Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment
| Autor: | Radek Dolezel, Tereza Filipkova, Ondrej Ryska, Miroslav Zavoral, Jana Juhasova, Jan Martinek, Miroslav Ryska, Jan Motlik |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Endoscope Urology medicine.medical_treatment education Closure (topology) endoloop Percutaneous endoscopic gastrostomy Peritoneoscopy medicine CLIPS Abscess Histological examination computer.programming_language natural orifice transluminal endoscopic surgery Original Paper business.industry Gastroenterology Obstetrics and Gynecology clips medicine.disease Surgery gastric closure Single loop business computer |
| Zdroj: | Videosurgery and other Miniinvasive Techniques |
| ISSN: | 1895-4588 |
| Popis: | A b s t r a c t Introduction: A safe closure technique of transluminal access is essential for the widespread application of natural ori - fice transluminal endoscopic surgery (NOTES). Aim: To evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure). Material and methods: An experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariec - tomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gas - trotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination. Results: In the "loop-and-clip" closure group, the correct placement of an endoloop and clips was achieved in all ani - mals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the "clips" group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1 (14.3%) case of peritonitis were found. Conclusions: A single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips. |
| Databáze: | OpenAIRE |
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