Anastomosi intestinali in urologia. Tecniche a confronto

Translated title of the contribution: Intestinal anastomosis in urologic surgery. Comparison of techniques

M. Diana, M. Schettini, M. Gallucci

Research output: Contribution to journalArticle

Abstract

Background. Three different intestinal anastomosis were compared during reconstructive urologic surgery; time, cost and incidence of complications were evaluated. Methods. From November 1993 to February 1997, 45 patients (43 males and 2 females) were submitted to ileal resection to fashion 30 ileal neobladder, 8 ileal conduits and 7 augmentation ileocystoplasties. The patients were randomized in 3 groups. In the first group the intestinal continuity was performed by BAR; the second one was treated by GIA stapling device; the last underwent a manual suture with interrupted stitches double layer (vicryl). Results. The mean follow-up was 18 months. The mean time of canalization was 6.3 days. The complications were: one intestinal subocclusion (group 1); one abdominal wound infection (group 2); one anastomotic leak and one pulmonary embolism (group 3). The mean time of anastomosis was 18, 12 and 39 minutes respectively. The average total cost was 915,000 lire in group 1; 1,280,000 lire in group 2; 632,000 lire in group 3. Conclusions. The conclusion is drawn that mechanical devices (BAR and Stapler) are more convenient and advisable in reconstructive urologic surgery, for their quickness, effectiveness and final total cost.

Original languageItalian
Pages (from-to)825-830
Number of pages6
JournalMinerva Chirurgica
Volume54
Issue number11
Publication statusPublished - Nov 1999

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Reconstructive Surgical Procedures
Costs and Cost Analysis
Polyglactin 910
Equipment and Supplies
Anastomotic Leak
Urinary Diversion
Wound Infection
Pulmonary Embolism
Sutures
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Anastomosi intestinali in urologia. Tecniche a confronto. / Diana, M.; Schettini, M.; Gallucci, M.

In: Minerva Chirurgica, Vol. 54, No. 11, 11.1999, p. 825-830.

Research output: Contribution to journalArticle

Diana, M, Schettini, M & Gallucci, M 1999, 'Anastomosi intestinali in urologia. Tecniche a confronto', Minerva Chirurgica, vol. 54, no. 11, pp. 825-830.
Diana, M. ; Schettini, M. ; Gallucci, M. / Anastomosi intestinali in urologia. Tecniche a confronto. In: Minerva Chirurgica. 1999 ; Vol. 54, No. 11. pp. 825-830.
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