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Applying Dynamic Strain on Thin Oxide Films Immobilized on a Pseudoelastic Nickel-Titanium Alloy
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[Compression anastomoses with nikelid-titanium rings in peritonitis].

M D Dibirov1, A I Isaev1, V S Fomin1

  • 1Surgical Diseases and Clinical Angiology Department of the dental faculty of Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

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Compression anastomosis using nickel-titanium rings (NTR) in advanced peritonitis patients significantly reduces anastomosis failure to 3% and surgical time, improving outcomes in high-risk cases.

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Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Medical Device Technology

Background:

  • Advanced peritonitis often necessitates intestinal resections.
  • Surgical complications, including anastomosis failure, are common in these high-risk patients.
  • Novel techniques are needed to improve surgical outcomes.

Purpose of the Study:

  • To evaluate the clinical implementation of compression anastomosis using nickel-titanium rings (NTR) with shape memory.
  • To assess the safety and efficacy of NTR compression anastomosis in patients with advanced peritonitis requiring intestinal resection.

Main Methods:

  • Analysis of 76 interintestinal anastomoses performed with NTR (Günter-Ziganshin implant) between 2011-2017.
  • Unified technique using NTR as a 'clerical clip' for various intestinal reconstructions.
  • Assessment of anastomosis adequacy via clinical observation and intraoperative findings.

Main Results:

  • Mean enteroenterostomy time was 2.6±0.98 minutes.
  • Anastomosis failure rate was 3% (compared to historical data).
  • Macro- and microscopic analysis confirmed complete impermeability and signs of regenerative processes; implant rejection occurred at 7.8±1.4 days.

Conclusions:

  • Compression anastomosis with NTR significantly reduces the risk of anastomosis failure in advanced peritonitis to 3%.
  • The technique decreases surgical time, minimizing intraoperative aggression.
  • This approach improves outcomes for patients with prognostically unfavorable conditions.