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>Journals >Cirujano General >Year 2002, Issue 3

Vega BM, Guarneros ZJ, Gómez CX, Rojas DO, Lasky MD, Amézquita LJ, Isla TJ, Weber SA
Experience with the use of polybutilate (Novafil) in laparoscopic knots and sutures
Cir Gen 2002; 24 (3)

Language: Español
References: 15
Page: 213-216
PDF: 4. Kb.

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Objective: To assess the use of polybutester for sutures and knots in laparoscopic surgeries.
Setting: Third level health care hospitals.
Design: Clinical, observational, and descriptive study.
Patients and methods: Patients subjected to laparoscopic surgery in five hospitals of Mexico City were included. Polybutester with T5 needle was used for sutures and two types of knots, simple and Roeder loop, additionally laparoscopic needle supporter and knots descender were used. We assessed in each patient, the easiness in handling the filament, safety in making sutures and knots, long-term follow-up (five years) to observe resulting morbidity.
Results: Two-hundred and forty six patients were operated in whom the following laparoscopic procedures were performed: Inguinal plasty in 115, Nissen-type fundoplication in 111; appendectomy in 15; closure of perforated peptic ulcer in 2, closure of colon perforation in 2, and Y-in-Roux shunt in 1. For all patients, the corresponding surgeon reported easiness in its use and safety to perform the suture and knots with good resistance of the filament. The endoscopic study corroborated the integrity of the Nissen-type fundoplication in 20% of the corresponding patients. In 2.4% of the operated patients (n= 10), a second surgery had to be performed due to diverse causes, not related to the initial procedure (Nissen type fundoplication), and in all of them the integrity of the fundoplication without adherences at its site was confirmed. The other 236 patients have been under surveillance for an average time of 5 years without presenting evidences of complications secondary to the use of the polybutester.
Conclusion: In this group of patients, the polybutester showed to be a safe and effective material for laparoscopic surgeries.

Key words: Laparoscopic surgery, suture material, polybutester.


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>Journals >Cirujano General >Year 2002, Issue 3

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