Can LigaSure seal and divide the small bowel?


BACKGROUND:The LigaSure system (Valleylab, Boulder, CO) seals vessels by reforming collagen and elastin in vessel walls. We studied the feasibility and effectiveness of LigaSure in dividing porcine small bowel. METHODS:Twelve porcine small bowel portions were randomized to division with either endoscopic linear stapler or LigaSure system and the burst pressure of the sealed ends were measured. RESULTS:Segments sealed with staples (6), LigaSure Atlas (Valleylab) (7), LigaSure Xtd (Valleylab) (4), and double-sealed with LigaSure Atlas (Valleylab) (4) were compared. Burst pressure for stapled segments was 131 (standard deviation [SD] 19) mm Hg; failure occurred in the bowel wall. Burst pressures for the 3 groups of Ligasure segments were 27 (SD 5), 20 (SD 6), and 11 (SD 13) mm Hg, respectively, with no statistically significant difference among them; failure occurred at the sealed end. Burst pressure for stapled segments was significantly higher than that of Ligasure segments (P < .001). CONCLUSION:LigaSure does not safely seal small bowel.


Am J Surg


Salameh JR,Schwartz JH,Hildebrandt DA




Has Abstract


2006-06-01 00:00:00














  • Prospective study using skin staplers in head and neck surgery.

    abstract:BACKGROUND:A prospective trial was undertaken to investigate the advantages and disadvantages of stapled skin closure versus conventional nylon sutures in head and neck surgery. PATIENTS AND METHODS:The study included 20 consecutive patients who underwent extensive surgery in which their skin was closed with staples. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: dos Santos LR,Freitas CA,Hojaij FC,Araújo Filho VJ,Cernea CR,Brandão LG,Ferraz AR

    更新日期:1995-11-01 00:00:00

  • Outcome in cirrhotic patients with acute alcoholic hepatitis after emergency portacaval shunt for bleeding esophageal varices.

    abstract::Operative liver biopsy findings were reviewed in 164 consecutive, unselected patients with alcoholic cirrhosis who had bleeding from esophageal varices and underwent emergency portacaval shunt. The survival rate up to 10 years in 49 patients with acute alcoholic hepatitis and alcoholic cirrhosis was not significantly ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bell RH Jr,Miyai K,Orloff MJ

    更新日期:1984-01-01 00:00:00

  • Reconstruction of cervical esophagus, hypopharynx and oral cavity using free jejunal transfer.

    abstract::Experience with 22 cases of reconstruction of the cervical esophagus, hypopharynx and oral cavity using free jejunal transfer is presented. The method requires an experienced team with high technical competence, but the benefits related to rapid single-stage completion and low morbidity certainly justify its use. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hester TR,McConnel FM,Nahal F,Jurkiewicz MJ,Brown RG

    更新日期:1980-10-01 00:00:00

  • Improved patient selection for angioplasty utilizing color Doppler imaging.

    abstract::The accepted approach to patients with intermittent calf claudication is nonoperative unless the symptoms are truly incapacitating, in which case arteriography and either percutaneous angioplasty or operation is indicated. Arteriography is considered a preoperative procedure. However, with improvements in percutaneous...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Collier P,Wilcox G,Brooks D,Laffey S,Dalton T

    更新日期:1990-08-01 00:00:00

  • Tension-free hernia repair is associated with an increase in inflammatory response markers against the mesh.

    abstract:BACKGROUND:The purpose of this study was to evaluate the involvement of inflammatory mediators in patients undergoing Lichtenstein tension-free hernioplasty (LH) using polypropylene prosthetic materials or conventional Bassini hernia repair (BH). METHODS:Thirty patients male with unilateral inguinal hernia without com...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Di Vita G,Milano S,Frazzetta M,Patti R,Palazzolo V,Barbera C,Ferlazzo V,Leo P,Cillari E

    更新日期:2000-09-01 00:00:00

  • Timing of treatment for nonneutropenic patients colonized with Candida.

    abstract::There has been a continuing evolution of the clinical spectrum of Candida infection in nonneutropenic patients. With better understanding of the predisposing factors for fungemia in critically ill patients, interest now centers on indications for early therapy, prior to the progression of colonization to fungemia. Rec...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Solomkin JS

    更新日期:1996-12-01 00:00:00

  • Extended neck dissection.

    abstract:BACKGROUND:This study defines the clinical settings in which extended radical neck dissection (ERND) was performed and determines its impact on control of disease in the neck and on survival. METHODS:We reviewed the records of 106 patients undergoing ERND between 1984 and 1993. Most (76) had metastatic squamous cell c...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Carew JF,Spiro RH

    更新日期:1997-11-01 00:00:00

  • Perioperative immunomodulation in cancer surgery.

    abstract::Despite undergoing a curative resection, many patients with colorectal cancer will develop and die of metastatic disease. It has been shown clinically and experimentally that surgery causes a transient period of immunosuppression, and it is postulated that this may encourage both the implantation of surgically dissemi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Colacchio TA,Yeager MP,Hildebrandt LW

