PubMed Health⌕ Search

PubMed · 3400036

A new device to facilitate intestinal pull-through procedures.

Abstract

The difficulty in passing segments of the intestine from the abdominal cavity to the desired location during pull-through procedures has been facilitated considerably by the use of a new device called the enterotractor. This hollow tubular stainless steel instrument allows the surgeon to fit and tie the intestine over a movable olive shaped head which can be retracted by releasing a locking mechanism at which point the intestine can then be pulled through safely. No complications have been encountered using this tool in the 63 patients intervened since 1982 and the operating time has been shortened creating an adequate size tunnel for the pull-through procedure. Excellent traction of the intestinal segment is provided, and the use of pursestring sutures and clamps is avoided. In addition, the simplified technique prevented leakage of the anastomosed contents of the intestine, therefore, minimizing contamination.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R P Barraza. 1988. A new device to facilitate intestinal pull-through procedures.. https://pubmed.ncbi.nlm.nih.gov/3400036/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Revival of the side-to-side approach for distal coronary anastomosis.

Side-to-side anastomosis was employed by just ten proportional stitches while performing distal anastomosis during coronary artery surgery. This technique is simple and quick. Here this simple technique is described in detail and the postoperative status of grafted conduits is reported.

Anastomosis, Surgical↗

Review article: Indeterminate colitis--definition, diagnosis and management.

BACKGROUND: The term indeterminate colitis is imprecise and without a generally accepted definition. Nevertheless, it is a term that is commonly used by gastroenterologists, pathologists and surgeons. AIM: To offer an opinion supported by published data, about the appropriate use of the term indeterminate colitis by addressing a series of questions. METHODS: A PubMed database search was performed using the keywords, 'colitis' and 'inflammatory bowel disease' each combined individually with the following adjectives: 'indeterminate', 'unclassified', 'undefined', 'undiagnosed' and 'non-specific'. RESULTS: There is no generally accepted definition of indeterminate colitis. All current applications of the term rely on exclusionary criteria and there is no confirmatory diagnostic test. Nevertheless, the diagnosis of indeterminate colitis appears to be durable in a subgroup of patients, suggesting that this group represents a unique phenotype. CONCLUSIONS: Indeterminate colitis has expanded from a strictly defined, postcolectomy pathological diagnosis to become, in addition, a clinical diagnosis without generally accepted criteria. A diagnosis of indeterminate colitis should be qualified with descriptors for the diagnostic criteria applied.

Anastomosis, Surgical↗

Acellular dermal matrix grafts for prevention of microarterial thrombophlebitis.

OBJECTIVE: To examine the role of acellular dermal matrix grafts for prevention of microarterial anastomotic thrombophlebitis. DESIGN: Bilateral femoral artery microvascular anastomoses were created in the field of established wounds infected with Staphylococcus aureus in 12 rats. In each animal, 1 femoral microarterial anastomosis was wrapped with an acellular dermal matrix graft, and the contralateral femoral anastomosis was left unprotected. The incidence of femoral artery thrombosis was determined after 4 days by wound reexploration. SETTING: David Geffen School of Medicine, University of California, Los Angeles. MAIN OUTCOME MEASURE: The patency of femoral artery anastomoses was determined after 4 days by wound reexploration. RESULTS: The incidence of femoral artery thrombosis in vessels wrapped with acellular dermal matrix grafts was 17%. The incidence of femoral artery thrombosis in unprotected vessels was 100%. This difference was statistically significant (P<.05). CONCLUSION: Acellular dermal matrix grafts seem to have a protective effect in the prevention of acute thrombophlebitis when arterial microvascular anastomoses are performed in infected surgical fields.

Anastomosis, Surgical↗