Issue: 2012, Vol. 17, No. 3

Gorsky В. А., Agapov М. А., Sologubov В. В.

Intestinal suture enhancement in abdominal surgery

Keywords

intestinal suture, «TachoComb» biopolymer substance, peritonitis, acute ileus

Abstarct

The study was aimed to show the possibility of the intestinal suture safety increase by «TachoComb» (TK) biopolymer substance application. The study was composed of experimental and clinical parts. The findings allowed to reveal that TK increased suture mechanical strength 1,5–3 times as much and decreased microbial dissemination in the zone of additionally closed anastomosis 16 times as much. Besides these facts the expressed influence of reparation processes stimulation, namely TK application was conducive to more fast regeneration of the intestinal wall. In hospitals TK plastic properties were used in prognostically unfavorable conditions in traditional and laparoscopic operations in 279 patients. Suture and anastomosis ehhancement in the operations on small intestine and large intestine in peritonitis and ileus were performed in 98 patients and suture failure was noted only in 2 (1,1%). In the control group suture failure were observed in 19,3% cases.