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  • Title: [Use of plasma scalpel and one-layer suture in resection of the stomach].
    Author: Pleshkov VG, Afanas'ev VN, Babichev AV.
    Journal: Khirurgiia (Mosk); 1998; (11):27-9. PubMed ID: 9864981.
    Abstract:
    110 cases of resection of the stomach with transection of the stomach and the duodenum by plasmic scalpel and suturing of curvatura minor of the stump and anastomosis with the use of original one-layer sero-muscular-submucosal suture have been analysed. Changes in gastric wound at the site of plasma transection were evaluated microscopically. It was established that plasma transection of the stomach is aseptic, hemostatic, thermal trauma is minimal and does not exceed the level of 3-4 mm from transection line. Favourable conditions for applications of one-layer suture contribute much to a decrease of the number of stitch puncture, to rejection of catgut, to reduction of tissue mass involved and deformation of intestinal wall. In the early postoperative period wound and anastomoses healing occurred without substantial inflammatory changes. 109 patients were operated by Billroth-1 and 1 patient--by Billroth-II. One patient died (lethality 0.9%). Early postoperative complications occurred in 7.2% of operated patients.
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