Hand Sewing Research Articles

Treatment Differences for Splenic Flexure Cancers in Saudi Arabia: A Cross-Sectional Study.

Backgrounds Colorectal surgeons worldwide have differing opinions on the best way to handle rare cases of splenic flexure colon cancers (SFCs). Although the majority of reviews indicate no significant variation in oncological outcomes among the three different procedure types used to treat SFCs, surgeons still exhibit diversity in their practices. This study determined the treatment preferences of colorectal surgeons in Saudi Arabia. Methods A descriptive cross-sectional study evaluated the management of colorectal surgeons in handling SFC cases. We utilized a validated questionnaire developed by Manceau et al., consisting of 14 questions. Emails and phone numbers of members of the Saudi Society of Colorectal Surgery (SSCRS) were gathered. Google Forms surveys were administered from October 1-30, 2023. Results A response rate of 66% (58/88) was obtained among questioned colorectal surgeons. Their responses revealed that there was no consensus regarding the preferred procedure to treat SFCs. The most common treatment reported was segmental colectomy (SC) 21/58 (36.2%), followed by subtotal colectomy (STC) (19/58, 32.8%) and left hemicolectomy (LHC) (18/58, 31%). There was a strong consensus of 96% (56/58) of the respondents in favor of using stapler anastomosis rather than hand sewing. The frequency of performing SC, STC, and LHC in France was 70%, 13%, and 17%, respectively, compared to 36.2%, 32.8%, and 31% in Saudi Arabia, with a p-value of 0.001. The surgeons' preferred approaches to managing SFCs utilizing laparoscopic, open, or hand-aided in France versus Saudi Arabia were 63%, 31%, and 11%, respectively, compared to 84.5%, 8.6%, and 6.9%, with a p-value of 0.001. Conclusion A significant disparity exists regarding the treatment of SFCs between colorectal surgeons in France and Saudi Arabia. Furthermore, there is a lack of consensus among colorectal surgeons in Saudi Arabia regarding the surgical management of SFCs. Hence, it is imperative for the SCRSS to assemble a panel of experts to reach a consensus for the most appropriate and effective treatment of SFCs.

노작교육론 기반의 ‘공동체 역량’신장을 위한 침선 공예 프로그램 개발: 두루주머니형 파빌리온 제작 사례를 중심으로

As the untact culture spread due to post-COVID-19 and Edutech emerged as a spotlight industry, the craft program was developed while sympathizing with the reality that students' solidarity with the community was weakening. This study focuses on finding out the effectiveness of pavilion production classes using sewing crafts programs based on work-oriented education in cultivating community competence. This study aims to integrate sewing crafts and art programs, provide a place for students to learn to develop a sense of community and improve their abilities, analyze the educational value of sewing crafts as a medium for com-munity harmony, and propose a nine-session instructional plan using it. This plan encourages students to promote relationships, mutual reciprocity, empathy/care, which are elements of community competence by creating pavilions. Pavilion refers to a building made temporarily for special purposes at an exhibition hall or fair and is established as a meaningful outdoor project in the field of architecture and culture and arts. In this study, students must build structures for pavilion production, and the structures are wrapped by a material called Gwangmok through hand sewing. This study aims to suggest the necessity of effective edu-cational research in emphasizing the importance of promoting a sense of community and strengthening community ties by integrating work-oriented education into art education.

The Training 3 in 1 Making Fashion Embellishment with Hand Sewing Tools Batch-X (Gold Thread Embroidery) in Balai Diklat Industri Padang

This research is written based on the 3 in 1 Training for Making Fashion Embellishments with Hand Sewing Tools Batch X (Gold Thread Embroidery) which aims to improve skills and create jobs in the field of embroidery and fashion aimed at people who need training so that the skills they have can be officially recognized in the form of certificates. The purpose of this study is to describe the implementation process of the Training 3 in 1 Making Fashion Embellishments with Hand Sewing Tools Batch X (Gold Thread Embroidery) in conducting training. This research uses a qualitative approach, with a case study research method. The data sources in this study are the Head of the Training Organizer as the research subject and the head of the training, instructors and participants as research informants. The data collection techniques used were observation, interviews and documentation. The data analysis techniques used are data reduction, data presentation and drawing conclusions. Data validity techniques are using source triangulation, technique triangulation, and time triangulation. The results showed that the skills training process starts from 1) Planning; 2) Implementation; 3) Assistance; and 4) Evaluation.

