ABSTRACT
BACKGROUND: Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioning the tissues. METHODS: We present a new prototype stapler for marketing in resection surgery, especially designed for the sleeve gastrectomy. RESULTS: We suggest that the medical instrument industry creates devices in which the channel along which the knife blade runs is located asymmetrically. This would allow more staples to be placed on the side of the gastric remnant, thus improving the sealing and hemostasis of the suture line and reducing the number of complications for patients as a result. CONCLUSIONS: The application of new concepts in medical surgical devices can improve the safety of the procedures in our patients.
Subject(s)
Anastomotic Leak/prevention & control , Gastrectomy/methods , Surgical Stapling/methods , Anastomotic Leak/etiology , Equipment Design , Gastrectomy/adverse effects , Humans , Safety , Surgical Stapling/trends , Suture Techniques/trends , Treatment OutcomeABSTRACT
Localization of digestive hemorrhage is essential for the management of this entity. However, management is difficult in the small bowel, where emergency situations are rare but may require surgery without precise location of the lesion. We present a case of hemorrhage caused by jejunal diverticulum diagnosed by angiography. A highly selective microcatheter was placed in the bleeding site to achieve staining of the lesion with intraoperative methylene blue.
Subject(s)
Diverticulum/diagnosis , Gastrointestinal Hemorrhage/etiology , Jejunal Diseases/diagnosis , Aged , Diagnosis, Differential , Diverticulum/complications , Fatal Outcome , Female , Humans , Indicators and Reagents , Jejunal Diseases/complications , Methylene BlueABSTRACT
La localización de la hemorragia digestiva es fundamental para controlarla, algo que se complica en el caso del intestino delgado, donde las situaciones de emergencia son infrecuentes pero pueden requerir una laparotomía sin una clara localización de la lesión. Presentamos un caso de una hemorragia secundaria a divertículos yeyunales que se diagnosticó por angiorradiología y canulación selectiva del vaso sangrante, para conseguir el tatuaje de la lesión mediante inyección intraoperatoria de azul de metileno (AU)
Localization of digestive hemorrhage is essential for the management of this entity. However, management is difficult in the small bowel, where emergency situations are rare but may require surgery without precise location of the lesion. We present a case of hemorrhage caused by jejunal diverticulum diagnosed by angiography. A highly selective microcatheter was placed in the bleeding site to achieve staining of the lesion with intraoperative methylene blue (AU)
