ABSTRACT
One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. Two techniques of OCS were used. In 526 patients OCS was used for biliary tract surgery with complications rate 1.3%. In surgery of the stomach and small intestine OCS was used in 2606 patients; the insufficiency rate of stomach and small intestine anastomoses was equal (0.04%). In surgery of colon and rectum OCS was used in 405 patients; insufficiency rate was 1.5%. In surgery of the pancreas this suture was used in 70 patients without complications after surgery. Analysis of the data shows high reliability of OCS for anastomoses in abdominal surgery and allows to recommend its wider use in clinical practice.
Subject(s)
Digestive System Diseases/surgery , Digestive System Surgical Procedures/methods , Suture Techniques , Adolescent , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical , Female , Humans , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
An analysis of 252 patients with benign tumore and cysts of the mediastinum indicated that high per cent (35%) of diagnostic errors is conditioned by the absence of clinical signs typical for this pathology, as well as rather similar roentgenological symptomatics in its different forms. Following resection of large neoplasms, when it proved unfeasible to close the pleural defect (the removed tumor bed) by suturing its margins, the aughors performed alloplasty with lyophilized pericardium or dura mater. Pleural alloplasty was employed in 18 (8.7%) patients. In all 206 operated patients no significant postoperative complications were observed. There were no lethal issues. Ii is felt that plastic repair of pleural defects should be considered absolutely essential while removing benign mediastinal neoplasms.
