Bex J P, Bex J
J Chir (Paris). 1979 May;116(5):379-84.
With a few restrictions, the laws of fluid mechanics may give qualitative indications concerning the best type of surgical anastomosis. After recalling the basic principles of physics, the loss of physical capacity in various intestinal situations are considered, e.g. stenosis, enlargement, angulation, bifurcation. Even if this hemodynamic factor is not necessarily predominant, compared with other biological factors (state of the resistances beyond the anastomoses, the cardiac output, the state of blood coagulation) it can be shown what is geometrically advisable to overcome the mechanical causes of failure of an anastomosis.
在一些限制条件下,流体力学定律可对最佳类型的外科吻合术给出定性指示。在回顾物理学基本原理之后,考虑了各种肠道情况下的物理容量损失,例如狭窄、扩张、成角、分叉。即使与其他生物学因素(吻合口远端的阻力状态、心输出量、凝血状态)相比,这种血流动力学因素不一定占主导地位,但仍可表明在几何形状上采取何种措施有利于克服吻合术失败的机械原因。