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Related Experiment Videos

[The indications for the Valtrac-ring--Report on 1015 Anastomoses].

W Mokros1

  • 1Chirurgische Klinik, Krankenhaus Altstadt des Städtischen Klinikums Magdeburg, Germany.

Zentralblatt Fur Chirurgie
|January 24, 2002
PubMed
Summary

The Valtrac anastomosis device demonstrated a low overall insufficiency rate of 1.1% across 1,015 procedures. However, rates varied significantly between upper (0.4%) and lower (4.2%) gastrointestinal tract surgeries.

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Area of Science:

  • Gastrointestinal Surgery
  • Surgical Devices
  • Clinical Outcomes

Background:

  • The Valtrac anastomosis device has been utilized in various gastrointestinal surgical procedures.
  • Evaluating the efficacy and safety of surgical anastomosis techniques is crucial for patient outcomes.

Purpose of the Study:

  • To assess the anastomosis insufficiency rate of the Valtrac device in a large patient cohort.
  • To identify specific gastrointestinal tract locations where Valtrac anastomosis is most effective and where it may be less indicated.

Main Methods:

  • Prospective data collection of 1,015 Valtrac-anastomoses performed in 876 patients over a 10-year period (June 1991-June 2000).
  • Analysis of patient demographics, disease types (malignant vs. benign), and anastomosis insufficiency rates.

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  • Stratification of insufficiency rates based on the location within the upper and lower gastrointestinal tract.

    • Main Results:

    • An overall anastomosis insufficiency rate of 1.1% per anastomosis and 1.3% per patient was observed.
    • A significant difference in insufficiency rates was found between the upper gastrointestinal tract (0.4%) and the lower gastrointestinal tract (4.2%).
    • The Valtrac device showed promise in specific applications including intrathoracic oesophagogastrostomy, gastrostomy for pyloric stenosis, and small bowel Y-Roux reconstructions.

    Conclusions:

    • The Valtrac anastomosis device is associated with a low insufficiency rate, particularly in the upper gastrointestinal tract.
    • Routine use of Valtrac anastomosis is not recommended for oesophagojejunostomy after gastrectomy or colorectal anastomosis after rectum resection due to higher insufficiency rates.
    • Valtrac is recommended for specific indications such as intrathoracic oesophagogastrostomy, gastrostomy, and small bowel reconstruction.