In order to prevent surgical complications, such as suture insufficiency, bleeding and leakage of digestive fluid, surgical application of plastic adhesive, Aron alpha was used supplementarily in hand suture method, in mongrel dogs and clinical cases.
1) 2-layers suture covered with plastic adhesive was increased by 20% in the tensile strength than simple conventional anastomosed method. The tensile strength in which anastomosed area was sutured in 2-layers and covered with pericardium and glued over plastic adhesive was increased by 40% than 2-layers suture only.
2) 2-layers suture covered with plastic adhesive showed the pressure as much as 2 times of 2-layers suture only. 2-layers suture covered with pericardium and nylon mesh and glued over plastic adhesive had 2.5 times of pressure as compared to 2-layers suture only.
3) In experimental studies of mid-esophageal end-to-end anastomosis in which anastomosed areas were covered with pericardium, nylon mesh and vastus muscle fascia and glued over plastic adhesive, suture insufficiencies were encountered in less than control group.
4) Covered materials, such as pericardium, nylon mesh and plastic adhesive, were excellent substances, while vastus muscle fascia caused stenosis of anastomosed area.
5) In gastrotomy, all cases healed well and caused no suture insufficiency.
6) In colocolostomy, suture insufficiency could not be found and the group in which anastomosed area was covered with nylon mesh and glued over plastic adhesive resulted in marked stenosis of anastomosis.
7) Application of plastic adhesive in the anastomosis of inflammatory intestinal tract proved to be effective in all cases.
8) Plastic adhesive prevented a cholecystostomy and choledochotomy from leakage of bile and other complications.
9) Plastic adhesive protected against complications accompanied with operations of pancreas and liver.
10) Incidence of suture insufficiency was 40% in pancreatico duodenectomy and all insufficiencies, occured in choledocho jejunostomy.
11) Plastic adhesive did not disturb the wound healing, showed tissue affinity and embeded connective tissue. Furthermore, plastic adhesive did not show inflammatory reaction, but no absorption.
12) Plastic adhesive was used in 53 parts of 29 cases, proving effective in all.
13) Indications of plastic adhesive are follow;
a) removal of tensile strength in anastomosed area b) local rest c) prevention of leakage of digestive fluid d) substitution of serosa e) simplification of hemostasis and surgical technique f) reinforcement of anastomosed area of inflammatory digestive canal
View full abstract