2022 개정 교육과정 실과 의생활 분야의 교과서 개발 전략

The results of the study on the content composition and development strategy of the field of
 clothing life of Practical Arts in the 2022 revised curriculum are as follows.
 In the 2022 revised curriculum, there are 7 achievement standards in the field of clothing, 4
 achievement standards that describe only the educational content in the field of clothing, and 3
 achievement standards that describe the life of food⋅clothing⋅housing and in particular, the
 achievement standards that are described by integrating the life of food⋅clothing⋅housing in the
 explanation of the achievement standards must include clothing management and recycling when
 developing textbooks.
 As a textbook development strategy in the field of clothing life in the Practical arts of the 2022
 revised curriculum, the area of 'human development and proactive life' is linked to self-direction,
 democratic citizenship education, digital and AI literacy cultivation education, ecological
 transformation education, and career education. In addition, in the area of 'Living Environment and
 Sustainable Choice', 'Principles of Organizing Clothing Supplies and Making Clothing Supplies' are
 linked to improvement of hand operation skills, procedural thinking, problem-solving skills,
 creativity, emotional empathy, ecological transformation education, democratic citizenship education,
 digital and AI literacy, and environmental protection and safety education. In addition, 'sustainable
 clothing management' is linked to the cultivation of self-reliance capacity, sustainable clothing life
 education, ecological transformation education, and democratic citizenship education.
 Examples of textbook development strategy in the field of clothing life in the Practical arts of
 the 2022 revised curriculum are ‘Making clothing supplies using hand sewing’ in the area of
 ‘Living environment and sustainable choice’. In addition, activities such as making pockets, purses,
 bags, cushions, needle holders, cup mat, and keychains using fabric, felt, leftover fabric, or clothes
 that are not worn are suggested.

The use of absorbable skin stapler in mastectomy does not increase the rate of surgical site infection.

The use of absorbable skin staplers (ASS) for skin closure has been increasing due to their convenience and time-saving effect. In this study, we evaluated the effectiveness of ASS in reducing skin closure time and its safety regarding surgical site infection (SSI), comparing it to conventional hand sewing (HS) in patients who underwent mastectomy. A single-center, retrospective study was conducted. The electronic medical records of patients who underwent mastectomy between July 2015 and June 2020 in Samsung Medical Center were reviewed. The data included previously known risk factors for SSI. We compared the time expended on skin closure and the occurrence rate of SSI between the ASS group and the HS group. We included 4,311 patients in the analysis. Among them, 520 patients were treated with ASS and 3,791 patients with HS. The average time for skin closure was 16.2 ± 10.1 minutes in the ASS group and 36.5 ± 29.0 minutes in the HS group (P < 0.001). The SSI rate was 0.38% (2 of 520) in the ASS group and 0.36% (14 of 3,791) in the HS group (P > 0.999). The use of ASS in mastectomy reduced the time for skin closure significantly but did not increase the SSI. Therefore, it can be an effective and safe choice to use ASS instead of HS for skin closure in mastectomy.

ИЗУЧЕНИЕ ОСОБЕННОСТЕЙ ПРОФЕССИОНАЛЬНЫХ ПРЕДПОЧТЕНИЙ ПОДРОСТКОВ С ИНТЕЛЛЕКТУАЛЬНЫМИ НАРУШЕНИЯМИ ПРИ ОВЛАДЕНИИ ПРОФЕССИЕЙ ОПЕРАТОР ШВЕЙНОГО ОБОРУДОВАНИЯ

