Fibrinklebeanastomosen der tuba uterina unter verschiedenen experimentellen Bedingungen

Gauwerky, J. F. H.; Reinecke, Manfred; Forssmann, Wolf‐Georg

doi:10.1007/978-3-642-74784-7_204

Cited by 3 publications

(7 citation statements)

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“…Sutures caused heavy cellular fat necrosis after 14 days. No FG was found at the anastomotic site 45 to 60 days postoperatively as reported by other authors using the rabbit model [31,81,169]. Histomorphologic examination of the early healing process revealed distinct group differences.…”

Section: Uterine Horn/ Fallopian Tube Anastomosessupporting

confidence: 58%

“…The use of a temporary intraluminal stent was common [31,165,168,169,171,173,174] and was suggested as being essential for dissimilar diameter oviduct stumps [168][169][170][171]. Small to negligible in ammatory response and faster healing [83,86,172] and shorter operating time [165,166,[173][174][175] were reported in many studies for reduced suture-FG and FG (commercial and AFG) when compared with sutured anastomoses.…”

Section: Uterine Horn/ Fallopian Tube Anastomosesmentioning

confidence: 98%

“…All anastomoses were patent, and scanning electron microscopy revealed abundant microvilli on the anastomotic cells. Gauwerky et al [168][169][170][171] also compared fertility following reduced suture FG, and sutured ampullary and isthmic anastomoses. Neither the FG nor the sutured anastomoses demonstrated signi cant group advantages regarding the number of ovulations, number of implantations, pregnancy rate, or nidation index ([live fetuses + dead fetuses/total number of corpora lutea] £ 100).…”

Section: Uterine Horn/ Fallopian Tube Anastomosesmentioning

confidence: 98%

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Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Detweiler

Fenton

1999

Journal of Investigative Surgery

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Research in reduced suture fibrin glue (FG) and sutureless FG anastomosis has been lagging behind FG utilization in other surgical fields. A review of the literature for vascular, esophageal, tracheal, gastrointestinal, common bile duct, ureteral, vas deferens, and Fallopian tube FG anastomosis indicates that reduced suture FG and sutureless FG procedures may be performed with less training, reduced operating time, leakage, ischemia, inflammation, and necrosis compared to sutured techniques. Reduced suture FG vascular anastomosis augments early anastomotic strength. Suture number for esophageal, tracheal, and tracheobronchial anastomoses can be reduced with FG. Bursting strength in pig small intestine and rat colon was lower at 4 days postoperatively, but returned to sutured strength at 7 days. Mortality was unaffected, and 18-month follow-up in sutureless FG intestinal anastomosis in pigs showed no stenosis. Preliminary ureteral studies have demonstrated successful sutureless FG and reduced suture FG laparoscopic techniques in pigs. Reduced suture FG and sutureless FG vas deferens anastomosis may reduce sperm granuloma rates, with increased patency and pregnancy rates. Patency and pregnancy rates have been similar for tubal FG, reduced suture FG, autologous fibrin glue (AFG), and sutured anastomosis. Any risk of viral transmission or immune response is eliminated by AFG. While there are few studies in many areas of FG hollow vessel anastomosis, the current literature illustrates many of the advantages of FG over other anastomotic techniques and should provide impetus for continued research in this promising field of surgery.

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Section: Uterine Horn/ Fallopian Tube Anastomosessupporting

confidence: 58%

Section: Uterine Horn/ Fallopian Tube Anastomosesmentioning

confidence: 98%

Section: Uterine Horn/ Fallopian Tube Anastomosesmentioning

confidence: 98%

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Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Detweiler

Fenton

1999

Journal of Investigative Surgery

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“…A patency rate of 75% led to the conclusion that the microsurgical anastomosis using fine microsutures was the most effective method of oviduct reconstruction. However, Gauwerky et al (1989) and Weis-Fogh et al (1990) demonstrated that the gluing was as effective as microsuturing although they did not study the histological repair. The CO2 laser was applied successfully in the anastomosis of the uterine horn in rabbits by Klink et al (1983).…”

Section: Discussionmentioning

confidence: 90%

“…Scheidel et al (1982), Gauwerky et al (1989) y Weis-Fogh et al (1990 used fibrin glue to perform the rabbit fallopian tube anastomosis. A patency rate of 75% led to the conclusion that the microsurgical anastomosis using fine microsutures was the most effective method of oviduct reconstruction.…”

Section: Discussionmentioning

confidence: 97%

Study of two simplified microsurgical techniques for uterine horn anastomosis in rat

Caballero-Gómez

Ortega-Moreno

1993

Arch Gynecol Obstet

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This study compares two simplified techniques, which use only 2 and 4 sutures respectively, with a conventional technique with 8 sutures for fallopian tube anastomosis. Experimentally these techniques were performed on the uterine horns of fifteen female rats. A 100% patency rate was obtained with all three techniques. No difference in the mucosal, muscular and serosal regeneration was observed in the three groups at 10, 20 and 60 days. Two months after surgery, the serosa, muscularis and mucosal layers were completely continuous in all groups. The operating with 2 sutures (5'30" +/- 1'10") was significantly less than with 4 (9'09" +/- 0'55", P < 0.05 ANOVA) and 8 sutures (15'12" +/- 1'41", P < 0.05 ANOVA). A minimum inflammatory reaction to sutures was observed in all three groups at 60 days after surgery. The results suggest that with 2 sutures are all that is needed for tissue repair.

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An experimental model for pelviscopic tubal anastomoses

Gauwerky

Klose

1990

Human Reproduction

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An endoscopic technique for tubal anastomosis has been developed in a rat uterine horn model. Uterine segments were anastomosed endoscopically in a training device for surgical pelviscopy ('Pelvitrainer') by fibrin glue, using an inlaying splint as a guide. The anastomoses were accomplished by a seromuscular 6-0 suture at the anti-mesenteric border. Morphological studies revealed good patency of the anastomosed segments without stenoses or occlusions. The tissue continuity was good. In only two cases out of the 20 studied was a tapering of the uterine wall found adjacent to the anastomosis. It is concluded that this endoscopic technique for tubal anastomosis presents a useful alternative to classical microsurgical reversal of sterilization by laparotomy.

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Fibrinklebeanastomosen der tuba uterina unter verschiedenen experimentellen Bedingungen

Cited by 3 publications

References 1 publication

Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Study of two simplified microsurgical techniques for uterine horn anastomosis in rat

An experimental model for pelviscopic tubal anastomoses

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