    更新日期:1994-01-01 00:00:00

  • Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment.

    abstract:BACKGROUND:Choledochal cysts (CDC) are rare congenital cystic lesions of the biliary tract. In North America the incidence of CDC is estimated as 1/150,000; it is not clear that the disease pattern in North America is similar to that in Asia. METHODS:Retrospective chart review. Statistical analysis was under taken usi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Wiseman K,Buczkowski AK,Chung SW,Francoeur J,Schaeffer D,Scudamore CH

    更新日期:2005-05-01 00:00:00

  • Weight loss and early and late complications--the international experience.

    abstract::Following its introduction in 1993, the LAP-BAND (INAMED Health, Santa Barbara, CA) has been used extensively across the world for the treatment of obesity, and data on safety and effectiveness are now available. This review draws on the literature and our own clinical patient base to provide an overview of the early ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: O'Brien PE,Dixon JB

    更新日期:2002-12-01 00:00:00

  • Changing etiology of iliopsoas abscess.

    abstract::Over a 5-year period, iliopsoas abscesses were found in 11 patients. Although the most common underlying condition was Crohn's disease (3 of 11 patients), 5 abscesses resulted from hematogenous spread from a distant site. Each of these five patients was elderly, severely malnourished, or had an underlying chronic dise...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Walsh TR,Reilly JR,Hanley E,Webster M,Peitzman A,Steed DL

    更新日期:1992-04-01 00:00:00

  • Advantages of polytetrafluoroethylene arteriovenous loops in the thigh for hemodialysis access.

    abstract:BACKGROUND:The upper thigh is an alternative but infrequently used site to the forearm for placement of subcutaneous polytetrafluoroethylene (PTFE) arteriovenous conduits in patients requiring hemodialysis for end stage renal failure. This site has the great advantage of easier accessibility for self-cannulation. METH...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Khadra MH,Dwyer AJ,Thompson JF

    更新日期:1997-04-01 00:00:00

  • Edema volume, not timing, is the key to success in lymphedema treatment.

    abstract:BACKGROUND:There are currently between 1 and 2 million breast cancer survivors in the United States. Is the advocated, early intervention the key to successful treatment, or are there other, more important factors? METHODS:Responses to combined decongestive therapy (CDT) for 69 women were analyzed with regard to durat...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ramos SM,O'Donnell LS,Knight G

    更新日期:1999-10-01 00:00:00

  • Risk factors of tracheostomal recurrence after laryngectomy for laryngeal carcinoma.

    abstract:BACKGROUND:Tracheostomal recurrence after total laryngectomy for laryngeal carcinoma has a poor prognosis. The independent risk factors of tracheostomal recurrence are, however, not well documented. METHODS:This is a multivariate analysis of the risk factors of tracheostomal recurrence after total laryngectomy for 322...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Yuen AP,Wei WI,Ho WK,Hui Y

    更新日期:1996-09-01 00:00:00

  • A survey of the practice and attitudes of surgeons regarding the treatment of appendicitis.

    abstract:BACKGROUND:We surveyed surgeons to document their attitudes, practice, and risk tolerance regarding the treatment of appendicitis. METHODS:A web-based survey was sent to the EAST membership. The primary composite endpoint was defined as 1-year incidence of perioperative complications, antibiotic failure, infections, E...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Yeh DD,Sakran JV,Rattan R,Mehta A,Ruiz G,Lieberman H,Mulder M,Namias N,Zakrison T,Pust GD

    更新日期:2019-07-01 00:00:00

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    abstract:BACKGROUND:Since the introduction of the laparoscopic live donor nephrectomy in 1995, attempts have been made to depart from the total laparoscopic approach to the hand-assisted approach to decrease surgical time and complications. We present our 6-year experience with the total laparoscopic approach. METHODS:Between ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hawasli A,Berri R,Meguid A,Le K,Oh H

    更新日期:2006-03-01 00:00:00

  • The natural history of pancreatic pseudocysts: a unified concept of management.

    abstract::Between 1971 and 1976, ninety-three patients with a clinical diagnosis of pseudocyst confirmed by ultrasonography were identified from a group of 923 patients admitted for pancreatic disease. Uncertainties in diagnosis and/or rapid progression of underlying pancreatitis led to urgent laparotomy and drainage in eleven ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bradley EL,Clements JL Jr,Gonzalez AC

    更新日期:1979-01-01 00:00:00

  • Minimizing cervical esophageal anastomotic complications by a modified technique.

    abstract:BACKGROUND:The anastomotic leak and stricture formation after esophagectomy and cervical esophagogastric anastomosis deny patients with esophageal carcinoma the benefits of surgery. The present study was designed to ascertain whether a wide cross-sectional area at the site of anastomosis leads to lesser anastomotic com...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Gupta NM,Gupta R,Rao MS,Gupta V

