Free Peritoneal Graft for Repair of Severe Seromuscular Defect of Bowel: From Experiment to Clinical Practice

Yin, Weiqiang

doi:10.1016/j.jss.2004.11.013

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…Use of direct serosal patch was associated with anastomotic leakage, fistula formation and adhesion formation whereas patients who were operated with peritoneal patch didn't develop any complications. All patients with free peritoneal patch graft recovered uneventfully with no untoward effects determined even after long term follow up [11].…”

Section: Discussionmentioning

confidence: 83%

A Comparative Study of the Figure of 8 Suturing Reinforced With Free Parietal Peritoneal Patch Versus Direct Suturing With Omental Plug/Falciform Plug in Patients With Gastro-Intestinal Perforation.

Pradhan

Bisht

Acharya³

2020

IJMBS

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Objectives: This present study was to compare the figure of 8 suturing reinforced with free parietal peritoneal patch versus direct suturing with omental plug/falciform plug in patients with gastro-intestinal perforation. Methods: A detail history, clinical examinations and relevant investigations were performed to all patients. All patients were anaesthetized: After painting and draping the operation site, right paramedian incision was made. Peritoneum was opened. Whole GIT and intra-abdominal organs were examined properly. Edges of perorated site were debrided. Then, the perforation firstly was stitched by a Figure of 8 stitch with vicryl 3-0 and then a free parietal peritoneal patch taken from lateral abdominal wall was applied and held in position with interrupted/continuous seromuscular sutures. Then, central tucking was also be done to keep the patch firmly fixed. Results: Data was analyzed by using SPSS version 26 software. One sample t test was applied. Mean and standard deviation were observed. P value was taken less than or equal to 0.05 for significant differences. Conclusions: Reinforcement of free parietal peritoneal patch over figure of 8 suturing is effective method for the closure of gastrointestinal tract perforations, with early evidence of gastrointestinal motility with oral intake allowed on an average 4th - 5th postoperative day was significant statistical difference with regards to complications like anastomotic leakage. Hence, the figure of 8 stitch reinforced with free parietal peritoneal patch is a simple and easy procedure with less hospital stay which does not require significant expertise and can even be performed in very short time by a trained general surgeon in a seriously ill patient in an emergency situation. Keywords: Gastrointestinal perforation, Figure of 8 stitch, parietal peritoneal patch, omental plug, direct suturing

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Section: Discussionmentioning

confidence: 83%

A Comparative Study of the Figure of 8 Suturing Reinforced With Free Parietal Peritoneal Patch Versus Direct Suturing With Omental Plug/Falciform Plug in Patients With Gastro-Intestinal Perforation.

Pradhan

Bisht

Acharya³

2020

IJMBS

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“…Th is has proved its superiority for low colorectal anastomosis by decreasing the frequency of fi stulas and reducing the number of reinterventions and adverse consequences in the event of such complications [9,10,11]. Other methods mentioned in the literature to reduce the incidence of anastomotic dehiscence are the use of biological tissue glue, fi rst mentioned by Collet and Rabaud in 1992 as a method of treatment of digestive fi stulas, showing its eff ectiveness in increasing resistance of digestive sutures [12,13]. In 2005 in the Journal of Surgical Research Yin I reminds of the use of peritoneal graft as a method of treatment of major sero-muscular defects in the small intestine, considering it to be a simple, effi cient, feasible and economic method [14,15].…”

Section: Discussionmentioning

confidence: 99%

Anastomotic Leaks after Colorectal Surgery: a Prognostic Score

Alexandra¹,

Mironiuc²

2014

Acta Medica Marisiensis

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Introduction: Anastomotic leaks are one of the most dreaded complications in colorectal surgery. At the ground of this problem remain the nefarious prognostic over the patient’s life, the difficulties in early diagnosis and the optimal choice of therapeutical methods. The goal of our research was to evaluate the significance of possible risk factors in the postoperative evolution of patients following colorectal interventions and to design a prognostic score. Material and methods: We performed a retrospective study on 298 cases of patients with inflammatory, neoplastic or traumatic lesions for which there was chosen a digestive anastomosis including the colon. The presumed risk factors in our analysis were: age, comorbidity evaluated by Charlson Score, etiology, toxics, use of nonsteroidal anti-inflammatory substances or corticoids, parameters such as leucocytes, hemoglobin, urea, total seric bilirubin, glycaemia, albumins, neoadjuvant therapy, type of suture, quantity of fluids received intraoperatory. All data were analyzed using R-Commander. Results: All parameters for which we demonstrated a statistical significance (p <0.05) for an unfavorable evolution were included in a prognostic score, designed in correlation with the statistical relation between the factors. We obtained values that certified a strong association (0.75) between a high prognostic score and an increased number of anastomotic leaks. Conclusions: The practical utility of the score is mainly for the anticipation of postoperative complications. A high level score underlines that prior to surgery it is essential to balance the biochemical abnormalities and to choose properly the moment and type of surgical intervention

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“…The dogs were anesthetized by intramuscular injection of 10% ketamine hydrochloride mixed with 2% xylazine at doses of 10mg/kg and 3 mg/kg, respectively [24] . Then, an 8-10 cm ventral midline laparotomy was performed under strict perpetration.…”

Section: Surgical Procedurementioning

confidence: 99%

Effect of Peritoneum Graft on Intestinal Anastomosis Healing After Deserosalization in Dogs

Alawi

Alkattan

AL-Taee

2023

Egyptian Journal of Veterinary Sciences

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T HE trauma and damage of the intestinal serosa layer resulted in serious complications. To solute these problems, many substances were used to cover up the affected serosa. This study demonstrated the possibility of using an autogenous peritoneal layer as an implant to overcome the complications of serosal layer damage at the anastomotic area. The study was conducted on twenty-four healthy adult local breed dogs. The serosal layer of the jejunum was removed and then a complete circumferential cut was made in the intestinal wall. The dogs were randomly allocated into two equal groups (n=12 each). In the control group, end-to-end jejunum anastomosis was done by a simple interrupted suturing technique. In the peritoneal group, the area of the anastomosis was sutured as the first group and wrapped by the peritoneum. After 15 days of surgery, both gross and histopathological investigations were studied. Correspondingly, radiographical investigation and bursting pressure test were performed on the 7 th and 15 th postsurgery. By comparison with the control group, the application of autologous peritoneal graft revealed an efficacious and beneficial effect on the healing process of the intestinal anastomotic site. The healing process in the peritoneal graft group was characterized by rapid mucosal re-epithelization, enhanced collagen fiber formation, and organization, no leakage, reduced adhesions and stenosis, and increased bursting pressure.In conclusion, wrapping of intestinal anastomosis area with an autologous peritoneal layer after serosal damage is a beneficial and effectual technique without severe complications.

show abstract

Free Peritoneal Graft for Repair of Severe Seromuscular Defect of Bowel: From Experiment to Clinical Practice

Cited by 5 publications

References 16 publications

A Comparative Study of the Figure of 8 Suturing Reinforced With Free Parietal Peritoneal Patch Versus Direct Suturing With Omental Plug/Falciform Plug in Patients With Gastro-Intestinal Perforation.

A Comparative Study of the Figure of 8 Suturing Reinforced With Free Parietal Peritoneal Patch Versus Direct Suturing With Omental Plug/Falciform Plug in Patients With Gastro-Intestinal Perforation.

Anastomotic Leaks after Colorectal Surgery: a Prognostic Score

Effect of Peritoneum Graft on Intestinal Anastomosis Healing After Deserosalization in Dogs

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