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  • 1
    ISSN: 1432-2218
    Keywords: Esophageal achalasia ; Laparoscopic surgery ; Extramucosal myectomy ; Dor fundoplication ; Intraoperative manometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Laparoscopic extramucosal myectomy with anterior fundoplication according to the Dor technique was performed on a 24-year-old-woman. Intraoperative inflation of a pneumatic balloon made the operative procedures such as extended submucosal dissection quite easy. Intraoperative gastrofiberscopy was useful for confirming that the remaining mucosal layer was not injured after completion of myectomy. Intraoperative manometry confirmed a complete decompression of the high-pressure zone in the lower esophageal sphincter. Complete relief of the symptoms has been recognized for 6 months after operation without any medication. It is considered that these laparoscopic procedures including intraoperative inflation of a pneumatic balloon, gastrofiberscopy, and intraoperative manometry can be used as a standard operation for esophageal achalasia.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of plastic surgery 19 (1996), S. 73-76 
    ISSN: 1435-0130
    Keywords: No reflow ; Perfusion ; Beraprost sodium ; Vasodilation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Beraprost sodium is a chemically stable PGI2 analog which has antiplatelet and vasodilating properties, its ability to improve survival after prolonged ischemia was tested on the rat epigastric island flap. Forty Sprague-Dawley rats were divided into control (Ringer's lactated) and treated (beraprost sodium) groups and subdivided into two groups of total ischemia (both artery and vein were occluded): 11 and 15 h. After the ischemic period the flaps were slowly perfused with 4 ml of beraprost sodium solution or R/L solution. After seven days the survival areas were documented: Goup 1 (control — 11 h of ischemia): 9.9%; Group 2 (beraprost sodium — 11 h of ischemia): 85.9%; Group 3 (control — 15 h of ischemia): 0%; Group 4 (beraprost sodium — 15 h of ischemia): 48.2%. Using the student's t-test the result demonstrated that beraprost sodium improved flap survival in both the 11 and 15 h of ischemia groups (p〈0.005).
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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