Microsurgery Method Single-Row Continuous Z-Shape Suture
- Authors: 1
-
Affiliations:
- Smolensk State Medical Academy, 28 Krupskoi Str., Smolensk, 214019, Russian Federation
- Issue: Vol 7, No 1 (2014)
- Pages: 70-73
- Section: Short articles
- URL: https://vestnik-surgery.com/journal/article/view/67
- DOI: https://doi.org/10.18499/2070-478X-2014-7-1-70-73
- ID: 67
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Full Text
Abstract
Relevance of the bowel Paresis and perifocal edema zone anastomosis leads to increased pressure in the intestinal lumen,
increasing its diameter, stretching walls, the proportional increase of the distance between the joints, which can promote the
development of the cutting of seams and violate the reparative process in place of the anastomosis.
The purpose of the study is development of pathogenetically grounded way single row of continuous Z-shape seam made using
microsurgical techniques.
Materials and methods of Experimental investigations were carried out on 70 Mature white rats of line Vistar» in two stages. At
the first stage compared the features of the healing intestinal wounds. In the first series anastomosis were performed using singlerow-through
a hub seam, 2nd - row type continuous blanket serous-muscular-submucosal seam. The second stage was devoted
to development of pathogenetically grounded way single row of continuous serous-muscular-submucosal Z-shaped seam, the
development of technology developed seam 100 fresh gastrointestinal conglomerates pigs and 10 adult white rats of line Vistar»
Results and their discussion the early postoperative period in the series, where the anastomosis is performed continuous blanket
serous-muscular-submucosal seam has the tendency to the formation of a more durable joint anastomosis than in series, where the
anastomosis is performed through a hub seam. Developed new single row of continuous Z-seams having greater strength, integrity,
large clamping area of contact serous membranes.
Conclusion To the extent that the equipment proposed single row of continuous serous-muscular-submucosal Z-shaped seam is
distributed multi-vector tensile strength that can prevent restretching tissues and prevent insolvency anastomosis
About the authors
Smolensk State Medical Academy, 28 Krupskoi Str., Smolensk, 214019, Russian Federation
Author for correspondence.
Email: svetlanash_05@mail.ru
PhD, associate Professor of the Department of operative surgery and topographical anatomy of the Smolensk state medical Academy
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