|dc.identifier.citation||"Advances in Clinical and Experimental Medicine" Nr 6 (2015), s. 1019-1029||pl_PL|
|dc.description.abstract||Background. Anastomotic dehiscence and leaks are major problems in gastrointestinal surgery and result in
increased morbidity and mortality. The ideal device to create anastomoses should ensure good serosal apposition
without requiring either transgression of the bowel wall or the presence of foreign material for an extended period
Objectives. The aim of this experimental study was to evaluate the safety and efficacy of a new compression anastomosis
clip (CAC) for jejunojejunostomies and ileocolostomies by comparing CAC anastomoses with hand-sewn
(HS) anastomoses in pigs in terms of healing, breaking strength and the time to create anastomoses.
Material and Methods. The 11 pigs in the study underwent side-to-side CAC and HS jejunojejunostomies and
ileocolostomies, for a total of 88 anastomoses. The pigs were sacrificed on postoperative day 5 (5 pigs) or 7 (6 pigs).
Macroscopic, histopathological and breaking-strength examinations were performed. The time to create the anastomoses
Results. Neither group had anastomotic complications such as leakage or obstruction. Macroscopic examination
showed no statistically significant differences between the groups. In the CAC group, the healing process was
characterized by a lesser inflammatory reaction (p < 0.05) and very thin scar tissue at the anastomotic line (less
collagen deposition and better epithelial regeneration), while the HS group had a much thicker anastomotic line.
The breaking strength was significantly greater in the CAC group compared with the HS group (p < 0.05). The
anastomosis time was shorter in the CAC group than in the HS group (p < 0.01).
Conclusions. Anastomosis using a CAC appears to be safe and less time-consuming than HS; it was also characterized
by a good healing process with little inflammatory reaction and a high breaking strength compared with
HS anastomosis (Adv Clin Exp Med 2015, 24, 6, 000–000).||pl_PL|
|dc.rights||Uznanie autorstwa-Użycie niekomercyjne-Bez utworów zależnych 3.0 Polska||*|
|dc.subject||compression anastomosis clip||pl_PL|
|dc.title||Compression Anastomosis Clips Versus a Hand-Sewn Technique for Intestinal Anastomosis in Pigs||pl_PL|
|dc.relation.journal||Advances in Clinical and Experimental Medicine||pl_PL|
|Appears in Collections:||Artykuły (WNŚiT)|