scholarly journals Single-layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations

2013 ◽  
Vol 2 (1) ◽  
pp. 159-165 ◽  
Author(s):  
GUO-CAI LI ◽  
YU-CHUN ZHANG ◽  
YONG XU ◽  
FANG-CHENG ZHANG ◽  
WEI-HUA HUANG ◽  
...  
2014 ◽  
Vol 8 (4) ◽  
pp. 1567-1574 ◽  
Author(s):  
GUO-CAI LI ◽  
YONG XU ◽  
YU-CHUN ZHANG ◽  
FANG-CHENG ZHANG ◽  
QI WANG ◽  
...  

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S309
Author(s):  
Qu Liu ◽  
Zhiming Zhao ◽  
Yuanxing Gao ◽  
Guodong Zhao ◽  
Xianglong Tan ◽  
...  

2008 ◽  
Vol 45 (4) ◽  
pp. 319-322 ◽  
Author(s):  
João Luiz Moreira Coutinho Azevedo ◽  
Octávio Hypólito ◽  
Otávio Cansanção Azevedo ◽  
Otávio Monteiro Becker Jr. ◽  
Dalmer Faria Freire

BACKGROUND: Two-layer intestinal anastomosis increases the inflammatory response while single-layer anastomosis results in a better wound healing. However the four main kinds of stitches which may be chosen in performing single layer intestinal sutures never before had been comparatively studied. AIM: To compare the four more commonly used types of single layer surgical anastomosis sutures of the digestive tract. METHODS: Six mongrel dogs were operated, each one receiving two anastomosis: one at 30 cm from de Treitz angle - sero-submucosal technique, and the other at 60 cm - total technique. This placement was alternatively inverted. The four more commonly used types of single layer surgical anastomosis sutures of the digestive tract, namely: sero-submucosal stitches tied in the lumen, over the submucosa; sero-submucosal stitches tied in the exterior of the organ, over the serosa; total stitches tied in the lumen, over the mucosa; and total sutures tied in the exterior, over the serosa (Gambee's stitches) were tested. After euthanasia (7th post-operative day) macro and microscopic features were evaluated. Friedman's test was applied for morphometry and for evaluation of the peritoneal adhesions. RESULTS: Statistical significance was demonstrated through major residual acute inflammation and proliferation in total sutures and more profuse adhesions with the sero-submucosal stitches tied in the lumen. The sero-submucosal stitches tied in the exterior over the serosa, had excellent realignment and regeneration of the layers. CONCLUSION: The sero-submucosal stitches tied in the exterior, over the serosa, were the best ones.


2015 ◽  
Vol 20 (2) ◽  
pp. 421-430 ◽  
Author(s):  
F. Herrle ◽  
M. K. Diener ◽  
S. Freudenberg ◽  
F. Willeke ◽  
P. Kienle ◽  
...  

Zygote ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 208-216
Author(s):  
Erika Neumann ◽  
Maria do Carmo Faria Paes ◽  
José Mário Ribeiro Mendes ◽  
Francisco Manoel de Souza Braga ◽  
Laura Satiko Okada Nakaghi

SummaryIn the present study, the morphological development of the Brycon amazonicus digestive tract is described to provide basic knowledge for nutritional studies and, therefore, increase the survival of this species during larviculture. Samples were collected from hatching up to 25 days of age, measured, processed and observed under a stereomicroscope and light microscopy. Newly hatched larvae presented their digestive tract as a straight tube, dorsal to the yolk sac, lined with a single layer of undifferentiated cells. At 24 h post-hatching (hPH), the buccopharyngeal cavity was open, but the posterior region of the digestive tube remained closed. At 25 hPH, the digestive tube was completely open and could be divided into buccopharyngeal cavity, oesophagus and intestine. At 35 hPH, the intestine presented a dilatation in the proximal region, which had the function of storing food. Differentiation of the stomach started at 83 hPH, and mucous cells were observed in the epithelium. These cells are important in the production of mucus, whose function is to protect the organ against acidity, although the gastric glands began developing only from 171 hPH, when three stomach regions were observed: cardiac, fundic and pyloric. The gastric glands were observed in the cardiac region, indicating that this organ already had digestive functionality. From 243 hPH, the absorption and assimilation of nutrients were already possible but, only from 412 hPH, the digestive tract was completely developed and functional.


2014 ◽  
Vol 31 (02) ◽  
pp. 114-117
Author(s):  
K. Rachana ◽  
Sampath Madhyastha ◽  
Vasudha Saralaya ◽  
Teresa Joy ◽  
Divya Premchandran ◽  
...  

AbstractThe celiac trunk shows a trifurcate division which branches to supply the hepatobiliary system, stomach, parts of the digestive tract. The celiac trunk usually exhibits regular pattern of branching with few variations reported. This case report highlights on the vitality of anomalous branching of the celiac trunk and it branches. Surgical complications involving these organs would be partially explained by studying the anomalous branching of the vascular components supplying it. Here we have reported anomalous origin of three aberrant hepatic arteries, one accessory hepatic artery and an aberrant cystic artery. These variations are of importance to radiologists and hepatic surgeons.


2015 ◽  
Vol 32 (04) ◽  
pp. 219-226 ◽  
Author(s):  
P. Parto ◽  
S. Vaissi ◽  
M. Sharifi

Abstract Introduction: The digestive system of vertebrates presents various structural and functional adaptations to their diverse feeding habits. Material and methods: Anatomical, histological and histochemical examinations were made from digestive tract in two closely related mountain newts (Salamandridae: Neurergus mierospilotus and Neurergus kaiseri). Sections were stained with Hematoxylin and Eosin, Periodic Acid SchifPs and Alcian Blue. Results: In both species the pharynx and esophagus are covered by psudostratified ciliated columnar epithelium with goblet cell which is positive with PAS and AB. The stomach in N. kaiseri and N. mierospilotus is a straight, expanded conical tube, laying slightly to the left side of the body cavity, and terminating at the pylorus. The stomach is divided into three distinct parts, the cardia, fundus and pylorus. Although in both species the epithelium of the stomach surface and of the lining of the crypts consists of a single layer of high columnar cell, but the apical portion of the cells in N.kaiseri consists of homogeneous acidophilic granules while in N.mierospilotus is foamy. The duodenum is short and is sharply reflexed along the medial aspect of the stomach. Duodenum in N. kaiseri and N. mierospilotus shows villi which consists of the epithelial covering and a core of connective tissue containing blood and lymph capillaries. The large intestine in both N. kaiseri and N. mierospilotus is located along the median line. The intestine is a coiled tube of a regular diameter, larger than, that of the duodenum. Histologically, these are no villi in large intestine and goblet cells rise to numerous. The epithelium is simple columnar, and the lamina propria and submocosa are strongly reduced. Conclusion: The findings of this study demonstrate that the morphological description of the digestive tract of N. kaiseri and N. mierospilotus are very similar and can be extended to the other newts.


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