Tissue anastomosis using a KTP laser: An experimental study

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dc.authorscopusid6602236091
dc.authorscopusid6602230087
dc.authorscopusid6602730723
dc.authorscopusid7201961247
dc.contributor.authorGurer S.
dc.contributor.authorGurpinar T.
dc.contributor.authorGurer I.E.
dc.contributor.authorGriffith D.P.
dc.date.accessioned2024-08-04T19:59:37Z
dc.date.available2024-08-04T19:59:37Z
dc.date.issued1996
dc.departmentİnönü Üniversitesien_US
dc.description.abstractSutured visceral anastomoses are time-consuming and complex when performed endoscopically. Theoretically, laser-welded visceral anastomoses are possible and are potentially easier and quicker to perform endoscopically than the sutured anastomoses. In this living canine study, we compared the operating time and intraluminal bursting pressure of laser-welded vs sutured anastomoses of (1) common bile duct (CBD), (2) small intestine, (3) colon and (4) ureter. Each organ was joined to itself using both anastomotic techniques. Welded anastomoses were much quicker in each organ system. Watertight anastomoses were achieved in each organ tested with both anastomotic techniques. Intraluminal hydrostatic bursting pressures occurred at lower pressures (approximately 70% of sutured anastomosis bursting pressure) in all organs. Though not qualified, tensile disruption pressure appeared to be significantly lower in the welded anastomoses as compared to the sutured anastomoses. Laser-welded visceral anastomoses are rapid and watertight. Compared to sutured anastomoses, welded anastomoses are less secure to intraluminal bursting pressures and probably less to tensile pressures. Strength enhancing adjunctive measures, such as serosal adhesives or serosal clips, may strengthen welded anastomoses and are worthy of additional studies.en_US
dc.identifier.doi10.3109/13645709609152695
dc.identifier.endpage527en_US
dc.identifier.issn0961-625X
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-0030444156en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage521en_US
dc.identifier.urihttps://doi.org/10.3109/13645709609152695
dc.identifier.urihttps://hdl.handle.net/11616/90754
dc.identifier.volume5en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherInforma Healthcareen_US
dc.relation.ispartofMinimally Invasive Therapy and Allied Technologiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnastomosisen_US
dc.subjectKTP laseren_US
dc.subjectTissue weldingen_US
dc.titleTissue anastomosis using a KTP laser: An experimental studyen_US
dc.typeArticleen_US

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