Introduction. The professional preferences of adolescents with intellectual disabilities re-quire special attention in the prospects of work on their socialization. Teachers develop and shape the skills and abilities that are available to the adolescent to assert themselves in their chosen profession. At the same time, when choosing each profession to be mastered by a student with intellectual disabilities, it is necessary to understand the peculiarities of their professional preferences. The relevance of issues in this area determined the content of our research. The purpose of the study is to identify the features of professional preferences of adolescents with intellectual disabilities when mastering the profession of sewing equipment operator and to develop recommendations designed to help in mastering the skills required in the profession. Materials and methods. The study involved 28 students enrolled in the vocational training program 16185 sewing equipment operator (OSHO) for people with intellectual disabilities aged 16 to 20 years, groups OSHO-21 and OSHO-22. All students enrolled in the college after graduating from a special correctional school or correctional classes of secondary schools. The following methods and techniques were used in the study: the method of theoretical analysis of scientific, special and psychological-pedagogical literature, the study and generalization of pedagogical experience, the analysis of research results; empirical methods: the method of expert assessment, pedagogical experiment, the method of qualitative and quantitative analysis. The results. The study revealed the peculiarities of professional preferences, which made it possible not only to determine and understand the correspondence of adolescents’ abilities and interests to the profession but also to identify their problems: in mastering hand sewing tools and in the process of laying out patterns. The groups of subjects were described. The prerequisites for mastering the profession of sewing equipment operator among the adolescents in the experimental group are identified. Conclusion. Based on the identified difficulties in mastering professional skills and abilities in adolescents with intellectual disabilities, the components of the professional sphere necessary for their further development in the learning process were determined. On this basis, differentiated recommendations were developed for the students to master professional skills and abilities in the following areas: theoretical, communicative and vocational.

Broken Hand Sewing Needle Injuries in the Northeastern Region of Nigeria – A Five-Year Retrospective Review

Background: In the Northern part of Nigeria, the North-East in particular, the weaving of traditional caps by the people is a common practice and it is associated with injuries to various parts of the body. Aim: The study is aimed at finding out how common is broken hand-sewing needle injuries amongst these group of artisans and why and what part of the body is usually involved and suggest a way out. Materials and Methods: All the case note of the patients who had broken hand sewing needles removed from any part of their bodies were retrieved and analyzed. Results: A total of 192 case notes were retrieved. One hundred and twenty eight, (66.7%), were females while 64, (33.3%) were males, giving a male to female ratio of 1:2. All were aged 1 to 60 years. One hundred and fifty two, (79.2%) of all the patients were below the age of 30 years while 38 (19.8%) were age 31 to 50 years. Those aged above 50 years accounted for 2 (1%). Children of school going age who were out of school accounted for 77 (40.1%), followed by those in school 47 (24.5%). Pre-school age group and those above fifty years of age accounted for 34 (17.7%) and 10 (5.2%) respectively; The foot accounted for 81 (42.2%), followed by the knee 47 (24.5%), hand 31 (16.1%), gluteal area 17, (8.9%), thigh 7 (3.6%), elbow 5 (2.6%) and ankle (2.1%); There was no complication in 168 (87.5%) of the cases after the removal of the broken piece (s), 22 (11.5%) had some degree of wound infection that delayed healing and 2 (1%) had tetanus that required longer hospital stay but were eventually discharged home; 190 (99.9%) of the patients had removal attempted elsewhere before coming to us. Only 2 (1.0 %%) came with no attempt at removal and 2 (1%) came with symptoms of tetanus. Conclusion: The art of producing native caps by hand has come to stay. The dangers associated with the art may just be getting worse. Government must do something about it.

Influence of experience on kinematics of upper limbs during sewing gesture

To teach a skilled motor task, it is crucial to understand the characteristics of expertise. The aim of the present study was to compare the kinematics of the hand sewing task between novices (n = 10), intermediates (n = 10) and experts (n = 10).Compared to novices and intermediates, the proximal joint of expert participants was less involved in the task than their distal joints. The shoulder of experts stayed closer to the trunk, while the ranges of motion of the wrist and fingers were higher. This ability enabled them to avoid lifting the arm, which was resting on the table. We observed a low cycle-to-cycle variability of the movement pattern for experts, while it was more variable in novices. Moreover, experts shared similar joints synergies attesting of an “experts” common gesture. This knowledge gained about the hand sewing kinematics can be used to refine the training process of dressmakers.