    更新日期:2001-06-01 00:00:00

  • Ischemia of the upper extremity due to noncardiac emboli.

    abstract::Nine cases of microemboli of arterial origin to the upper extremity are reported. The source of emboli in five of these cases was in the subclavian artery compressed by osseous anomalies in the thoracic outlet. Three aneurysms, one in a subclavian vein graft and two traumatic false aneurysms in the hand, were also not...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Banis JC Jr,Rich N,Whelan TJ Jr

    更新日期:1977-07-01 00:00:00

  • Surgical debridement and intralesional steroid injection in the treatment of idiopathic AIDS-related anal ulcerations.

    abstract:BACKGROUND:The treatment of idiopathic anal ulcerations in AIDS patients is still evolving. These patients suffer with severe incapacitating anal pain. PATIENTS AND METHODS:Relief of pain was achieved with the use of intralesional steroid injections. Twenty-one patients from 1990 to 1993 presented with severe anal pai...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Modesto VL,Gottesman L

    更新日期:1997-10-01 00:00:00

  • Defining quality in surgical training: perceptions of the profession.

    abstract:BACKGROUND:To improve surgical training standards, it is necessary to first define the elements of high-quality training and methods for measuring them. METHODS:Semistructured interviews were conducted with attending (n = 10) and resident (n = 10) general surgeons. An interview topic guide was used to elicit end users...

    journal_title:American journal of surgery

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    authors: Singh P,Aggarwal R,Pucher PH,Duisberg AL,Arora S,Darzi A

    更新日期:2014-04-01 00:00:00

  • Saphenous vein bypass graft to left main coronary artery.

    abstract::The first reported aorto-left main coronary artery saphenous vein bypass for an aberrant left main coronary artery arising from the anterior sinus of Valsalva is presented. Late follow-up revealed a normal stress test, and cardiac catheterization revealed the left system to be entirely supplied by the graft. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sacks JH

    更新日期:1977-08-01 00:00:00

  • Sacrococcygeal teratomas in infants and children.

    abstract::From 1941 through 1983, a total of 66 patients with sacrococcygeal teratoma were seen, representing 41 percent of the total of 162 patients with teratomas from all anatomic sites seen over this period. Forty-six (70 percent) of the patients with sacrococcygeal teratomas were female and 34 (52 percent) were neonates. Y...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Whalen TV Jr,Mahour GH,Landing BH,Woolley MM

    更新日期:1985-09-01 00:00:00

  • Role of enteric plexuses in the competency of telescoped intestinal valves.

    abstract::The mechanism of preventing intestinal regurgitation by means of a telescoped intestinal valve has been investigated in this study. Ten telescoped intestinal valves were uniformly created in dogs. A tolerance test to barium reflux was performed before the animals were sacrificed 16 weeks postoperatively, which yielded...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Yang Y,Kholoussy AM,Kuwano H,Takenaka K,Perez A,Matsumoto T

    更新日期:1987-04-01 00:00:00

  • Continuous ambulatory venous pressure for diagnosis of venous insufficiency. Preliminary report.

    abstract::We have found that the venous pressure slope during minimal exercise is a sensitive measurement of venous disease. This parameter differed greatly in our two study populations. Due to increased venous pressure, venous insufficiency syndrome patients have a greater volume of pooled blood, which results in smaller press...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Taheri SA,Pendergast D,Lazar E,Pollack LH,Shores RM,McDonald B,Taheri P

    更新日期:1985-08-01 00:00:00

  • Survival and quality of life after organ transplantation in veterans and nonveterans.

    abstract:BACKGROUND:Some previous studies suggested that transplantation performed in Department of Veterans Affairs (VA) patients was associated with a higher rate of complications and poorer outcomes. We examined more than a decade of experience with solid organ transplantation at a single center and compared VA patients with...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Moore D,Feurer I,Speroff T,Shaffer D,Nylander W,Kizilisik T,Butler J,Awad J,Gorden DL,Chari R,Wright JK,Pinson CW

    更新日期:2003-11-01 00:00:00

  • Exploring the gender gap: Letters of recommendation to pediatric surgery fellowship.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hoffman A,Ghoubrial R,McCormick M,Matemavi P,Cusick R

    更新日期:2020-06-01 00:00:00

  • Platelet aggregability after splenectomy in patients with normosplenism and hypersplenism.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Nagasue N,Inokuchi K,Kobayashi M,Kanashima R

    更新日期:1978-08-01 00:00:00

  • Outcomes of hepatic resection for hepatolithiasis.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Uenishi T,Hamba H,Takemura S,Oba K,Ogawa M,Yamamoto T,Tanaka S,Kubo S

    更新日期:2009-08-01 00:00:00

  • Fournier's gangrene: vacuum-assisted closure versus conventional dressings.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Czymek R,Schmidt A,Eckmann C,Bouchard R,Wulff B,Laubert T,Limmer S,Bruch HP,Kujath P

    更新日期:2009-02-01 00:00:00