亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Glycolide Copolymer Staple-Line Reinforcement Reduces Staple Site Bleeding During Laparoscopic Gastric Bypass

医学 外科 止血 失血 输血 随机对照试验 麻醉
作者
Ninh T. Nguyen,Mario Longoria,Susan Welbourne,Allen Sabio,Samuel E. Wilson
出处
期刊:Archives of Surgery [American Medical Association]
卷期号:140 (8): 773-773 被引量:69
标识
DOI:10.1001/archsurg.140.8.773
摘要

The use of staple-line reinforcement sleeves during laparoscopic gastric bypass reduces staple-line bleeding, which may translate into a reduction in the rate of gastrointestinal hemorrhage.Prospective randomized trial.University hospital.Thirty-four patients undergoing laparoscopic gastric bypass were randomly assigned to receive either no reinforcement (control group, n = 17) or reinforcement of the staple line with glycolic copolymer sleeves (treatment group, n = 17).Demographic data, the number of stapler loads used, the number of staple-line bleeding sites, the amount of blood loss, the length of time required to obtain hemostasis of the staple lines, operative time, intraoperative and postoperative complications, and serial hemoglobin levels.The mean number of stapler loads used was similar between groups. The mean number of staple-line bleeding sites was significantly fewer in the treatment group for division of gastric tissue (0.4 vs 2.5 bleeding sites), jejunal tissue (0.1 vs 0.6 bleeding site), and mesenteric tissue (0 vs 0.8 bleeding site). The mean blood loss was lower in the treatment group (84 vs 129 mL). Staple misfire occurred in 1 (0.7%) of 143 stapler loads used in the treatment group compared with 0 (0%) of 138 stapler loads used in the control group. The time to obtain staple-line hemostasis was shorter in the treatment group (1.2 vs 10.1 minutes). The total operative time was similar between groups. There was no mortality or postoperative leaks. One patient in the control group had postoperative gastrointestinal hemorrhage requiring blood transfusion and reoperation. There was no significant difference in the mean hemoglobin level between groups on the first postoperative day.The use of glycolide copolymer staple-line reinforcement sleeves in patients undergoing laparoscopic gastric bypass is safe and significantly reduces staple-line bleeding sites and may reduce the incidence of gastrointestinal hemorrhage.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Liiiiiiiiii发布了新的文献求助10
4秒前
XuchaoD完成签到,获得积分10
12秒前
12秒前
今后应助Liiiiiiiiii采纳,获得10
15秒前
顾矜应助科研通管家采纳,获得10
18秒前
Akim应助科研通管家采纳,获得10
18秒前
22秒前
42秒前
52秒前
1分钟前
小张完成签到 ,获得积分10
1分钟前
可耐的冰萍完成签到,获得积分10
1分钟前
充电宝应助干净涵梅采纳,获得10
1分钟前
1分钟前
1分钟前
1分钟前
1分钟前
李李发布了新的文献求助10
1分钟前
科研通AI5应助李李采纳,获得10
1分钟前
爱笑的毛衣完成签到,获得积分10
1分钟前
太叔丹翠完成签到 ,获得积分10
2分钟前
沉默白猫完成签到 ,获得积分10
2分钟前
2分钟前
sowhat完成签到 ,获得积分10
2分钟前
孙老师完成签到 ,获得积分10
2分钟前
盛事不朽完成签到 ,获得积分10
2分钟前
2分钟前
科研通AI2S应助科研通管家采纳,获得10
2分钟前
FashionBoy应助科研通管家采纳,获得10
2分钟前
羞涩的傲菡完成签到,获得积分10
2分钟前
2分钟前
Hung发布了新的文献求助10
2分钟前
2分钟前
Lyncon完成签到,获得积分10
2分钟前
Milton_z完成签到 ,获得积分0
2分钟前
Hung完成签到,获得积分10
2分钟前
tingyeh完成签到,获得积分10
3分钟前
3分钟前
两个我完成签到 ,获得积分10
3分钟前
3分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990049
求助须知:如何正确求助?哪些是违规求助? 3532108
关于积分的说明 11256354
捐赠科研通 3270976
什么是DOI,文献DOI怎么找? 1805166
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228