Resumos
Os autores apresentam a proposta de utilização de fitas de nylon (braçadeiras) em cirurgias videoendoscópicas ou convencionais. Estas braçadeiras foram idealizadas para amarração de cabos elétricos. Efetuaram estudo experimental em ratos brancos (teste de comportamento biológico) e cães (ligaduras vasculares e de intestino) com bom resultado técnico e demonstrando escassa reação tecidual na presença deste material. Ficaram confirmadas a exeqüibilidade, a praticidade, a segurança e a economia na utilização das mesmas, sugerindo que possam ser aceitas como um método alternativo na prática cirúrgica.
Cirurgia laparoscópica experimental; Técnica cirúrgica; Peritonioscopia
Temporary use of "polyester strips" in conventional surgery was the subject of reports by Mies, S. and Raia, S. and by Cartaya R.C. et al. These strips, originally created to tie electric wires together have found a bological purpose such as their temporary use in liver surgery and for abdominal wall closure, without a previous histologic evaluation. The authors propose to make permanent use of these "polyester strips" in video-surgery, as well as in conventional surgery. Presently, hemostasis of large vessels, the restraining of anatomical structures or the presentation of the operatory field, can be carried out in videoendoscopic surgery, with materials already available and known to surgeons. The authors report the results obtained by testing the biological behavior of polyester strips carried out on white rats. They also report the applicability of the method, by means of ligature and section of mesenteric vessels, carried out on dogs. Histopathological analyses showed very low tissue reaction, suitable potential for vascular occlusion and mature fibrosis induction with absence of foreign body reaction. This analysis high lights the applicability, the technical simplicity, the safety and the low cost associated with the use of "polyester strips”. It is suggested that they should be accepted as one more alternative for surgical use.
Laparoscopic experimental surgical; Surgical tecnique peritoneoscopy
NOTA PRÉVIA
Alternativa para ligaduras em cirurgias videoendoscópicas ou convencionais, com emprego de fitas de nylon. Um estudo experimental
The use of nylon tape as an alternative for ligatures in video-endoscopic or conventional surgery. An experimental study
Albino Augusto Sorbello, TCBC-SPI; João Guidugli NetoII; Renato Andretto, TCBC-SPIII
IMédico Assistente e Encarregado da Videolaparoscopia do Serviço de Gastroenterologia Cirúrgica do HSPE-FMO) - SP
IIMédico do Serviço de Anatomia-Patológica do HSPE-FMO e do Hospitallsraelita Albert Einstein - SP
IIIProfessor Chefe tio Setor de Cirurgia Experimental do HSPE-FMO - SP
Endereço para correspondência Endereço para correspondência: Dr. Albino Augusto Sorbello Setor de Cirurgia Experimental Hospital do Servidor Público Estadual - FMO Rua Pedro de Toledo, 04039-901 - São Paulo-SP
RESUMO
Os autores apresentam a proposta de utilização de fitas de nylon (braçadeiras) em cirurgias videoendoscópicas ou convencionais. Estas braçadeiras foram idealizadas para amarração de cabos elétricos. Efetuaram estudo experimental em ratos brancos (teste de comportamento biológico) e cães (ligaduras vasculares e de intestino) com bom resultado técnico e demonstrando escassa reação tecidual na presença deste material. Ficaram confirmadas a exeqüibilidade, a praticidade, a segurança e a economia na utilização das mesmas, sugerindo que possam ser aceitas como um método alternativo na prática cirúrgica.
Unitermos: Cirurgia laparoscópica experimental; Técnica cirúrgica; Peritonioscopia.
ABSTRACT
Temporary use of "polyester strips" in conventional surgery was the subject of reports by Mies, S. and Raia, S. and by Cartaya R.C. et al. These strips, originally created to tie electric wires together have found a bological purpose such as their temporary use in liver surgery and for abdominal wall closure, without a previous histologic evaluation. The authors propose to make permanent use of these "polyester strips" in video-surgery, as well as in conventional surgery. Presently, hemostasis of large vessels, the restraining of anatomical structures or the presentation of the operatory field, can be carried out in videoendoscopic surgery, with materials already available and known to surgeons. The authors report the results obtained by testing the biological behavior of polyester strips carried out on white rats. They also report the applicability of the method, by means of ligature and section of mesenteric vessels, carried out on dogs. Histopathological analyses showed very low tissue reaction, suitable potential for vascular occlusion and mature fibrosis induction with absence of foreign body reaction. This analysis high lights the applicability, the technical simplicity, the safety and the low cost associated with the use of "polyester strips. It is suggested that they should be accepted as one more alternative for surgical use.
Key words: Laparoscopic experimental surgical; Surgical tecnique peritoneoscopy.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 15/5/97
Aceito para publicação em 26/1 0/98
Trabalho realizado no Setor de Cirurgia Experimental do Hospital do Servidor Público Estadual - Francisco Morato de Oliveira- HSPE-FMO - São Paulo -SP
- 1. Cartaya R Ch, et al- Ajustable nylon ties for abdominal waal closure. Am J Surg 1992;(163):609-12.
- 2. Creuz O - Equipamento e instrumental. Manual de Cirurgia Video- endoscópica. Livraria e Editora Revinter Ltda., Rio de Janeiro 1993.
- 3. Duppler DW - Laparoscopic instrumentation, videoimaging, and equipament disinfection and sterilization. Surg Clin N Am 1992; 72:1.021-1.032.
- 4. Mies S & Raia S - A simple method for controlling hemorrhage during hepatectomy. SGO 1989;168:265-266.
- 5. Talmini, MA & Gadacz, TR. Equipment and instrumentation. Surgical Laparoscopy Update. Quality Medical Publishing, Inc., St.Louis, 1993.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
09 Fev 2010 -
Data do Fascículo
Abr 1999
Histórico
-
Recebido
15 Maio 1997 -
Aceito
26 Out 1998
