Biliary tract reconstruction with autologous rectus sheath graft - An experimental study

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dc.contributor.authorAydın, Metin
dc.contributor.authorBakır, Bahtiyar
dc.contributor.authorKösem, Mustafa
dc.contributor.authorKisli, Erol
dc.contributor.authorGençcelep, Musa
dc.date.accessioned2020-04-30T22:40:11Z
dc.date.available2020-04-30T22:40:11Z
dc.date.issued2005
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000230154300009en_US
dc.descriptionPubMed: 16001620en_US
dc.description.abstractBackground/Aims: Common bile duct injuries which cause significant morbidity and mortality are one of the most serious complications of cholecystectomies. They can be repaired by various approaches. Methodology: We used an autologous graft obtained from the posterior sheath of the rectus muscle in biliary tract reconstruction for common bile duct defect. This experimental study was carried out on six dogs. A tissue fragment was excised from the posterior sheath of the rectus muscle together with the fascia transversalis and peritoneum. A channel from the fascial graft was formed around a T-tube. The autologous rectus sheath graft was sutured to the common bile duct as a segmental conduit graft. Afterwards, blood biochemistry values and liver histopathology were investigated. Dogs were studied by T-tube cholangiography 4 months postoperatively just prior to removing the T-tube and again 2 months later at relaparotomy. The hepatic parenchyma, intra- and extrahepatic bile ducts were detected by ultrasonography during the last 2 months, one time in fifteen days. Results: There was no anastomotic insufficiency. The fascial graft gained an appearance similar to bile duct in dogs. Postoperatively, no change in blood biochemical parameters was observed, and in the preoperative and postoperative periods no histopathological change in the liver was Conclusions: These findings indicate that the use of an autologous fascial graft to repair common bile duct injuries as a conduit graft for segmental bile duct loss may be a feasible and alternative method of treatment.en_US
dc.identifier.endpage1022en_US
dc.identifier.issn0172-6390
dc.identifier.issue64en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1019en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2923
dc.identifier.volume52en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherH G E Update Medical Publishing S Aen_US
dc.relation.ispartofHepato-Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbiliary reconstructionen_US
dc.subjectrectus sheath graften_US
dc.titleBiliary tract reconstruction with autologous rectus sheath graft - An experimental studyen_US
dc.typeArticleen_US

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