161, pp. 136-143, (1991)
  • [3] Hardy T.G., Pace W.G., Maney J.W., Katz A.R., Kaganov A.L., A biofragmentable ring for sutureless bowel anastomosis: an experimental study, Dis Colon Rectum, 28, pp. 484-490, (1985)
  • [4] Maney J.W., Katz A.R., Li L.K., Pace W.G., Hardy T.G., Biofragmentable bowel anastomosis ring: comparative efficacy studies in dogs, Surgery, 103, pp. 56-62, (1988)
  • [5] Nelsen T.S., Anders C.J., Dynamic aspects of small intestinal rupture with special consideration of anastomotic strength, Arch Surg, 93, pp. 309-314, (1966)
  • [6] Jiborn H., Ahonen J., Zederfeldt B., Healing of experimental colonic anastomoses. I. Bursting strength of the colon after left colon resection and anastomosis, Am J Surg, 136, pp. 587-594, (1978)