Dohrmann P, Mengel W, Schaube H
Department of Surgery, Christian Albrechts University Kiel, Federal Republic of Germany.
Prog Pediatr Surg. 1990;25:97-102. doi: 10.1007/978-3-642-87707-0_12.
This report deals with instrumental suture in the deep anterior rectum resection when treating Hirschsprung's disease. The concept includes: ensuring diagnosis, cleaning the intestines, antibiotic prophylaxis, intraoperative testing of the anastomosis and postoperative X-ray by a standardized technique. Our first experience in the use of the stapler was gained with ten patients. One case of anastomosis insufficiency occurred. With the stapler apparatus, safe anastomosis was possible. The stapler facilitates anastomoses in deep resections. Therefore, a deep resection of the pathological segment in Hirschsprung's disease is possible. The practicality of the stapler and the favourable clinical experience justify the continued application of the instrumental suture technique in children's surgery.
本报告探讨了在治疗先天性巨结肠症时，直肠前深部切除术中使用器械缝合的情况。该概念包括：确保诊断、肠道清洁、抗生素预防、术中吻合口检测以及术后采用标准化技术进行X线检查。我们对10例患者使用吻合器获得了初步经验。发生了1例吻合口功能不全的情况。使用吻合器可以实现安全吻合。吻合器便于在深部切除术中进行吻合。因此，对先天性巨结肠症的病变段进行深部切除是可行的。吻合器的实用性和良好的临床经验证明了器械缝合技术在儿童外科手术中可继续应用。
