EXPERIMENTAL EVALUATION OF MECHANICAL STRENGHT PROPERTIES IN PRECISE SINGLE-LAYERED INTESTINAL ANASTOMOSIS
Abstract and keywords
Abstract (English):
Objective of the research is to study strength properties of author’s enteroenteroanastomosis single-layer suture by the method of pneumompression. Matherial and Methods. Experiment was carried out on 45 rabbits of «butterfly» breed. There were three groups of animals. Author’s single-layer precise suture was fulfiled in the first group. Author’s single-layer precise interrupted suture was made in second group rabbit. In third (control) group Albert-Schmieden suture was used. Animals were taken off the experiment on 1, 3, 5, 14 and 30 days after a surgery. Strength properties were studied at the same terms by pneumopression. Results. Anastomoses pneumopression displayed progressive decreasement of strength properties in both precise suture groups to third day up to 111.2±1.7 and up to 98,3±6,0 mm.Hg. in a control group. Strength decreasement for both precise suture groups came to 16.2%, whereas for control group - 36%. Rupture pressure was rising from fifth day in precise suture groups up to 120.7±2.4 mm.Hg., and to 114.3±7.0 mm.Hg. in the control group to 198,8±3,8 and 172,0±8,5 mm. Hg correspondently in the second week of postoperative period. Futher data not significantly changed. Conclusions. Single-layered precise suture techniques of anastomoses formation with microsurgery showed to be beneficial as for Albert-Shmiden’s suture rupture pressure was much more variable in all stages of repair. It demonstrates authentically better outcomes in author’s single-layer precise intestinal suture methods.

Keywords:
intestinal anastomosis, microsurgery method, pneumopression
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References

1. Li G., Y. Xu Y., Zhang Y., Zhang F., Wang Q., Ma Q. Efficacy of single-layer continuous suture of the posterior wall in anastomosis involving a difficult location of the digestive tract.Oncology Letters. 2014;4(8):1567-1574. doi:https://doi.org/10.3892/ol.2014.2397

2. Moug S.J., Henderson N., Tiernan J., Bisset C. N.,Ferguson E.,Harji D.,Maxwell-Armstrong C.,MacDermid E.,Acheson A. G., Steele R. J. C., Fearnhead N. S. The colorectal surgeon’s personality may influence the rectal anastomotic decision. Colorectal Disease. 2018;11(20):970-980. doi: 10.1111/ codi.14293

3. Bhargava G., Singh H., Singh J. Single or double layer intestinal anastomosis?International Surgery Journal. 2016;3(4):2173-2176. doi: https://doi.org/10.18203/2349- 2902.isj20163595

4. Pinkney T. D, Battersby N., Bhangu A., Chaudhri S. Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: an international snapshot audit.Colorectal Disease. 2017;8(19):e296-e311. doi:https://doi.org/10.1111/codi.13646

5. Frasson M., Granero-Castro P., Rodrnguez J. L. R., Flor-lorente B. Risk factors for anastomotic leak and postoperative morbidity and mortality after elective right colectomy for cancer: results from a prospective, multicentric study of 1102 patients. International Journal of Colorectal Disease. 2016;1 (31):105-114. doihttps://doi.org/10.1007/s00384-015-2376-6

6. Baumann P., Kim J., Ahn S-H., Kim H-H. Midterm absorbable monofilament is safe and effective for gastrointestinal anastomosis - PROMEGAT- A single-arm prospective observational study.Annals of Medicine and Surgery. 2018;3(30):1-6. doi:https://doi.org/10.1016/j.amsu.2018.04.003

7. Agrawal A., Jain A.K. To Analyze Variables Considered as Potential Risk Factors for Gastro Intestinal Anastomotic Leaks. International Journal of Contemporary Medicine, Surgery and Radiology. 2018;4(3):D87-D89. doi:https://doi.org/10.21276/ijcmsr.2018.3.4.20

8. Goulder F. Bowel anastomoses: The theory, the practice and the evidence base.World Journal of Gastrointestinal Surgery. 2012;9(4):208-213. doi:https://doi.org/10.4240/wjgs.v4.i9.208

9. Nemma S.K., SinghS., Rana A. P. S., Kapoor R. Small intestine anastomosis by full thickness, single layer and interrupted suture technique: results of a comparative study.International Surgery Journal. 2019;3(6):675. doi:https://doi.org/10.18203/2349-2902.isj20190813

10. Kagan I.I., Tret'yakov A. A., Esipov V. K. Principy i eksperimental'no-morfologicheskoe- obosnovanie mikrohirurgicheskogo kishechnogo shva. Orenburgskiy medicinskiy vestnik. 2015;3(3- 11):29-34.

11. Kagan I. I., Tret'yakov A. A. Principy i vozmozhnosti primeneniya mikrohirurgicheskih tehnologiy v vosstanovitel'noy hirurgii zheludochno-kishechnogo trakta. Voprosy rekonstruktivnoy i plasticheskoy hirurgii. 2016;19(1-56):41-46. doi:https://doi.org/10.17223/1814147/56/6

12. Tret'yakov A. A., Kagan I. I.,Schetinin A. F., Voronov D. Yu., Karabasov A. E., Nikitenkov A. G., Neverov A. N. Mikrohirurgicheskie mezhorgannye anastomozy v abdominal'noy hirurgii.Orenburgskiy medicinskiy vestnik. 2013;I(3):25-29.

13. Tret'yakov A. A., Kagan I. I., Schetinin A. F. Teoreticheskie i prakticheskie aspekty mikrohirurgicheskih antireflyuksnyh zheludochno-kishechnyh anastomozov pri rezekcii zheludka. Orenburgskiy medicinskiy vestnik. 2016;4(4-16):17-23.

14. Patent Ukrainy na poleznuyu model' №32940 / 10.06.08. Byul. №11. Rezanov P.A., Kaminskiy I.V. Sposob formirovaniya anastomoza na zheludochno-kishechnom trakte. Dostupno po: https://library.uipv.org/ document?fund=2&id=120403&name. Ssylka aktivna na 21.06.2020.

15. Patent Ukrainy na poleznuyu model' №119073 / 11.09.17. Byul. № 17. Rezanov P. A., Grivenko S. G. Sposob formirovaniya anastomoza na zheludochno-kishechnom trakte. Dostupno po: https://library.uipv.org/ document?fund=2&id=239047&name. Ssylka aktivna na 21.06.2020.

16. Ahmetzyanov F. Sh., Egorov V. I., Fomin A. I., Kokshin A. V. Prognosticheskaya model' nesostoyatel'nosti shvov kolorektal'nogo anastomoza. Novosti hirurgii. 2018;26(6):707-714. doi: 10.18484 /2305-0047.2018.6.707


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