Artículos de revistas
Human Fibrinogen And Thrombin Patch For Extraluminal Protection Of Intestinal Anastomosis [membrana De Fibrinogênio E Trombina Humanos Para Proteção Extra-luminal De Anastomoses Intestinais]
Registro en:
Journal Of Coloproctology. , v. 33, n. 3, p. 174 - 178, 2013.
22379363
10.1016/j.jcol.2013.08.004
2-s2.0-84890063824
Autor
Kotze P.G.
de Barcelos I.F.
Ropelato R.V.
Coy C.S.R.
Institución
Resumen
In spite of recent advances regarding equipment and surgical techniques in colorectal surgery, rates of anastomotic dehiscence (AD) have remained stable throughout the years. The development of products to protect anastomosis aiming the reduction of AD rates has shown to be promising. Human fibrinogen and thrombin patch (HFTP - Tachosil®) have been used in experimental studies in animals and small case series in humans, with promising results. In this study, the authors describe the technique of HFTP use in details, aiming the protection of colorectal anastomosis, and retrospectively demonstrate the preliminary results in a pilot case series. HFTP was used in 4 patients submitted to conventional surgery. The procedures performed were: left colon resection, segmental colectomy (both for colorectal cancer), enteral anastomosis for fistula closure and right ileocolectomy. Anasto-motic healing and absence of complications were observed in 3 patients, and the patient submitted to right ileocolectomy developed AD and died after reoperation. The use of HFTP is safe and can be indicated in selected cases. However, AD can occur even after the use of this strategy. Randomized controlled trials with larger samples of patients are needed in order to properly define the real benef ts of this strategy in dehiscence prevention. © 2013 Elsevier Editora Ltda. All rights reserved. 33 3 174 178 Davis, B., Rivadeneira, D.E., Complications of Colorectal Anastomoses (2013) Surg Clin N Am, 93, pp. 61-87 Shogan, B.D., Carlisle, E.M., Alverdy, J.C., Umanskiy, K., Do We Really Know Why Colorectal Anastomoses Leak? (2013) J Gastrointest Surg, , May 21 [Epub ahead of print] Caulfield, H., Hyman, N.H., Anastomotic Leak After Low Anterior Resection (2013) JAMA Surg, 148 (2), pp. 177-182 Slieker, J.C., Daams, F., Mulder, I.M., Jeekel, J., Lange, J.F., Systematic review of the technique of colorectal anastomosis (2013) JAMA Surg, 148 (2), pp. 190-201. , Feb Daams, F., Luyer, M., Lange, J.F., Colorectal anastomotic leakage: Aspects of prevention, detection and treatment World (2013) J Gastroenterol, 19 (15), pp. 2293-2297. , April Neutzling, C.B., Lustosa, S.A., Proenca, I.M., Stapled versus hand-sewn methods for colorectal anastomosis surgery (2012) Cochrane Database Syst Rev, 2, pp. CD003144 Lustosa, S.A., Matos, D., Atallah, A.N., Castro, A.A., Stapled versus handsewn methods for colorectal anastomosis surgery (2001) Cochrane Database Syst Rev, 3, pp. CD003144 Macrae, H.M., McLeod, R.S., Handsewn vs. stapled anastomoses in colon and rectal surgery: A meta-analysis (1998) Dis Colon Rectum, 41, pp. 180-189 Ho, Y.H., Ashour, M.A.T., Techniques for colorectal anastomosis (2010) World J Gastroenterol, 16 (13), pp. 1610-1621. , April 7 Parker, M.C., Pohlen, U., Borel Rinkes, I.H.M., Delvin, T., The application of TachoSil® for sealing colorectal anastomosis: A feasibility study (2013) Colorectal Disease, 15 (2), pp. 252-257 Bakker, I.S., Morks, A.N., Hoedemaker, H.O.C., Burgerhof, J.G.M., Leuvenink, H.G., Ploeg, R.J., Havenga, K., The C-seal trial: Colorectal anastomosis protected by a biodegradable drain fixed to the anastomosis by a circular stapler, a multi-center randomized controlled trial (2012) BMC Surg, 12, p. 23 Pommergaard, H.C., Achiam, M.P., Rosenberg, J., External coating of colonic anastomoses: A systematic review (2012) Int J Colorectal Dis, 27, pp. 1247-1258 Vakalopoulos, K.A., Daams, F., Wu, Z., Timmermans, L., Jeekel, J.J., Kleinrensink, G.J., Ham, A.V.D., Lange, J.F., Tissue adhesives in gastrointestinal anastomosis: A systematic review (2013) Journal IF Surg Res, 180, pp. 290-300 Huh, J.W., Kim, H.R., Kim, Y.J., Anastomotic leakage after laparoscopic resection of rectal cancer: The impact of fibrin glue (2010) Am J Surg, 199 (4), pp. 435-441 Rickenbacher, A., Breitenstein, S., Lesurtel, M., Frilling, A., Efficacy of TachoSil a f brin-based haemostat in different f elds of surgery - a systematic review (2009) Expert Opin Biol Ther, 9, pp. 897-907 Pantelis, D., Beissel, A., Kahl, P., Wehner, S., Vilz, T.O., Kalff, J.C., The effect of sealing with a f xed combination of collagen matrixbound coagulation factors on the healing of colonic anastomoses in experimental high-risk mice models (2010) Langenbecks Arch Surg, 395 (8), pp. 1039-1048 Nordentoft, T., Rømer, J., Sørensen, M., Sealing of gastrointestinal anastomoses with a fibrin glue-coated collagen patch: A safety study (2007) J Invest Surg, 20, pp. 363-369 de Stefano, A., Bettarini, F., Di Mare, G., Neri, A., Enteric anastomosis and Tachosil (2011) Minerva Chir, 66, pp. 183-188