End-to-End Compression Anastomosis of The Rectum: A Pig Model View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-03

AUTHORS

Doron Kopelman, Shlomo Lelcuk, Joel Sayfan, Ibrahim Matter, Ehud P. Willenz, Luis Zaidenstein, Ossama A. Hatoum, Boaz Kimmel, Amir Szold

ABSTRACT

BACKGROUND: Generations of investigators have attempted to achieve compression bowel anastomosis by a sutureless device, providing temporary support to the tissue and facilitating the natural healing process. The biocompatibility of nickel-titanium alloy has made it attractive for use in medical implants and devices, and several studies have described the creation of a side-to-side compression anastomosis in colon surgery with a nickel-titanium clip. We evaluated the feasibility and safety of a newly designed gun for applying a nickel-titanium compression anastomosis ring (CAR) to create an end-to-end colorectal anastomosis in a porcine model. MATERIALS AND METHODS: A segment of the proximal rectum was resected in 25 pigs. The bowel ends were anastomosed transanally by an end-to-end CAR device. The animals' follow-up continued for up to 8 weeks, and included general health status, weight gain, blood tests, and abdominal X-ray. They were then sacrificed. The anastomoses were studied for burst pressure, anastomotic index, and histopathology. RESULTS: One pig died due to iatrogenic bowel injury unrelated to the CAR device. There was no other morbidity/mortality. The other animals recovered and gained weight. Burst pressure studies demonstrated a minimum pressure of 160 mmHg at time point 0 that escalated quickly to >300 mmHg. The mean anastomotic index after 8 weeks was 0.81. Histologic evaluation revealed minimal inflammation and minimal fibrosis at the anastomosis site. CONCLUSION: The principles of compression anastomosis are better executed with the use of memory shape alloys. The promising results of this novel technique should encourage further studies of this technology. More... »

PAGES

532-537

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-006-0221-3

DOI

http://dx.doi.org/10.1007/s00268-006-0221-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027830964

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17334866


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