Surgery – Miscellaneous – Methods
Patent
1994-03-21
1996-08-27
Prebilic, Paul B.
Surgery
Miscellaneous
Methods
623 11, 606151, 606153, A61B 1900, A61B 1708
Patent
active
055491227
ABSTRACT:
Surgical mammalian vessel anastomosis is accomplished by connecting first vessel and second vessel stumps with generally annular openings using an anastomosis apparatus, having a stent and a stent placement member. The method comprises circumferentially inserting a first and second purse-string suture into the respective first and second vessel stumps, placing the stent member at least partially within the receiving portion of the stent placement member, inserting the stent member and stent placement member through an opening in the second vessel stump remote from the generally annular opening of the second vessel stump until the stent member extends at least partially through the generally annular opening of the second vessel stump, inserting the first end of the stent member into the generally annular opening of the first vessel stump, tightening the purse-string sutures to annularly introflect the edges of the first and second vessel stumps onto the second end of the stent member, and applying a compressive force to the stent member within the receiving portion of the stent placement member to cause the annularly introflected edge of the first vessel stump to engage the annularly introflected edge of the second vessel stump to form a substantially annular engagement region between the stent member and the stent placement member with a clamping force sufficient to retain the edges of the stumps in annular engagement. A biocompatible sealant is applied and cures in minutes before removing the purse-string sutures.
REFERENCES:
patent: 3771526 (1973-11-01), Rudie
patent: 4705039 (1987-11-01), Sakaguchi et al.
patent: 4883618 (1989-11-01), Barrows
patent: 4899744 (1990-02-01), Fujitsuka et al.
patent: 5064057 (1991-11-01), Iwatsuki et al.
patent: 5141516 (1992-08-01), Detweiler
patent: 5180392 (1993-01-01), Skeie et al.
patent: 5185408 (1993-02-01), Tang et al.
patent: 5209776 (1993-05-01), Bass et al.
patent: 5250058 (1993-10-01), Miller et al.
patent: 5282810 (1994-02-01), Allen et al.
Murphy, J. B., "Cholecysto-Intestinal, Gastro-Intestinal, Entero Intestinal Anastomosis, and Appoximation Without Sutures," Medical Record, 42:665-676 (Dec. 10, 1982).
Hardy, T. Jr., et al., "A Biofragmentable Ring for Sutureless Bowel Anastomosis An Experimental Study", Dis. Colon Rectum, 28:484-490 (1985).
Hardy, T., Jr., et al., "Initial Clinical Experience with a Biofragmentable Ring for Sutureless Bowel Anastomosis", Dis Colon Rectum, 30:55-61 (1987).
Maney, J., et al., "Biofragmentable Bowel Anastomosis Ring: Comparative Efficacy Studies in Dogs," Surgery, 103:56-62 (1988).
Cahill, C. J., et al., "Sutureless Large Bowel Anastomosis: European Experience with the Biofragmentable Anastomosis Ring," Br. J. Surg., 76:344-347 (1989).
Kamiji, T., et al., "Microvascular Anastomosis Using Polyethylene Glycol 4000 and Fibrin Glue," British Journal of Plastic Surgery, 42:54-58 (1989).
M. P. Bubrick et al., "Prospective, Randomized Trail of the Biofragmentable Anastomosis Ring," Am. J. Surg. 161, pp. 136-142 (1991).
M. L. Corman et al., "Comparison of the Valtrac Biofragmentable Anastomosis Ring with Conventional Suture and Stapled Anastomosis in Colon Surgery," Dis. Colon Rectum 32, pp. 183-187 (1989).
C. Rebuffat et al., "Clinical Application of a New Compression Anastomotic Device for Colorectal Surgery," Am. J. Surg. 159, pp. 330-335 (1990).
Z. Cong et al., "Experimental Study on Microvascular Anastomosis Using a Dissolvable Stent Support in the Lumen," Microsurgery 12, pp. 67-71 (1991).
A. Liboni et al., "AKA-2. A New Introflecting Circular Stapler in Colo-rectal Surgery," Acta Chir Italica 41, pp. 536-590 (1985).
Senn, N., "Enterorrhaphy; Its History, Technique and Present Status," J.A.M.A., 21(7):215-35 (1893).
Hjortrup, A. P. et al., "Fibrin Adhesive Versus Sutured Anastomosis: A Comparative Intra-Individual Study in the Small Intestine of Pigs," Br. J. Surg., 73:760-61 (1986).
Ethicon, Inc. brochure entitled "PROXIMATE.TM. ILS Disposable Intraluminal Stapler System".
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