Publication
A simple intra-operative maneuver to decrease a duodenal ulcer hemorrhage temporarily: description and anatomical bases
| dc.contributor.author | Bernardes, A | |
| dc.contributor.author | Dionísio, J | |
| dc.contributor.author | Diogo, D | |
| dc.contributor.author | Coelho, P | |
| dc.contributor.author | Patrício, J | |
| dc.date.accessioned | 2009-09-18T14:50:50Z | |
| dc.date.available | 2009-09-18T14:50:50Z | |
| dc.date.issued | 2005 | |
| dc.description.abstract | Intraoperative hemostatic suture to treat a bleeding duodenal ulcer is sometimes difficult when there is massive hemorrhage. The aims of this paper are: (1) to describe a practical and easy intraoperative procedure which quickly decreases a massively bleeding duodenal ulcer, allowing the surgeon to identify the bleeding site clearly and obtain definitive hemostasis by suturing the involved vessels with a low risk of common bile duct lesion; and (2) to study in cadavers the anatomical basis of this surgical procedure already successfully performed on patients. Fourteen patients with massive duodenal ulcer bleeding, after unsuccessful endoscopic hemostasis, were operated on and included in this study. After surgical anterior gastroduodenotomy, the surgeon introduced a finger in a downward and forward direction in the bursa omentalis vestibule through the omental foramen. This simple and quick procedure decreased hemorrhage by compressing the gastroduodenal artery against the first part of the posterior surface of the duodenum. Twenty-four fresh blocks of normal tissue were removed from cadavers and were injected with silicone rubber through the common hepatic artery. The distance between the gastroduodenal artery and the omental foramen was measured. With this maneuver the surgeon can clearly see the exact bleeding site and perform an adequate suture with a minor risk of common bile duct lesion. | pt |
| dc.identifier.citation | Surg Radiol Anat. 2005 Apr;27(2):79-85. | pt |
| dc.identifier.uri | http://hdl.handle.net/10400.4/664 | |
| dc.language.iso | eng | pt |
| dc.publisher | Springer | pt |
| dc.rights.uri | openAccess | en |
| dc.subject | Hemorragia por Úlcera Péptica | pt |
| dc.title | A simple intra-operative maneuver to decrease a duodenal ulcer hemorrhage temporarily: description and anatomical bases | pt |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.type | article | pt |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- A simple intra-operative maneuver to decrease a duodenal ulcer hemorrhage temporarily.pdf
- Size:
- 512.47 KB
- Format:
- Adobe Portable Document Format
License bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- license.txt
- Size:
- 1.8 KB
- Format:
- Item-specific license agreed upon to submission
- Description: