Journal of Textile Research ›› 2021, Vol. 42 ›› Issue (04): 69-73.doi: 10.13475/j.fzxb.20200301706

• Textile Engineering • Previous Articles     Next Articles

Backing fabric selection and leak-proof performance of anastomotic reinforcement repair component

JIANG Junying1, GAO Jing1(), ZHANG Jian2   

  1. 1. College of Textiles, Donghua University, Shanghai 201620, China
    2. General Surgery, Shanghai Changzheng Hospital, Shanghai 200001, China
  • Received:2020-03-06 Revised:2021-01-18 Online:2021-04-15 Published:2021-04-20
  • Contact: GAO Jing E-mail:gao2001jing@dhu.edu.cn

Abstract:

In surgical operation, the fragile tissue is often torn by the staple during stapler anastomosis, which results in anastomotic fistula, anastomotic bleeding, air leakage and liquid leakage. For this reason, an anastomotic reinforcement repair component was designed so that the reinforcing sheet covers the anastomosis to provide sufficient strength for the tissue to be repaired, thereby preventing the occurrence of complications. The composite design of anastomotic reinforcement repair component was carried out, and the performances of the backing fabric and the repair component were evaluated respectively. The leakage prevention performance of the anastomotic reinforcement repair component was simulated and evaluated through in vitro lung leak experiment. The results show that the polyamide/spandex (80/20) plain weft knitted fabric is selected as the backing of the anastomotic reinforcement repair component fabric. The anastomotic reinforcement repair component is found to prevent the lung anastomotic leakage effectively, which provide safe and effective measures to prevent postoperative anastomotic complications.

Key words: anastomotic fistula, anastomotic reinforcement repair component, backing fabric, in vitro simulation experiment, leak-proof performance, medical textile

CLC Number: 

  • TS186.8

Fig.1

Anastomotic stiffening repair component"

Tab.1

Composition and surface density of backing fabric"

面料编号 锦纶含量/% 氨纶含量/% 面密度/(g·m-2)
1# 80 20 210
2# 75 25 260
3# 70 30 260
4# 80 20 90
5# 75 25 100
6# 70 30 180

Fig.2

Elastic response (a) and constant load elongation (b) rate of six backing fabrics"

Tab.2

Backing fabric thickness and stiffness testmm"

面料编号 厚度 弯曲长度
1# 0.425±0.005 0.98±0.03
2# 0.553±0.002 0.76±0.05
3# 0.400±0.002 0.90±0.01
6# 0.312±0.003 0.70±0.04

Tab.3

Suture strength and joint strength of repair componentN"

面料编号 缝合强度 接缝强力
均值 标准差 均值 标准差
1# 0.923 0 0.271 9 43.28 14.276 1
2# 0.806 0 0.270 5 31.76 2.933 1
3# 0.872 0 0.157 8 35.82 16.278 4

Fig.3

Schematic diagram of pulmonary leak test device"

Fig.4

Photos of lung leak test. (a)Experimental group;(b)Control group"

[1] 黄荣招. 食管胃吻合口瘘的预防性护理[J]. 中国现代药物应用, 2009,3(13):151-152.
HUANG Rongzhao. Preventive care of esophagogastric anastomotic fistula[J]. Application of Modern Chinese Medicine, 2009,3(13):151-152.
[2] BI Yonghua, WU Zhengyang, YI Mengfei, et al. Three-tube method and covered metallic stent for the treatment of anastomotic leakage after esophagectomy[J]. BMC Gastroenterol, 2020,20(1):330.
doi: 10.1186/s12876-020-01480-z pmid: 33028222
[3] 张铎. 管状奈维在原发性自发性气胸胸腔镜术后防治漏气价值的临床研究[D]. 北京:首都医科大学, 2017: 17-32.
ZHANG Duo. Clinical study on the value of tubular nevis in prevention and treatment of air leakage after thoracoscopic surgery for primary spontaneous pneumothorax[D]. Beijing:Capital Medical University, 2017: 17-32.
[4] SHIGEEDA Wataru, DEGUCHI Hiroyuki, TOMOYASU Makoto, et al. Utility of the powered stapler for radical pulmonary resection: a propensity score-matched analysis[J]. Surg Today, 2020.DOI: 10.1007/s00595-020-02154-9.
doi: 10.1007/s00595-021-02270-0 pmid: 33797636
[5] LIBERMAN M, MUZIKANSKY A, WRIGHT C D, et al. Incidence and risk factors of persistent air leak after major pulmonary resection and use of chemical pleurodesis[J]. Ann Thorac Surg, 2010,89:891-897.
doi: 10.1016/j.athoracsur.2009.12.012 pmid: 20172150
[6] 马骏, 张智光, 胡芸海. 胸腔镜肺叶切除术后引流量与术后肺部并发症的相关性分析[J]. 中国胸心血管外科临床杂志, 2019,26(6):569-573.
MA Jun, ZHANG Zhiguang, HU Yunhai. The correlation between postoperative drainage and postoperative pulmonary complications after thoracoscopic lobectomy[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2019,26(6):569-573.
[7] HUA Kaiyun, YANG Shen, ZHANG Yanan, et al. Thoracoscopic surgery for recurrent tracheoesophageal fistula after esophageal atresia repair[J]. Dis Esophagus, 2020.DOI: 10.1093/dote/doaa023.
doi: 10.1093/dote/doab007 pmid: 33598683
[8] 高智浩. 胃肠吻合器用于胃十二指肠溃疡急性穿孔手术中的临床价值[J]. 中国现代药物应用, 2019,13(14):35-37.
GAO Zhihao. The clinical value of gastrointestinal stapler in acute perforation of gastroduodenal ulcer[J]. Chinese Modern Drug Application, 2019,13(14):35-37.
[9] XU Jianwei, LI Feng, ZHAN Hanxiang, et al. Laparoscopic enucleation of pancreatic tumours: a single-institution experience of 66 cases[J]. ANZ J Surg, 2020.DOI: 10.1111/ans.16450.
doi: 10.1111/ans.16870 pmid: 33876547
[10] 李伟, 许志伟. 腹腔双套管匀速冲洗引流治疗胰十二指肠切除术后胰漏[J]. 外科理论与实践, 2019,24(1):56-59.
LI WEI, XU Zhiwei. Treatment of pancreatic leakage after pancreaticoduodenectomy with uniform irrigation and drainage of abdominal double cannula[J]. Surgical Theory and Practice, 2019,24(1):56-59.
[11] MANENTI Antonio, MANCO Gianrocco, FARINETTI Alberto, et al. Acute pancreatitis after pancreatectomy: inside the dilemma pancreatitis-pancreatic fistula[J]. Surg, 2020.DOI: 10.1016/j.surg.2020.10.011.
[12] 赵博, 王洪权, 夏磊磊, 等. 一种吻合口加固修补组合件:201710866539.9[P]. 2019-11-12.
ZHAO Bo, WANG Hongquan, XIA Leilei, et al. A kind of fitting reinforcement and repair combination: 201710866539.9[P]. 2019-11-12.
[13] 徐书贤. SIS生物材料在临床外科多领域应用研讨会在沪举行[J]. 中国医院院长, 2019(21):15.
XU Shuxian. The seminar on the application of SIS biomaterials in clinical surgery was held in Shanghai[J]. President of Chinese Hospital, 2019(21):15.
[14] LIU Yuchen, CAO Zhen, YANG Huiqi, et al. Porcine small intestinal submucosa mesh to treat inguinal hernia in young adults using laparoscopic inguinal hernia repair: a retrospective controlled study[J]. Surg Laparo Endo Per, 2020,30(4):367-370.
[15] 戴泽桦, 沈为, 徐天华. 氨纶含量对锦包氨针织物弹性回复性能的影响[J]. 上海纺织科技, 2014,42(2):35-36,43.
