J.Jpn. Surg. Soc.. 79(9): 1165-1169, 1978
Report on the annual meeting
A REINFORCING SYNTHETIC ANASTOMOSIS FOR SEVERELY SCLEROTIC AORTA: DOUBLE WALL ANASTOMOSIS WITH DACRON FELT WRAPPING
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The 2nd Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan Akira Kusaba, Masaaki Moriyama, Kiyoshi Inokuchi |
The affected aorta was transected circularly at the level of approximately 10 cm. distal to the suture line and everted upward in inside-out-fashion. A synthetic graft was then anastomosed to the double walls of the everted aorta in end-to-end fashion with 3-0 Tevdek interrupted mattress sutures. After completion of the anastomosis, the everted aortic wall was turned downward in the original position and sutured anteriorly covering the suture line. The suture line was reinforced by an additional dacron felt wrapping technique. The distal anastomosis was also protected by a dacron felt wrapping technique.
Three cases treated by the double wall anastomosis technique and 60 synthetic anastomoses in 38 cases protected by the dacron felt wrapping technique containing above 3 cases were all functioned well three years after operation in maximum without any signs of delayed rupture.
In this procedure, significant fibrous adhesion between the dacron felt and the aortic or synthetic graft and remarkable increasing of resisting power against the tensile strength on the suture line was experimentally demonstrated.
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