Peculiarities of strengthening of colonic anastomosis in patients with insulin resistance
| Autor: | M. M. Mylytsia, T. V. Oliinyk, V. V. Steblianko |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Microbiological culture business.industry Colonic anastomosis Anastomosis medicine.disease Gastroenterology Adhesive materials Insulin resistance Suture (anatomy) Internal medicine medicine General Earth and Planetary Sciences In patient business General Environmental Science Continuous suture |
| Zdroj: | Bukovinian Medical Herald. 23:73-79 |
| ISSN: | 2413-0737 1684-7903 |
| DOI: | 10.24061/2413-0737.xxiii.4.92.2019.92 |
| Popis: | Objective — to investigate peculiarities of imposition and strengthening of colonic anastomosis (СА) in patients with insulin resistance (IR) using modern adhesive materials. Material and methods. In order to determine the features of applying and strengthening the colonic anastomosis in patients with IR using modern adhesive materials, 80 patients were examined and operated on (median age of patients — 64 (57; 71) years). All patients were divided into 2 groups depending on the method of reinforcing the suture of the CA: group 1–40 patients who underwent the application of a one-row continuous suture (OCS) of the CA (median age of patients — 65 (57; 75) years, 2 group — 40 patients who OCS CA was applied, and, in order to seal and strengthen the anastomosis zone, a modern tissue adhesive N-butylcyanoacrylate (Katsil) was added (median age of patients — 63.5 (58.5; 70.5) years). The spectrum of the microbial flora of the discharge from the drainages near the anastomosis was determined and the analysis of postoperative complications was carried out. Results. In patients with IR who, in order to additionally strengthen the CA zone after applying OCS, used tissue adhesive H-butylcyanoacrylate, a significantly smaller number of patients with a combination of 2 different strains of microorganisms were found compared with patients who applied OCS CA without additional strengthening (2 (5 (5, 0%) patients versus 9 (22.5%)) (χ2 = 5.17, df = 1; p |
| Databáze: | OpenAIRE |
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