Intestinal Anastomoses with Bioabsorbable Anastomosis Rings

Proceedings of the First European Workshop

  • Rainer Engemann
  • Arnulf Thiede
Conference proceedings

Table of contents

  1. Front Matter
    Pages I-XI
  2. General Aspects of Bioabsorbable Ring Anastomoses with Valtrac

    1. Front Matter
      Pages 1-1
    2. B. Lünstedt, R. Engemann, S. Debus, L. Lim, A. Thiede
      Pages 3-12
    3. G. Schindler, R. Engemann, W. Schmitz, A. Thiede
      Pages 21-28
  3. Clinical Application of the Bioabsorbable Anastomosis Ring in Gastrointestinal Surgery I

  4. Clinical Application of the Bioabsorbable Anastomosis Ring in Gastrointestinal Surgery II

    1. Front Matter
      Pages 51-51
    2. J. A. Gruwez, J. Lerut, L. Verougstraete, M. R. Christiaens, W. Coosemans, M. Philippe et al.
      Pages 67-74
    3. A. Thiede, R. Engemann, S. Vogel, B. Lünstedt
      Pages 75-93
  5. Back Matter
    Pages 95-96

About these proceedings

Introduction

The anastomotic technique plays a predominant role in gastrointestinal surgery. A feared complication is leakage due to the sutures. Such leakage cannot be detected early; consequently, infection spreads locally and systemically. An anastomotic method is generally evaluated according to its rate of leakage, related to the localization, bur real scientific comparisons, i.e., controlled studies, are almost totally lack­ ing. The criteria of evaluation include the type of suture, the localization, the auxiliary technical tools, practicability, the different forms of wound healing, angiogenesis, and vascularization, among others. The postoperative criteria are complications shortly after surgery, such as bleeding, ruptures, and stenoses of the anastomosis. A standard comparison is made difficult by the variety of cytophysiological and biochemical factors that influence wound healing. In the comparison of larger series one must always take into account differences of auxiliary tools, strategies, and inhomogeneity of patients. A change of one auxiliary tool or of one strategy implies the modification of various target criteria. Often enough, however, one does not sufficiently consider the surgeon's most. important role.

Keywords

Anastomose Bioabsorbable Rings Compression Anastomoses Gefäßchirurgie Surgery

Editors and affiliations

  • Rainer Engemann
    • 1
  • Arnulf Thiede
    • 1
  1. 1.Chirurgische Universitätsklinik WürzburgWürzburgGermany

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-78017-2
  • Copyright Information Springer-Verlag Berlin Heidelberg 1993
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-56340-2
  • Online ISBN 978-3-642-78017-2
  • About this book