DAI Zehua, SHEN Wei, XU Tianhua. Effect of spandex content on elastic recovery properties of brocade ammonia knitted fabric[J]. Shanghai Textile Science & Technology, 2014,42(2):35-36,43.
[16] 刘婵婵, 缪旭红, 冯杏清. 针织无缝跑步运动衫动态压力影响因素分析[J]. 上海纺织科技, 2019,47(8):60-63.
LIU Chanchan, MIAO Xuhong, FENG Xingqing. Analysis of influencing factors on dynamic pressure of knitted seamless running sweaters[J]. Shanghai Textile Science & Technology, 2019,47(8):60-63.
[17] 谢敬廉, 姚维深, 周国华, 等. 单孔胸腔镜与传统胸腔镜肺楔形切除术治疗肺部疾病的临床对比研究[J]. 中国实用医药, 2019,14(34):4-6.
XIE Jinglian, YAO Weishen, ZHOU Guohua, et al. Clinical comparative study of single-port thoracoscopic wedge resection and traditional thoracoscopic wedge resection for lung diseases [ J ]. Chinese Medicine, 2019,14(34):4-6.
[18] 敖春波. 直线型切割吻合器和管型吻合器在胃癌患者中的应用[J]. 医疗装备, 2019,32(7):99-100.
AO Chunbo. Application of linear cutting stapler and tubular stapler in patients with gastric cancer[J]. Medical Equipment, 2019,32(7):99-100.
[19] 马鹏飞, 赵玉洲, 韩广森, 等. 两层半吻合法在食管胃结合部癌手术食管空肠吻合中的应用[J]. 河南医学研究, 2019,28(16):2910-2912.
MA Pengfei, ZHAO Yuzhou, HAN Guangsen, et al. Application of two-layer semi-anastomosis in esophagojejunostomy for esophagogastric junction carcinoma[J]. Henan Medical Research, 2019,28(16):2910-2912.
[1] YIN Juhui, GUO Jing, WANG Yan, CAO Zheng, GUAN Fucheng, LIU Shuxing. Preparation and properties of sodium alginate/krill protein scaffold materials [J]. Journal of Textile Research, 2021, 42(02): 53-59.
[2] YANG Gang, LI Haidi, QIAO Yansha, LI Yan, WANG Lu, HE Hongbing. Preparation and characterization of polylactic acid-caprolactone/fibrinogen nanofiber based hernia mesh [J]. Journal of Textile Research, 2021, 42(01): 40-45.
[3] YANG Yuchen, QIN Xiaohong, YU Jianyong. Research progress of transforming electrospun nanofibers into functional yarns [J]. Journal of Textile Research, 2021, 42(01): 1-9.
[4] ZHANG Qian, MAO Jifu, LÜ Luyao, XU Zhongmian, WANG Lu. Abrasion resistance of suture at anchor eyelet for tendon-bone repair and its influencing factors [J]. Journal of Textile Research, 2020, 41(12): 66-72.
[5] LIU Mingjie, LIN Jing, GUAN Guoping, BROCHU G, GUIDION R, WANG Lu. Structures and mechanical properties of typical textile-based artificial ligaments and explants [J]. Journal of Textile Research, 2020, 41(11): 66-72.
[6] DUAN Fangyan, WANG Wenyu, JIN Xin, NIU Jiarong, LIN Tong, ZHU Zhengtao. Research progress in formation of starch fibers and their drug-loaded controlled-release [J]. Journal of Textile Research, 2020, 41(10): 170-177.
[7] QIAO Yansha, WANG Qian, LI Yan, SANG Jiawen, WANG Lu. Preparation and in vitro inflammation evaluation of polydopamine coated polypropylene hernia mesh [J]. Journal of Textile Research, 2020, 41(09): 162-166.
[8] ZHANG Xing, LIU Jinxin, ZHANG Haifeng, WANG Yuxiao, JIN Xiangyu. Preparation technology and research status of nonwoven filtration materials for individual protective masks [J]. Journal of Textile Research, 2020, 41(03): 168-174.
[9] . Research progress of biomedical textile artificial blood vessel [J]. JOURNAL OF TEXTILE RESEARCH, 2017, 38(07): 155-163.
[10] . Progress in technologies for functional modifications of cotton fibers [J]. JOURNAL OF TEXTILE RESEARCH, 2015, 36(05): 153-157.
[11] Qin Yimin. Application of gelling fibers in functional wound dressings [J]. JOURNAL OF TEXTILE RESEARCH, 2014, 35(6): 163-0.
[12] Qin Yimin. Strategies for research and development of medical textile materials [J]. JOURNAL OF TEXTILE RESEARCH, 2014, 35(2): 89-0.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!