About: Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment     Goto   Sponge   NotDistinct   Permalink

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  • Introduction: A safe closure technique of transluminal access is essential for the widespread application of natural orifice transluminal endoscopic surgery (NOTES).Aim: To evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure). Material and methods: An experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariectomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gastrotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination. Results: In the %22loop-and-clip%22 closure group, the correct placement of an endoloop and clips was achieved in all animals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the %22clips%22 group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1(14.3%) case of peritonitis were found. Conclusions: A single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips.
  • Introduction: A safe closure technique of transluminal access is essential for the widespread application of natural orifice transluminal endoscopic surgery (NOTES).Aim: To evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure). Material and methods: An experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariectomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gastrotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination. Results: In the %22loop-and-clip%22 closure group, the correct placement of an endoloop and clips was achieved in all animals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the %22clips%22 group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1(14.3%) case of peritonitis were found. Conclusions: A single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips. (en)
Title
  • Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment
  • Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment (en)
skos:prefLabel
  • Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment
  • Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment (en)
skos:notation
  • RIV/67985904:_____/12:00390677!RIV13-AV0-67985904
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(NS9994), Z(AV0Z50450515)
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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  • 168129
http://linked.open...ai/riv/idVysledku
  • RIV/67985904:_____/12:00390677
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • natural orifice transluminal endoscopic surgery; gastric closure; clips; endoloop (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • PL - Polská republika
http://linked.open...ontrolniKodProRIV
  • [85677DE361FA]
http://linked.open...i/riv/nazevZdroje
  • Wideochirurgia i Inne Techniki Malo Inwazyjne
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
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http://linked.open...v/svazekPeriodika
  • 7
http://linked.open...iv/tvurceVysledku
  • Motlík, Jan
  • Doležel, R.
  • Filípková, T.
  • Juhásová, Jana
  • Ryska, M.
  • Ryska, O.
  • Zavoral, M.
  • Martinek, J.
http://linked.open...ain/vavai/riv/wos
  • 000312928400002
http://linked.open...n/vavai/riv/zamer
issn
  • 1895-4588
number of pages
http://bibframe.org/vocab/doi
  • 10.5114/wiitm.2011.28870
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