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Anastomosic leak raye testing

Francisco Sánchez-De Pedro, Carlos Moreno-Sanz, Antonio Morandeira-Rivas, Jose María Tenías-Burillo, Cristina Alhambra-Rodríguez De Guzmán
BACKGROUND: Recently, there has been speculation about the possibility of fusing intestinal tissue using bipolar sealing devices. In this study we compare in a porcine model the anastomoses created using the LigaSure(®) device with those created with a stapler after section and closure of a rectal stump. METHODS: Thirty pigs underwent laparoscopic colorectal anastomosis. In group A (n = 15), the division of the intestine and distal stump closure were done with a 10-mm LigaSure Atlas(®) device...
February 2014: Surgical Endoscopy
Steven J Binenbaum, Roy M Dressner, Frank J Borao
OBJECTIVES: We present 2 patients with free perforation of the anterior wall of the Roux limb due to marginal ulceration after an antecolic laparoscopic gastric bypass and describe the surgical management and laparoscopic repair technique. METHODS: A 15 mm Hg pneumoperitoneum was established with a Veress needle via the left subcostal approach in both patients. Entrance into the abdomen was achieved with the 5 mm Optiview blunt trocar. The Genzyme liver retractor was used to lift the left lobe of the liver and expose the gastrojejunal anastomosis...
July 2007: JSLS: Journal of the Society of Laparoendoscopic Surgeons
G A Nicksa, R V Dring, K H Johnson, W V Sardella, P V Vignati, J L Cohen
PURPOSE: Postoperative anastomotic leaks are one of the most devastating consequences of colorectal surgery. Diagnostic imaging for upper gastrointestinal anastomotic leaks has been evaluated and reported on extensively. No study has compared the utility and effectiveness of CT scans and water-soluble enemas for the identification of postoperative lower gastrointestinal anastomotic leaks. The present study was designed to evaluate and compare these two common radiographic imaging modalities in detecting lower gastrointestinal anastomotic leaks...
February 2007: Diseases of the Colon and Rectum
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