Single suture anastomosis in the pediatric gastroi

e707004304 · Wysłany: Czw 23:49, 10 Mar 2011

Single suture anastomosis in the pediatric gastrointestinal application

Upon the organization of the anastomotic healing of the body yet, anti-broken only by suture to maintain tension. As early as 1924 Halst-edl to prove that the establishment of the submucosa sutured anastomotic tension is most important because the submucosa tissue by a large number of collagen fibers and elastic fibers in the wall of the various layers of the most rugged, and mucous membranes, plasma membrane and muscle, due to edema and brittle. Ship of the early formation of anastomotic tension is very limited. The more units in various stages of agreement in the submucosa of the concentration of collagen synthesis of the other layers of l0 times J. Because the mucosal layer of the fastest healing. It closed plane surface. Contents to prevent drying of pollution on the anastomotic tissue plays an important role. Can be seen accurately stitched together layers of the bowel anastomosis in the cave organizations together is essential. Brawen_7J of 327 patients with single and double inverted anastomosis of I clinical comparative study, single-bowel anastomosis in patients with rapid recovery of intestinal function after surgery, complications step. Mellish and HerzoyJ observed double-layer inverting intestinal anastomosis intestinal anastomosis relatively easy tissue infection and necrosis District, anastomotic small, and in serosal healing by different periods of anti-adhesion can withstand rupture tension than the single kiss Taiwan 29 times smaller. And the blood supply through the establishment rn kiss sets late. Small number of capillaries. The evidence show that, consistent with not only double the brain does not increase security to prevent anastomotic leakage, but also increases the risk. 181 Clinical observations support the view that the small single-layer intestinal anastomosis safe and reliable species jL hanging the flag high, children after defecation and eating f exhaust Xun shaving more) base station Kiss Yu Tang, the average is about as early as 24h ,[link widoczny dla zalogowanych], no anastomotic grand daughter in law} or do stupid Guo Hui points of the anastomosis: ① separation without excess mesangial intestinal anastomosis. ② In order to clearly identify the intestinal wall layers of tissue, pulp can be cut hard muscle and submucosa,[link widoczny dla zalogowanych], with muscularis submucosa such retraction. Mucosal prolapse, and then cut the mucosal layer. If I beat raw bleeding, ligation or electrocoagulation may be bleeding. @ According to the thickness of muscle wall to adjust stitch length. Needle distance is not too dense, not too tight knot, so as not to affect the blood supply to better times for the degree of co-intestinal wall. @ Park pin to wear when people were not too serous and muscular resistance. Submucosa only when the person wearing a large needle will feel the resistance, and across the submucosa, you will feel more resistance. Whether the joints were a reliable indication of the submucosa is felt through the resistance zone stitches ll port J, soldiers pay attention to understand it is easy to grasp. Participation 'each plot z,;;; 1 Zunyi Medical School surgery. Guiyang: Guizhou People's Club out of buildings. 1976.5902I Fan Wang vend map reference bundle pediatric surgery. Henan Science and Technology Ministry of thirty recovery collection agency, 1993.1663Spitzl |. NixonHH. pediatricsurgery (4thed) London; butterr ~ rths. 1988,3174 Cr ~ ninK, jacksonDS, Hunp】 EChangingburstingstrengthand, collagencontentoftheheal [~ mion. s White) fObstet. 1 snail. 126:7475 WL, ~ AlistCr_w, St death LnT. Studi file ontheke ~ Sngofan a torr10 painting Bof4ml pick d 【a working geimesfine ~ SurgGvn ~ ~ O ~ stet. 1975,141; 1906I-lal ~ tedWSSurgi ~ alpapers (Val1). Baltimore: JohnsHopkinsPress. 1924,1 ship 7BronwellAW,[link widoczny dla zalogowanych], RandolphR, MartinLD. SingleLayeropellgastrolmest ~ nalanaswmosisAnnSurg, 1967,165:9258 Md 【shRWP, Ty-/ c, KellerDJ. Studyofimesdnalhe ~ ingJPedlatrSurg, 1968.3:2869 HerzogB. Theolle-layerandtw0 a layerinte ~ tinnlan ~ stomo-53inanimalexperimentsProgPediatrSH ignorant,[link widoczny dla zalogowanych], 1973,5:3710 PoihFJ, GoldD. Technicsofgas ~ roimestiaallgttLLI ~,[link widoczny dla zalogowanych], Pro #. 1965l4