Fibrin Sealing in Surgical and Nonsurgical Fields: Volume 2: General and Abdominal Surgery Pediatric Surgery

238 Pages·1994·9.32 MB·English

by  C. Margarit

2
Fibrin Sealing in Surgical
and Nonsurgical Fields
Volume
G. Schlag H.-W. Waclawiczek
R. Daum (Eds.)
General and
)\bdorrrinalSurgery
Pediatric Surgery
With 110 Figures and 41 Tables
Springer-Verlag
Berlin Heidelberg New York
London Paris Tokyo
Hong Kong Barcelona
Budapest
Prof. Dr. GUNTHER SCHLAG
Ludwig-Boltzmann-Institute
for Experimental and Clinical Traumatology
DonaueschingenstraBe 13, 1200 Wien
Austria
Prof. Dr. H.-W. WACLAWICZEK
Landeskrankenanstalten Salzburg
1st Surgery Department
Milliner HauptstraBe 48, 5020 Salzburg
Austria
Prof. Dr. R. DAUM
Ruprecht -Karls-University Heidelberg
Clinic of Surgery
Dept. for Pediatric Surgery
1m Neuenheimer Feld 110, 69120 Heidelberg
Germany
ISBN-13: 978-3-540-57742-3 e-ISBN-13: 978-3-642-85101-8
DOl: 10.1007/978-3-642-85101-8
CIP data applied for
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© Springer-Verlag Berlin Heidelberg 1994
Softcover reprint of the hardcover 1s t edition 1994
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Preface
These eight volumes, which developed out of the international con
gress "Update and Future Trends in Fibrin Sealing in Surgical and
Nonsurgical Fields" held in November 1992, present the state of the
art in fibrin sealing. Initially, fibrin sealant played an important role in
surgery. During the past few years, it has been increasingly applied in
nonsurgical applications and we can now say that it has become an
integral component of medical treatment.
The doubts which have been raised by nonusers about the efficacy of
fibrin sealant are no longer valid. The correct indication and technique
continue to be basic prerequisites for effective treatment. Even today -
20 years after fibrin sealant was first used - the three most prominent
effects of fibrin sealant are still hemostasis, sealing of the wound, and
support of wound healing.
The problems posed by the transmission of viral infections have gained
substantially in importance because of the potential transmission of
AIDS via fibrin sealant. Fortunately, this is so unlikely today that it no
longer represents a cause for concern, which does not mean, however,
that research in this field can be discontinued.
Seven years have passed since the last series of books on fibrin sealing
were published. Since then many new results have been obtained, in
particular in the field of gastrointestinal surgery. From the beginnings
of fibrin sealing, general and abdominal surgery have been among its
main indications. Since then the application of fibrin sealant in routine
intestinal anastomoses has become less important than its application
in high risk anastomoses (colorectal, jejuno-esophageal). During the
past years fibrin sealant has also often been used to secure vascular
anastomoses, in particular after liver transplantation. Another impor
tant indication for fibrin sealant in abdominal surgery is the treatment
of fistulas and lymphatic fistulas.
In pediatric surgery fibrin sealant is increasingly being applied in new
areas, among these, a special indication is orthotopic liver transplanta
tion. The frequent use of fibrin sealant to improve surgery of paren
chymatous organs (liver, spleen, pancreas, and kidney) has led to fur-
VI Preface
ther perfection of the technique and to other important applications.
We, the editors, would like to thank all the authors for their coopera
tion and excellent contributions and photographs. Their work has
made publication of these eight volumes on fibrin sealing possible.
Special thanks are due to Dr. V Gebhardt and his expert colleagues
for efficient and constructive cooperation in the publication of these
books at the Springer publishing company and to Gudrun Schrodt for
her untiring efforts in obtaining manuscripts, proof reading, and cor
responding with the authors.
G. SCHLAG
H. W WACLAWICZEK
R. DAuM
Contents
I. General and Abdominal Surgery 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Experience with the Use of a Fibrin Sealant (Tissucol)
in Liver Surgery
Co MARGARIT, J BALSELLS, Ro CHARCO, J L. LAzARO,
0 0
Eo MURIO, Eo EDO, and I. DIAZo 3
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Fibrin Sealing of the Cut Surface of Liver Grafts in Partial
Liver Transplantation with Living Related Donors
Ko TANAKA, Y. TOKUNAGA, So UEMOTO, To MORIMOTO,
Ao TANAKA, Y. YAMAOKA, and Ko OZAWA 11
0 0 0 0 0 0 0 0 0
Preoperative Portal Vein Embolization with Fibrin Sealant
for Hepatocellular Carcinoma
So KUBO, Ho KINOSHITA, and Ko HIROHASHI 18
0 0 0 0 0 0 0 0 0 0 0
Fibrin Sealing in Liver and Spleen Surgery
Ho Wo WACLAWICZEK 27
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indications and Techniques for Fibrin Sealing in Spleen Surgery
So URANUS 33
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fibrin Sealing for Intrahepatic Hepaticojejunostomy -
A New Technical Modification
Po MOESCHL, Do OTURANDLAR, and Ao KROISS 45
0 0
Total Cystopericystectomy and Fibrin Sealant
in the Treatment of Hydatid Disease of Liver
J HEBRERO SAN MARTIN and Mo FERNANDEZ Rurz 54
0 0
Indications for Fibrin Sealing in Pancreatic Surgery
with Special Regard to Occlusion of a Nonanastomosed Stump
with Fibrin Sealant
Ao Po MARCZELL 61
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
The Application of Fibrin Sealant in Pancreatic Surgery
Ko HIRATA, T. MIKAMI, I. OIKAWA, T. KATSURAMAKI,
Ko YAMASIRO, Mo MUKAIYA, Ao OKAZAKI, Ho KIMURA,
K. SASAKI, and Ro DENNO 70
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII Contents
Duct Occlusion with Fibrin Glue After Pancreatoduodenectomy
for Periampullary Neoplasms
M. CAVALLINI and S. STIPA . . . . . . . . . . . . . . . . . . . . . . .. 79
Pancreatic Duct Occlusion with Fibrin Sealant for the
Protection of the Pancreatic-Digestive Anastomosis Following
Resection of the Pancreatic Head (Experimental and
Clinical Study)
H. W. WACLAWICZEK and O. BOECKL. . . . . . . . . . . . 88
Kidney Transplantation from Living Donors with Multiple
Renal Arteries, Experiences with Fibrin Sealing
D. ALFANI, P. BERLOCO, M. CARICATO, R. PRETAGOSTINI,
F. CARBONI, M. ROSSI, P. BRUZZONE, and R. CORTESINI. . . .. 107
Fibrin Sealing in Surgery of Parenchymal Organs in Adults
M. SCHNORRER, J. PECHAN, J. FrGER, M. LABUDA,
and 1. MAKAIOV A . . . . . . . . . . . . . . . . . . . . . . . . . .. ... 112
The Role of Fibrin Sealing in Surgical Treatment of Anal
and Perianal Fistulas in Crohn's Disease
P. G. FRIEDL, G. SCHURMANN, and Ch. HERFARTH ... .... 119
Lymphorrhea and Seroma Prevention by Means
of Fibrin Glue in Breast and Head and Ne~k Cancer
L. MORESCO, M. GIPPONI, G. CANAVESE, A. CATTURICH,
C. DISOMMA, D. TOMEI, C. VECCHIO, G. MARGARINO, M. SCALA,
G. SCHENONE, P. MESZAROS, and F. BADELLINO ............ 124
Prevention and Treatment of Lymphatic Fistulae
with Fibrin Sealing Following Lymph Node Dissections
H. W. WACLAWICZEK and O. BOECKL. . . . . . . . . . . . . . ... 129
Tissue Adhesives in Experimental Intestinal Anastomoses
M. FINI, R. GIARDINO, G. GIAVARESI, M. ROCCA,
and N. N. ALDINI . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Submucosal Fibrin Adhesion in Upper Gastrointestinal Bleeding
J. LABENZ, U. PEITZ, M. WIECZOREK, and G. BORSCH ........ 142
Effects of Fibrin Sealant in Thyroid Surgery
M. PUCCINI, P. IACCONI, E. RICCI, and P. MICCOLI .... 147
II. Pediatric Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Fibrin Sealant in Paediatric Surgical Practice
V. MARTINEZ IBANEZ, A. PEREZ MARTINEZ, and J. BorXOCHOA 159
Fibrin Sealant in Pediatric Surgery
K. GDANIETZ and 1. GUTSCHE .... 163
Contents IX
Indication, Technique and Results of Tissue Adhesive in Liver,
Pancreas and Kidney Resection in Children
C. BECKER and G. H. WILLITAL . . . . . . . . . . . . . . . . . . . . . . 175
Fibrin Sealing for Hemostasis of the Cut Surface in
Reduced-Size Grafts During Orthotopic Liver Transplantation
in Children
J. VALAYER, F. GAUTHIER, T. YANDZA, O. DEDREUZY,
and A. LABABIDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Changing Strategy in Splenic Surgery in Childhood
H. ROTH, R. DAuM, and Z. ZACHARIOU . . . . . . . . . . . . . . . . 184
Management of Chronic Idiopathic Thrombocytopenia
(Werlhof's Disease) by Partial Splenic Resection -
An Alternative to Splenectomy in Childhood?
