oversewing stitch surgery

Subgroup analysis of the 884 colonic resections demonstrated oversewn patients were less likely to return to theatre (OR 0.250, 95%CI 0.070–0.893), have medical complications (OR 0.298, 95%CI 0.106–0.842) or a small bowel obstruction (OR 0.087, 95%CI 0.009–0.820). Bariatric Surgery Articles Tools & Resources Post Op Planner BMI Calculator Bariatric Friendly Recipes Bariatric Product Reviews Featured Products Premier Protein Café Latte PatchMD MultiVitamin Patches Community Popular Forums Bariatric Surgery Discussion Duodenal Switch (DS) Roux-en-Y (RNY) Vertical Sleeve (VSG) Bariatric Surgery in Mexico We use cookies to help provide and enhance our service and tailor content and ads. Oversewing a double-stapled anastomoses in colorectal cancer surgery is a protective factor against anastomotic leaks and reduces reoperative surgery rates. Univariate analysis showed hybrid or laparoscopic surgery, left side tumours, and a history of arrhythmia increased risk of anastomotic leak for colonic resections. Operation 18 Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty) Oversewing a posterior duodenal ulcer Transverse closure of duodenum truncal vagotomy Indications • Bleeding duodenal ulcer Medical Knowledge—You Need to Know • Risk factors for peptic ulcer disease • Anatomy and blood supply of duodenum A retrospective analysis of prospectively collected data from two Victorian hospitals was performed on patients having had a colorectal cancer resection between January 2010 and July 2017. Further research is required to determine whether oversewing is still protective when … D’Ugo et al conducted a multicentre retrospective trial in which 476 of 1,162 patients underwent staple line oversewing. The post-operative impact of oversewing stapled anastomoses in colorectal cancer surgery: A retrospective Australian cohort study. Study on the effect of oversewing anastomoses in colorectal cancer surgery in private and public hospitals. Officers and Representatives of the Society, RAFT Annual Meeting Abstract Contest and Awards, 2021 Scientific Session Call For Abstracts, 2021 Emerging Technology Session Call For Abstracts, Leadership Development and Health Policy Conference Videos, Healthy Sooner – Patient Information for Minimally Invasive Surgery, Choosing Wisely – An Initiative of the ABIM Foundation, All in the Recovery: Colorectal Cancer Alliance, SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice, Surgical Endoscopy and Other Journal Information, The Safe Cholecystectomy Didactic Modules, SAGES Go Global: Global Affairs and Humanitarian Efforts, Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons, An opportunity to slow down and appreciate the small joys in life, Notes from the Battlefield – May 14, 2020. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Conclusion Oversewing a double-stapled anastomoses in colorectal cancer surgery is a protective factor against anastomotic leaks and reduces reoperative surgery rates. To assess the effect of oversewing double stapled anastomoses (DSA) on clinical outcomes in colorectal cancer surgery, including the rates of anastomotic leak and bleeding. In conclusion, oversewing a double-stapled anastomoses in colorectal cancer surgery is a protective factor against anastomotic leaks and reduces reoperative surgery rates. An oversewn DSA did not influence in-patient mortality, 30-day mortality or other surgical complications. Minter R.M., & Doherty G.M.(Eds. This field is for validation purposes and should be left unchanged. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. By continuing you agree to the use of cookies. Analysis of the eligible 2001 patients demonstrated that patients with an oversewn DSA were less likely to have an anastomotic leak (p = 0.03), or return to theatre (p = 0.014). The incidence of posthysterectomy vaginal prolapse varies from 0.2% to 43%. © 2020 The Authors. Anastomotic leaks led to increased hospital stay, inpatient death, readmission, and 30-day mortality. Anastomotic leak more likely in rectal cancer, high BMI, male, open surgery, not oversewn patients. Further subgroup analyses on colonic resections were performed. Preventing vaginal vault prolapse by supporting the vaginal cuff is an essential part of hysterectomy, whether abdominal or vaginal. More likely to be oversewn if older, less likely to be oversewn if tumour was left-sided. Surgical suture is a medical device used to hold body tissues together after an injury or surgery. 24 The bleeding and leak rates were 1.4% and 3.0% respectively, lower than for the NOS group. Published by Elsevier Ltd on behalf of Surgical Associates Ltd. https://doi.org/10.1016/j.ijso.2020.04.004. Complications (surgical and medical) were investigated using logistic regression. Managed by BSC Management, Inc. Current Procedures: Surgery Minter RM, Doherty GM. Application generally involves using a needle with an attached length of thread.A number of different shapes, sizes, and thread materials have been developed over its millennia of history. Oversewing the staple line with a continuous suture has been used widely to reduce postoperative complications after LSG. Rebecca M. Minter, and Gerard M. Doherty. Patients with oversewn anastomoses were compared with those patients where no oversewing was performed. The system attaches to a double-channel endoscope and utilizes a curved needle that allows the placement of a variety of stitch patterns, including running or … Technology Description: Ulcer oversewing was performed using a novel endoscopic suturing system (Figure 1). Multivariate analysis showed all these factors had independent associations with anastomotic leak. Oversewing reduced the risk of anastomotic leaks and further complications. Univariate analysis showed anastomotic leaks were less likely for oversewn patients and females but more likely with rectal cancers, open surgery or laparoscopic converted to open surgery, and increasing BMI. ), Eds. 1, 2 Preventing complications is a sine qua non in surgery.

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