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Published on: May 11, 2011
[New techniques with biodegradable Valtrac-Bar rings for intestinal anastomosis management of advanced cancer]
Janusz Emerich1, Marcin Liro, Mirosław Dudziak
1Kliniki Ginekologii, Instytutu Połoznictwa I Chorób Kobiecych AM w Gdańsku.
Aim:
In the study we tried to demonstrate usefulness of the biofragmentable Valtrac-Bar rings in treatment of intestinal obstruction caused by advanced ovarian carcinoma.
Materials And Methods:
Intestinal anastomosis with biofragmentable Valtrac-Bar rings were performed in 26 patients with advanced ovarian cancer with symptoms of intestinal obstruction. In nine patients manifestation of acute or subacute intestinal obstruction symptoms, cachexia and ascites necessitated the use of Valtrac rings during primary surgical operation. In the other 17 women we observed recidive of the disease causing obstruction mainly in the lower part of the digestive tract. Eight sigmoid, six sigmo-rectal and three ileo-ileal Valtrac-Bar rings anastomosis were done after secondary cytoreductive surgery.
Results:
In 25 treated women we achieved improvement of their general condition, so we were able to continue treatment by chemio- or radiotherapy. Only in one treated patient further relaparotomy with colostomy was needed due to of anastomosis leak.
Conclusions:
We conclude that biofragmentable valtrac-Bar rings are very useful, safe and effective tools enabling fast intestinal anastomosis even in patients with inappropriate healing, for instance treated previously by chemio- et radiotherapy.
