Transanal mucosectomy using an ultrasonically activated scalpel for ulcerative colitis

被引:8
作者
Kusunoki, M [1 ]
Shoji, Y [1 ]
Yanagi, H [1 ]
Yamamura, T [1 ]
机构
[1] Hyogo Coll Med, Dept Surg 2, Nishinomiya, Hyogo 663, Japan
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1999年 / 29卷 / 04期
关键词
mucosectomy; ultrasonically activated scalpel; ulcerative colitis;
D O I
10.1007/BF02483073
中图分类号
R61 [外科手术学];
学科分类号
摘要
We describe herein our technique of using an ultrasonically activated scalpel (Harmonic Scalpel [HS]) to simplify the procedure of anorectal mucosectomy for ulcerative colitis (UC), This technique tvas successfully employed to perform restorative proctocolectomy and ileoanal anastomosis (IAA) in ten patients with UC. By using the HS, thermal injury of the internal anal sphincter was avoided during mucosectomy; and we were able to dissect the inflamed mucosa sharply without causing breeding. HS reduced the operative time and blood loss compared with the traditional forceps-coagulation technique. These results indicate that the introduction of this new scalpel will facilitate an increase in the number of cases of mucosectomy for IAA.
引用
收藏
页码:392 / 394
页数:3
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