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picture1_Suture Pdf 89103 | Sdk Bowel Anastomosis


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File: Suture Pdf 89103 | Sdk Bowel Anastomosis
bowel anastomosis overview sudjatmiko digestive division department of surgery dr soetomo general hospital surabaya 1st surabaya gastrointestinal and emergency surgery surabaya may 19 20th 2017 introduction the word anastomosis comes ...

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                   BOWEL ANASTOMOSIS
                               ( overview )
                                   SUDJATMIKO
                       DIGESTIVE DIVISION – DEPARTMENT OF SURGERY 
                            DR SOETOMO GENERAL HOSPITAL
                                    SURABAYA
                         1st Surabaya Gastrointestinal and Emergency Surgery
                               Surabaya, May 19 –20th 2017
             INTRODUCTION
    • The word anastomosis comes from the Greek ‘ ana’ without , 
     and ‘stoma’ a mouth.
    • The intestinal anastomosis is the surgical connection of 
     separate bowel to form a continous chanel.
    • Worldwide intestinal resection and anastomosis performed 
     over billion annually
    • Bowel anastomoses are common problem in both elective and 
     emergency surgery
    • Various complication can be assosociated with anastomosis 
     after the surgeries
    • The anastomotic methode and devices are invented with the 
     purpose to perfect the result.
                          HISTORY
            • Suture have been used for at least 4000 years ago.
            • Egyptian used linen and animal sinew to close wounds
            • In 1826, Antoine Lembert, serosal apposition
            • 1867, Joseph Lister concept of asepsis 
            • Cushing andConnel continous  inverting suture
            • In 1882,Halsted, idea that collagen in the submucosal layer was main 
             factor responsible for the resistance of anastomosis
            • Halsted recommended single layer aposition anastomosis
            • 1892, Murphy Button was first popular anastomosis stapling 
             prototype
            • In 1893 detected approximated 52 different technique intestinal 
             suture
            • 1908, Humer Hultl (Hungary) and 1924, Petzinvented modern stapling
            • 1970 stapling introduce as bowel anastomosis
            • 1985, Thomas G Hardy, biofragmentable anastomotic ring (sutureless 
             anastomosis)
                         Chen C , Scandinavian Journal of Surgery 2012; 101; 238-240.
                          Chellamani KP at al.  J. Acad. Indus. Rev. Vol (12) May 2013
                  INDICATION
          • Restoration continuity following resection of 
           bowel disease i.e
             - perforation              - gangren
             - malignancy             - radiation enteric
             - infection, stricture
             - benign condition, polip, intusuception
          • Bypass of unresectable bowel disease
             - advanced tumor causing luminal obstruction
             - metastatic disease
          • Congental anomalies
             - ie. Intestinal atresia
          • Bilio-pancreatic diversion
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...Bowel anastomosis overview sudjatmiko digestive division department of surgery dr soetomo general hospital surabaya st gastrointestinal and emergency may th introduction the word comes from greek ana without stoma a mouth intestinal is surgical connection separate to form continous chanel worldwide resection performed over billion annually anastomoses are common problem in both elective various complication can be assosociated with after surgeries anastomotic methode devices invented purpose perfect result history suture have been used for at least years ago egyptian linen animal sinew close wounds antoine lembert serosal apposition joseph lister concept asepsis cushing andconnel inverting halsted idea that collagen submucosal layer was main factor responsible resistance recommended single aposition murphy button first popular stapling prototype detected approximated different technique humer hultl hungary petzinvented modern introduce as thomas g hardy biofragmentable ring sutureless ...

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