New Technique for Magnetic Compression Anastomosis Without Incision for Gastrointestinal Obstruction
نویسندگان
چکیده
BackgroundMagnetic compression anastomosis (MCA) is a novel technique of similar to that with surgery, but in minimally invasive manner. Few reports are available on the utility and feasibility MCA for gastrointestinal without requiring general anesthesia humans, owing difficulty delivering magnets. We evaluated safety, efficacy, obstruction anesthesia.Study DesignIn this retrospective single-center study, patients who underwent from January 2013 October 2019 were included. Adult or stenosis, irrespective underlying disease, severe comorbidities, complicated abdominal surgical history, postoperative complications, unable tolerate eligible inclusion. Two magnets delivered by combination endoscopic fluoroscopic procedures placed lumen organ be anastomosed. The main outcome was technical success MCA.ResultsFourteen MCA, achieved 100% cases. mean procedural time, duration formation, hospital stay 44 minutes, 13 days, 36 respectively. anastomotic restenosis, 1 patient had an perforation due balloon dilatation prevent restenosis. follow-up period 34 months.ConclusionsMCA safe, useful, feasible. can valuable alternative surgery obstruction. Magnetic anesthesia. In MCA. Fourteen months.
منابع مشابه
a new approach to credibility premium for zero-inflated poisson models for panel data
هدف اصلی از این تحقیق به دست آوردن و مقایسه حق بیمه باورمندی در مدل های شمارشی گزارش نشده برای داده های طولی می باشد. در این تحقیق حق بیمه های پبش گویی بر اساس توابع ضرر مربع خطا و نمایی محاسبه شده و با هم مقایسه می شود. تمایل به گرفتن پاداش و جایزه یکی از دلایل مهم برای گزارش ندادن تصادفات می باشد و افراد برای استفاده از تخفیف اغلب از گزارش تصادفات با هزینه پائین خودداری می کنند، در این تحقیق ...
15 صفحه اولCompression Anastomosis Clips Versus a Hand-Sewn Technique for Intestinal Anastomosis in Pigs.
BACKGROUND Anastomotic dehiscence and leaks are major problems in gastrointestinal surgery and result in increased morbidity and mortality. The ideal device to create anastomoses should ensure good serosal apposition without requiring either transgression of the bowel wall or the presence of foreign material for an extended period of time. OBJECTIVES The aim of this experimental study was to ...
متن کامل[Treatment for bowel or biliary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its clinical evaluation].
1.磁石圧迫吻合術の原理 この手法を思いつくにいたったきっかけであるが, 今から 14 年前の小児の貼付用磁石治療器具(ピップ エレキバンTM)の誤嚥による腸閉塞症例において, 吸着しあった磁石同士の部分に吻合が形成されていた という事実に基づいている.このことから大きく強 い磁石を用いたならば成人にも同様な吻合を形成する ことが可能ではないかと考え,多くの試行錯誤と実験 の結果,最終的に臨床応用出来るところまで技術的に 完成させることが出来た. 実際には,腸管の狭窄部位を迂回するように 2個の 磁石を留置し吸着させると,磁石間に挟まれた 2つの 腸管壁は徐々に虚血壊死におちいる.この時,接し合っ た腸管壁同士は癒着し孔が開き,やがて融合し溝とな り磁石周囲を取り囲むようになる.この溝が磁石周囲 を 1周すると磁石は吻合部から切り離され,きれいな 層々吻合が完成する(図 1). ―特...
متن کاملa novel technique of small incision fascia lata harvesting without a faciatome for frontalis suspension procedure
purpose : to introduce a small incision technique of fascia lata (fl) harvesting for frontalis suspension blepharoptosis procedure. methods : a skin incision was made in a line between the lateral condyle of the tibia and the anterior superior iliac crest, starting 4- 5 cm above the knee and extending upward 2- 2.5 cm . approximately 8 cm superior to the first incision, a second skin incision w...
متن کاملShape memory compression anastomosis clips in gastrointestinal surgery in dogs
This paper describes clinical experiences with the use of shape memory nickel-titanium (NiTi) clips in gastrointestinal surgery in dogs. Side-to-side small bowel anastomosis was performed in eight dogs where intestinal continuity had to be restored after bowel resection. Billroth’s operation I was performed in one case. Compression anastomosis clips with two-way shape memory were used in all su...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of The American College of Surgeons
سال: 2021
ISSN: ['1072-7515', '1879-1190']
DOI: https://doi.org/10.1016/j.jamcollsurg.2020.10.012