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Titolo:
The Tubingen balloon - A new method for adjusting the tension of the fundic wrap during laparoscopic Nissen fundoplication
Autore:
Kalanovic, D; Buess, GF; Kayser, J; Mentges, B; Roth, K; Raestrup, H; Tijerina, L; Kaczorowski, H;
Indirizzi:
Univ Tubingen, Sect Minimally Invas Surg, Tubingen, Germany Univ TubingenTubingen Germany Minimally Invas Surg, Tubingen, Germany
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 4, volume: 14, anno: 2000,
pagine: 382 - 387
SICI:
0930-2794(200004)14:4<382:TTB-AN>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTIREFLUX SURGERY;
Keywords:
antireflux surgery; gastroesophageal reflux; intraoperative adjustment; laparoscopic fundoplication; Nissen fundoplication; pressure recording; quality assurance;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Kalanovic, D Univ Tubingen, Sect Minimally Invas Surg, Tubingen, Germany Univ Tubingen Tubingen Germany vas Surg, Tubingen, Germany
Citazione:
D. Kalanovic et al., "The Tubingen balloon - A new method for adjusting the tension of the fundic wrap during laparoscopic Nissen fundoplication", SURG ENDOSC, 14(4), 2000, pp. 382-387

Abstract

An adequate fundic wrap is fundamental to the success of conventional and laparoscopic Nissen fundoplications. Nevertheless, up to now there has beenno standardized method for the surgeon to determine intraoperatively the width and tension of the fundic wrap according to objective criteria. With the support of Rusch (Kernen, Germany), we developed a measurement balloon for use in laparoscopic Nissen fundoplication. The balloon allows the surgeon to define the width of the wrap and predetermine its length, as well as to measure its tension. Depending on the measured balloon pressure, the surgeon can perform fundic sutures more or less tightly. On the basis of 41 fundoplication model tests, we found that a fundic wrap typically described as"loose and floppy" produced a balloon pressure of 50-60 mmHg. In 10 laparoscopic Nissen fundoplications on domestic pigs, we were able to adjust the fundic wrap intraoperatively to a balloon pressure in this range (mean; 53.5; SD; 2.25). After the optimal intraoperative balloon pressure in humans has been investigated in a prospective study that is in progress, the Tubingen balloon is expected to serve as an instrument for quality assurance in reflux surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:39:04