Minimalinvasive Kinderchirurgie: Entwicklung und Fortschritt durch innovative Technologie* - Die ATCS-Klebung

Autor:	Hümmer Hp, R. Carbon, Simon S, Waldschmidt J, S. Baar
Rok vydání:	2001
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Traumatic Chylothorax Chylothorax medicine.disease Surgery Endoscopy Pneumothorax Effusion Pediatrics Perinatology and Child Health Pediatric surgery Thoracoscopy medicine Laparoscopy business
Zdroj:	Klinische Pädiatrie. 213:99-103
ISSN:	1439-3824 0300-8630
DOI:	10.1055/s-2001-15858
Popis:	Background: Minimally invasive pediatric surgery (MIPS) has a solid tradition in which technique and technology have made key contributions to an already broad range of indications. This surgical method still has a deficiency with regard to tissue management of large-area defects, however. Sealing techniques can further expand the range of application. Method: Technological evaluation provided outstanding data of fleece-bound collagenand fibrinogen-based sealing systems (TachoComb®) on biodegradability, adhesive strength and practicability. A relevant instrument was developed for MIS application and was introduced as the ATCS (AMISA-TachoComb® -System). Patients: From 1993-2000, ATCS sealing was carried out in the scope of thoracoscopy (105 procedures) and laparoscopy (53 procedures) and specifically for recurring pneumothorax, traumatic chylothorax and splenic trauma. Results: Pneumothorax: 59 ACTS procedures in 49 patients (mean age: 11.4 yrs) with 6 reoperations (10.2%) and one recurrence (1.7%). The drainage dwell time was reduced (p
Databáze:	OpenAIRE
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