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Minerva Chir ; 53(3): 129-34, 1998 Mar.
Artículo en Italiano | MEDLINE | ID: mdl-9617107

RESUMEN

BACKGROUND: Surgeons variously estimate usage of mechanical staplers in digestive surgery especially about the increase of the incidence of late complications like stricture (as some authors refer). We report a histomorphological aid to the comparison of staplers and hand-sewn sutures. Our aim was to observe at long term the healing process in the sutured tissue in the canine gastro-enteric tract. METHODS: We describe three histological pieces: one manual suture in a dog which was euthanatized and necropsied 5 months after operation and two mechanical sutures performed in two different dogs: one died because of a gastric torsion 18 months after the operation while the other was euthanatized 5 months after the operation. The histomorphological study has been carried out with a peculiar cutting (Exact) and including method which lets the staples in situ. RESULTS AND CONCLUSIONS: Compared analysis showed that cicatrization goes on better in stapled than in hand sutured tissue.


Asunto(s)
Anastomosis Quirúrgica/efectos adversos , Procedimientos Quirúrgicos del Sistema Digestivo , Engrapadoras Quirúrgicas , Técnicas de Sutura , Animales , Constricción Patológica , Perros , Estudios de Evaluación como Asunto , Estudios de Seguimiento , Intestino Delgado/anatomía & histología , Intestino Delgado/patología , Intestino Delgado/cirugía , Estómago/anatomía & histología , Estómago/patología , Estómago/cirugía , Factores de Tiempo , Cicatrización de Heridas
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