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Query: UMLS:C0021843 (bowel obstruction)
 9,927 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

PURPOSE OF STUDY--To evaluate the safety and applicability of a biofragmentable anastomotic ring (VALTRAC BAR) in an Asian population and report on its performance as an alternative to sutures and stapling devices. SELECTION OF STUDY SUBJECTS--A consecutive series of 20 patients undergoing colonic surgery over a 7-month period from October 1992 to April 1993. OBSERVATIONAL METHODS AND MAIN FINDINGS--A protocol was drawn up for prospective record of data from 11 male and 9 female patients (age 34 years to 83 years). Information was collected regarding length of operation (average 3 hours), actual anastomotic time (average 13.5 minutes) and problems or complications associated with the Valtrac device during surgery (none). Postoperatively, the cases were carefully documented for intestinal obstruction from faecal impaction due to Valtrac fragments (none), the timing of bowel movements (majority 4th day, range 1-7 days), and awareness of passing fragments (none). There were no mortality and no anastomotic leakage though two patients developed wound infection. PRINCIPAL CONCLUSIONS--This preliminary study confirms that the biofragmentable anastomotic ring is a simple, rapid and efficacious method of bowel anastomosis comparable to existing procedures. It has the distinct advantage of being uniformly reproducible.
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PMID:Colonic anastomosis with sutureless biofragmentable rings. 815 20

The authors report their experience with the use of biofragmentable anastomosis ring in intestinal anastomosis: 21 patients underwent intestinal resection and anastomosis by BAR. There was no operative mortality. One patient developed an anastomotic leak and three patients had symptoms of intestinal obstruction. The endoscopic follow up showed no late complications. Technical factors regarding the BAR are discussed. Advantages appear to be a safe, rapid and easy alternative to hand and stapled intraperitoneal large bowel anastomosis.
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PMID:Biofragmentable anastomosis ring (BAR) in intestinal surgery: review of 21 cases and evaluation of postoperative morbidity. 963 Jul 55