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[A new suture device for continuous sutures in the intestinal tract]
P Bertram1, G Kuth, K H Treutner
1Chirurgische Klinik, RWTH Aachen.
Langenbecks Archiv Fur Chirurgie
|January 1, 1994
Summary
A novel surgical sewing device for gastrointestinal anastomoses showed promising results in pigs, with mostly uneventful procedures. Further investigation is needed due to its size limitations for clinical use.
Area of Science:
- Surgical innovation
- Gastrointestinal surgery
- Veterinary surgery
Context:
- Gastrointestinal anastomoses are critical in surgery.
- Manual suturing can be time-consuming and prone to errors.
- A new mechanical device offers an alternative for continuous sutures.
Purpose:
- To evaluate the feasibility and safety of a new surgical sewing device for creating gastrointestinal anastomoses.
- To assess the performance of the device in constructing a latero-lateral enterostomy in a porcine model.
Summary:
- A new surgical sewing device was used for the first time to create a latero-lateral enterostomy in pigs.
- The device operated faultlessly in most cases (10/11 animals) over a 10-day observation period.
- Postmortem examination revealed adhesions in 5 cases, but no significant leakage was observed.
Impact:
- The device shows potential for automating long, time-consuming manual sutures.
- Its current size limits application to extra-abdominal procedures.
- Further research into mechanical running suture devices is warranted.