U. SPECHT, F. KIRCHMAIR, P. DEGENHARDT, H. MAu,
and S. JAHN ................................... 192
Fibrin Sealing in Pediatric Esophageal Surgery
V. JASONNI, P. E. CAFFARENA, G. MARTUCCIELLO, G. MATTIOLI,
and P. L. LELLI CHIESA . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
The Etiopathogenesis of Intra-Abdmninal Adhesions and
Their Prophylaxis with Highly Concentrated Human Fibrinogen
W. BRANDS, H. WIRTH, and H. SCHNEIDER-BROWN .......... 204
Fibrin Sealing in Circumcision
W. A. MAIER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
SUbject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
List of Contributors
ALDINI, N. N.
Exp. Surg. Dept. LO.R., Univ. of Bologna, 1-40136 Bologna, Italy
ALFANI, D.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza",
1-00167 Rome, Italy
BADELLINO, F.
Div. di Oncol. Chir. 1nstit. Nazion. per la Ricerca suI Cancro,
Viale B.XV, 1-16132 Genoa, Italy
BALSELLS, J.
H-P-B and Liver Transplant. Univ. Dept. of Surg. Hospital General
Vall d'Hebron, Univ. Autonoma, E-08035 Barcelona, Spain
BECKER, Ch.
Klinik fur Kinder- und Neugeborenen Chirurgie, Westfalische
Wilhelms-Universitat, Albert-Schweitzer-StraBe 33,
D-48149 Munster, Federal Republic of Germany
BERLOCO, P.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza",
1-00167 Rome, Italy
BOECKL, O.
1st Surg. Dept. LKA Salzburg, Mullner Hauptstr. 48,
A-5020 Salzburg, Austria
BOERSCH, G.
Med. Klinik, Elisabeth-Krankenhaus, Akad. Lehrkrankenhaus,
Univ. Essen, GHS
MoltkestraBe 61, D-45138 Essen, Federal Republic of Germany
BOIxocHoA, J.
Ped. Surg. Dept., Hosp. 1nfantil Valle d'Hebron,
E-08035 Barcelona, Spain
BRANDS, W.
Kinderchirurgische Klinik, Stadtisches Klinikum Karlsruhe,
Karl-Wilhelm-Str. 1, D-76131 Karlsruhe, Federal Republic
of Germany
XII List of Contributors
BRUZZONE, P.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza",
1-00167 Rome, Italy
CAFFARENA, P. E.
Univ. of Genoa "G. Gaslini" Inst. Genoa, Largo G. Gaslini, 5,
1-16148 Genoa, Italy
CANAVESE, G.
Div. di Oncol. Chir. Instit. Nazion. per la Ricerca suI Cancro,
Viale B.XV, 1-16132 Genoa, Italy
CARBONI, F.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza" ,
1-00167 Rome, Italy
CARICATO, M.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza",
1-00167 Rome, Italy
CAVALLINI, M.
Dept. of Surg., 1 Instit. di Clin. Chir., Univ. of Rome,
0
"La Sapienza", 1-00167 Rome, Italy
CATTURICH, A.
Div. di Oncol. Chir. Instit. Nazion. per la Ricerca suI Cancro,
Viale B.XV, 1-16132 Genoa, Italy
CHARCO, R.
H-P-B and Liver Transplant. Univ. Dept. of Surg. Hospital General
Vall d'Hebron, Univ. Autonoma, E-08035 Barcelona, Spain
CORTESINI, R.
II. Patol. Spec. Chir. Univ. di Roma "La Sapienza",
1-00167 Rome, Italy
DAuM, R.
Dept. of Ped. Surg., Univ. of Heidelberg, 1m Neuenheimer Feld 110,
D-69120 Heidelberg, Federal Republic of Germany
DE DREUZY, O.
Dept. de Ped., Univ. Paris Sud, CHU de Bicetre,
78 Rue du General Leclerc, F-94275 Kremlin Bicetre, France
DEGENHARDT, P.
Kinderchir. Abt., St. Elisabethklinik Saarlouis
D-66740 Saarlouis, Federal Republic of Germany
DENNO, R.
1st Dept. of Surg. Sapporo Med. CoIl., S. I. W. 16, Chuo-ku,
Sapporo, 060 Japan
DIAZ,A.
H-P-B and Liver Transplant. Univ. Dept. of Surg. Hospital General
Vall d'Hebron, Univ. Autonoma, E-08035 Barcelona, Spain