New training model using chickens intestine for pediatric intestinal anastomosis

New training model using chickens intestine for pediatric intestinal anastomosis
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DOI:
10.1590/s0102-865020190070000009
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发表时间:
2019-01-01
期刊:
Acta Cirúrgica Brasileira
影响因子:
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通讯作者:
Yasojima, Edson Yuzur
Yasojima, Edson Yuzur
中科院分区:
其他
文献类型:
--
作者:
Santos, Deivid Ramos dos;Calvo, Faustino Chaves;Yasojima, Edson Yuzur

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目的:开发一种新的低成本、易制作、实用的婴幼儿肠道吻合训练模型。方法:利用鸡肠段制作肠道吻合模拟器。我们尝试进行端到端、端到侧和侧到侧的吻合。单层手工缝合吻合,Prolen5-0间断缝合。分析了成本、肠管直径和长度、吻合口通畅率、流通率和渗漏量等参数。结果:所有病例均能顺利完成双层吻合,不同于常规吻合术。结论:利用鸡肠进行婴幼儿肠道吻合术是一种低成本、易制作、易实施的新训练模式。
Purpose: To develop a new low-cost, easy-to-make and available training model using chickens' intestine for infant intestinal anastomosis.Methods: Segments of chicken intestine were used to create an intestinal anastomosis simulator. We tried to perform an end-to-end, end-to-side and side-to-side anastomosis. Handsewn sutured anastomosis were performed in single layered with interrupted prolene 5-0 suture. The parameters analyzed were cost, intestine's diameter and length, anastomosis patency and flow-through and leakage amount.Results: In all cases it was possible to make the anastomosis in double layered without difficulties, different from the usual ones. There was a positive patency at all anastomoses after the end of the procedure, with no need for reinterventions.Conclusion: The new training model using chickens' intestine for infant intestinal anastomosis is low-cost, easy-to-make and easy available.