Journal article
Intraoperative hemostasis and wound healing in intestinalanastomoses using the ILA stapling device
The American journal of surgery, v 155(3), pp 520-525
1988
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Abstract
Intraoperative hemostasis and wound healing of 24 side-to-side intestinal anastomoses constructed with the ILA stapling device were studied in 12 dogs by comparing the ILA-32 and ILA-52 staple cartridges. Hemostasis was evaluated by intraoperative measurement of blood loss and bleeding time at the staple line. There was no statistically significant difference in mean blood loss (p>0.05) or mean bleeding time (p>0.10) between the two cartridges. Wound healing was studied using bursting strength measurements and silicone rubber casting of the microvasculature at the staple line. At 3 days, 1 week, and 2 weeks postoperatively, there was no significant difference between bursting strength values achieved with the two cartridges. Microscopic examination revealed that wound healing in the ILA-52 anastomoses lagged behind healing in the ILA-32 anastomoses at each postoperative time period studied. The silicone rubber casting study showed a paucity of microvasculature at the healing staple line with the ILA-52 cartridge as compared with the ILA-32 cartridge. Our findings suggest that the ILA-52 cartridge does not offer significantly improved intraoperative hemostasis over the ILA-32 cartridge and may affect the microvasculature at the staple line in a way that delays wound healing.
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Details
- Title
- Intraoperative hemostasis and wound healing in intestinalanastomoses using the ILA stapling device
- Creators
- Scott Berman - Hahnemann University HospitalMakoto Hashizume - Philadelphia, Pennsylvania, USAYeng Yang - Philadelphia, Pennsylvania, USAJoseph DuPree - Philadelphia, Pennsylvania, USATeruo Matsumoto - Philadelphia, Pennsylvania, USAYonghong F Yang - Psychiatry
- Publication Details
- The American journal of surgery, v 155(3), pp 520-525
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:A1988P268400037
- Scopus ID
- 2-s2.0-0023864078
- Other Identifier
- 991019183952104721
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- Web of Science research areas
- Surgery