The problem of consistency of intestinal suture
V.A. GORSKIY1, M.A. AGAPOV1, A.E. KLIMOV2, S.S. ANDREEV2
1Russian National Research Medical University named after N.I. Pirogov, 1 Ostrovityanov St., Moscow, Russian Federation, 117997
2Peoples’ Friendship University of Russia, 6 Mikluho-Maklay St., Moscow, Russian Federation, 117198
Gorskiy V.A. — D. Med. Sc., Professor, Deputy Head of the Department of Surgery of Medicobiologic Faculty, tel. +7-903-218-81-81, e-mail: gorviks@yandex.ru1
Agapov M.A. — Assistant at the Department of Surgery, tel. +7-916-365-79-20, e-mail: getinfo911@mail.ru1
Klimov A.E. — D. Med. Sc., Professor, Head of the Department of Faculty Surgery, tel. +7-916-622-06-51, e-mail: klimov.pfu@ mail.ru2
Andreev S.S. — Assistant of the Department of Faculty Surgery, tel. +7-903-530-30-77, e-mail: asmxav@yandex.ru2
The article presents the results of experimental and clinical research of the method of strengthening the intestinal sutures with fibrin-collagen substance. It is demonstrated that the substance allows enhancing mechanical strength and accelerating the repair processes of the area of anastomoses when making a prophylaxis of their disability. Use of this method in clinic is justified in case of peritonitis and intestinal obstruction.
Key words: intestinal suture, insolvency, fibrin-collagen substance (FCS).
REFERENCES
1. Babadzhanov B.D., Teshaev O.R., Beketov G.I. New approaches to treatment of postoperative peritonitis. Vestnik khirurgii, 2002, no. 4, pp. 25-28 (in Russ.).
2. Gostishchev V.K., Dibirov M.D., Khachatryan N.N., Evseev M.A., Omel’koskiy V.V. New possibilities for prevention of postoperative complications in abdominal surgery. Khirurgiya, 2011, no. 10, pp. 56-60 (in Russ.).
3. Biondo S., Pares D., Creisltr E. et al. Anastomotic dehiscence after resection and primary anastomosis in left-sided colonic emergenies. Dis Colon Rectum, 2005, vol. 48, pp. 2272-2280.
4. Branagan G., Finnis D. Prognosis after anastomotic leak in colorectal surgery. Dis Colon Rectum, 2005, vol. 48, pp. 1021-1076.
5. Egorov V.I., Turusov R.A., Schastlivtsev I.V., Baranov A.O. Kishechnye anastomozy. Fiziko-mekhanicheskie aspekty [Intestinal anastomoses. Physical and mechanical aspects]. Moscow: Vidar-M, 2002. 190 p.
6. Mrikh O.V. Profilaktika i lechenie nesostoyatel’nosti kishechnykh anastomozov s ispol’zovaniem bioeksplantatov: avtoref. dis. … kand. med. nauk [Prevention and treatment of insolvency intestinal anastomoses using bioeksplantatov. Synopsis of dis. PhD med. sci]. Ufa, 2000. 22 p.
7. Hesp W., Hendriks T., Schillngs P. et al. Histological features of wound repair: a comparison between experimental ileal and colonic anastomoses. Br. J. Exp. Path., 1985, vol. 66, pp. 511- 518.
8. Zhebrovskiy V.V. Oslozhneniya v khirurgii zhivota [Complications in surgery of the abdomen]. Moscow: MIA, 2006. 445 p.
9. Nartaylakov M.A. Kliniko-eksperimental’noe obosnovanie tselesoobraznosti primeneniya shovno-kleevogo sposoba v khirurgii kishechnika: avtoref. dis. … kand. med nauk [Clinical and experimental rationale for the use of suture-adhesive method bowel surgery. Synopsis of dis. PhD med. sci]. Kazan, 1989. 95 p.
10. Zaporozhets A.A. Rol’ biologicheskoy negermetichnosti kishechnogo shva v razvitii posleoperatsionnogo peritonita [The role of biological leaking intestinal suture in the development of postoperative peritonitis]. Tezisy dokladov ob»edinennogo plenuma nauchnykh obshchestv khirurgov i travmatologov-ortopedov Belorussii. Minsk, 1976. Pp. 41-42.
11. Shott A.V., Zaporozhets A.A., Klintsevich V.Yu. Kishechnyy shov [Intestinal suture]. Minsk: Belarus, 1983. 160 p.
12. Kutukov V.V. Operativnye sposoby profilaktiki nesostoyatel’nosti shvov na organakh zheludochno-kishechnogo trakta: avtoref. dis. … d-ra med. nauk [Operational methods for preventing insolvency seams on the organs of the gastrointestinal tract. Synopsis of dis. Dr med. sci]. Moscow, 2001. 38 p.
13. Mokhov E.M., Bredikhin E.I. Strengthening of colonic anastomoses demukorizovannym small intestine transplant. Vestnik khirurgii, 1990, no. 6, pp. 115-117 (in Russ.).
14. Dambaev G.Ts., Solov’ev M.I. Plastic perforated holes of the stomach and duodenum (experimental study). Khirurgiya, 1995, no. 2, pp. 51-53 (in Russ.).
15. Jones S.A., Steman R.A. Management of chronic infected perforation by the serosal patch technic. Amer. J. Surg., 1969, vol. 5, pp. 731-734.
16. Kimura H. et al. Strangulation ileus resulting from encasement of a loop of the small intestine by the great omentum caused by abnormal adhesion. J. of Gastroenterology, 1996, vol. 31, no. 5, rr. 711-716.
17. Istomin N.P., Ratov V.G. Shovno-kleevoe tsianokrilatnoe soedinenie (kriticheskiy opyt) [Suture-adhesive cyanoacrylate compound (Critical Practice)]. Sbornik nauchn. rabot “Problemy neotlozhnoy khirurgii”. Moscow, 1998. P. 33.
18. Parker J.S., Brown D., Hill P.F. Fibrinogen-impregnated collagen as a combined hemostatic agent and antibiotic delivery system in a porcine model of splenic trauma. Eur J Surg., 1999, vol. 165, rr. 609-614.
19. Carbon R.T. et al. Tissue management with fleece-bound sealing: materials, science, and clinical implementation. Materials of the 6th World Congress of Trauma, Shock, Inflammation and Sepsis, 2004, 2-6 March.
20. Gorskiy V.A. The use of fibrin-collagen plates in abdominal surgery. Vestnik khirurgii, 2001, no. 2, pp. 77-81 (in Russ.).
21. Gorskiy V.A., Shurkalin B.K., Leonenko I.V. Primenenie Takhokomba v abdominal’noy khirurgii [Application Tachocomb in abdominal surgery]. Moscow: Atmosfera, 2003. 168 p.