| Autor: |
Morks, Annelien, Havenga, Klaas, Cate Hoedemaker, Henk, Leijtens, Jeroen, Ploeg, Rutger |
| Předmět: |
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| Zdroj: |
International Journal of Colorectal Disease; Oct2013, Vol. 28 Issue 10, p1433-1438, 6p, 1 Color Photograph, 2 Diagrams, 1 Chart |
| Abstrakt: |
Purpose: The present study was performed to get a better insight in the incidence of anastomotic leakage leading to reintervention when using the C-seal: a biodegradable sheath that protects the stapled colorectal anastomosis from leakage. Methods: The C-seal is a thin walled tube-like sheath that forms a protective sheath within the bowel lumen. Thirty-seven patients undergoing surgery with creation of a stapled colorectal anastomosis with C-seal were analyzed. Follow-up was completed until 3 months after surgery. Results: One patient (3 %) developed anastomotic leakage leading to reintervention. None of the 37 anastomoses was dismantled. One patient was diagnosed with a rectovaginal fistula. In three patients (8 %), a perianastomotic abscess spontaneously drained. Conclusion: The incidence of anastomotic leakage leading to reintervention when using the C-seal (3 %) is lower than expected based on the literature (11 %). We have currently set-up a multicenter randomized trial to confirm the efficiency of the C-seal (). [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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