|
|
|
|
|
|
|
Acta Medica Medianae |
METHODS FOR EXPERIMENTAL ANASTOMOSES PROTECTION ON THE COLUMN Goran STANOJEVIĆ, Dragojlo GMIJOVIĆ, Milan JOVANOVIĆ, Miroslav STOJANOVIC, Miomir PEŠIĆ and Milan VIŠNJIĆ
Surgical Clinic ofthe Clinic Center, Niš
The paper presents
the results of an experimental research on small animals (rats) whose
purpose is to check upon efficiency of the protection methods for
suppressing dehiscence of the column anastomoses. The research is
carried out on 90 experimental animals divided into three groups of 30.
In the control group (group K) the segment resection of the left side of
the column is done with termino-terminal anastomosis by a one-layer
extension suture. In the II animal group the anastomosis protection is
done by intraluminal application of latex prosthesis (group L) and in
the III group the fibrin adhesive or bioadhesive application is done
(group F). The complete dehiscence of anastomosis as the cause of
mortality in the group K is registered in 3 (10) cases while in the
group L in 2 (6,6) animals. In the group F there is no dehiscence with
the energence of diffuse piritonitis. By applying the protection methods
in perfomning on the column better reoults are achieved and they are
manifested in a smaller number of dehiscences. The local application of
the fibrin adhesive provides for the best results since the good
mechanical protection is achieved while at the same time the healing
time of the column anastomoses is shortened. Key words: Column anastomoses, protective lax prosthesis, fibrin adhesive |