Implantation of amniotic membrane over pancreatic anastomosis after pancreaticoduodenectomy: report of the first case
| Autor: | Giulia Montagner, Gastone Bergamaschi, Isabella Frigerio, Diletta Trojan, Giovanni Butturini, E. Bannone |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Amnion business.industry medicine.medical_treatment Case Report Anastomosis Pancreaticoduodenectomy Pancreatic head Surgery Pancreatic surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Biological property medicine 030211 gastroenterology & hepatology business Wound healing Pancreas |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjz097 |
| Popis: | The amniotic membrane (AM) has an increasing role as a scaffold for tissue repair due to its unique biological properties. The implantation of AM on pancreatic anastomosis after pancreaticoduodenectomy might improve the anastomotic healing and strengthen its structure, however has never been used in pancreatic surgery. We present the first application of AM after a pancreaticoduodenectomy was performed for a malignant tumor of the pancreatic head. After completing the pancreatic anastomosis, the AM was placed around the pancreatic anastomosis and fixed to it with single stiches. The AM, due to its physical characteristics, could be easily manipulated and adapted to the pancreatic anastomosis. This interesting and unique case shows that covering a pancreatic anastomosis with the AM is safe and technically feasible. The AM has no adverse effects while it may eventually provide a beneficial impact over the anastomotic healing. |
| Databáze: | OpenAIRE |
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