A suggested procedure for wearable art design from Paul Klee's paintings

This paper reveals a suggested approach that designers can emulate when choosing techniques that express the aesthetic values and concepts inherent in paintings and applied in wearable art. Some of the paintings of the abstract artist "Paul Klee" were used as an example in this research, where the main problem faced by the researcher was to find a compromise that could bring the original artwork from the walls of museums to the ground in a way that would be accepted by the ordinary public without prejudice to the artistic values that the employer wanted. Accordingly, the researcher's first task was to find a way to preserve the original message that the owner of the artwork wanted when designing a piece of wearable art.Understanding the original artwork from some publications that dealt with his criticism and then analyzing it artistically by the researcher himself, in addition to studying the advantages of some techniques used in wearable art through the works of some artists, the researcher implemented (4) Pieces of clothing that each of which expresses an original piece of art by Paul Klee, using techniques such as (edge engraving - straight hand sewing - and digital embroidery). Typography), and the results showed that appropriate artistic techniques, expressive materials and design lines can be chosen by determining the artistic value of the artwork through the method. , Emotion, story or theme in addition to analyzing paintings according to the components of the artwork (line, space, color, composition) and the artistic values of the drawing (dimension - contrast). This proposed path allows for the transformation of the artwork into clothing products acceptable to the community and thus spread cultural awareness. Among the segments of society.

Knotty Problems: The Complexity of the Knot in Sewing

The purpose of this paper is to consider how the knot in plain sewing can represent a node within a larger human, social, and ritual analogy. Knots in hand sewing bind thread into stitches fixed to the desired area by securing each end of a seam or hem and connecting different thread lengths to make a longer one. Thus, knots enable fabric and thread to be turned into craftwork, and determine the identity of the work itself: its appearance, durability and stability. Besides its functional meaning, the knot is loaded with symbolism. Its ambiguous materiality has given the knot a crucial place in magic and religion, as well as in the formal and the social sciences. It may represent the durability of a relationship and, within it, the interdependence of the parties, or a problem that is hard or even impossible to solve; it can also assume a connotation of impurity, though not necessarily in a negative sense. Within this wider context, the combination of practice and theory can help identify some knotty problems.

Risk factors for non-reaching of ileal pouch to the anus in laparoscopic restorative proctocolectomy with handsewn anastomosis for ulcerative colitis.

Background/AimsRestorative proctocolectomy (RPC) with ileal pouch-anal anastomosis and handsewn anastomosis for ulcerative colitis requires pulling down of the ileal pouch into the pelvis, which can be technically challenging. We examined risk factors for the pouch not reaching the anus.MethodsClinical records of 62 consecutive patients who were scheduled to undergo RPC with handsewn anastomosis at the University of Tokyo Hospital during 1989–2019 were reviewed. Risk factors for non-reaching were analyzed in patients in whom hand sewing was abandoned for stapled anastomosis because of non-reaching. Risk factors for non-reaching in laparoscopic RPC were separately analyzed. Anatomical indicators obtained from presurgical computed tomography (CT) were also evaluated.ResultsThirty-seven of 62 cases underwent laparoscopic procedures. In 6 cases (9.7%), handsewn anastomosis was changed to stapled anastomosis because of non-reaching. Male sex and a laparoscopic approach were independent risk factors of non-reaching. Distance between the terminal of the superior mesenteric artery (SMA) ileal branch and the anus > 11 cm was a risk factor for non-reaching.ConclusionsLaparoscopic RPC with handsewn anastomosis may limit extension and induction of the ileal pouch into the anus. Preoperative CT measurement from the terminal SMA to the anus may be useful for predicting non-reaching.

다양성을 고려한 ‘손바늘에 실을 감아 만드는 손바느질 시작매듭 짓기’ 방법의 개발에 관한 연구

‘손바늘에 실을 감아 만드는 손바느질 시작매듭 짓기’ 방법의 교육 현황은 문헌연구를 통해 분석 하고, 예비초등교사들을 대상으로 한 교육의 실제에서 얻어진 사례를 ‘손바늘과 실을 올리는 손가 락의 손’과 ‘손바늘에 실을 감는 방향’을 중심으로 분석하였다. 분석 결과를 바탕으로 다양성이 반영 된 ‘손바늘에 실을 감아 만드는 손바느질 시작매듭 짓기’ 방법을 개발하여 제시함으로서 ‘손바늘에 실을 감아 만드는 손바느질 시작매듭 짓기’ 방법의 새로운 교육 방향을 제시하고자 하였다. ‘손바늘에 실을 감아 만드는 손바느질 시작매듭 짓기’ 방법의 교육 현황은 2015 개정교육과정 초등학교 실과 6 1종의 교과서와 2009 개정교육과정을 대비하는 시기 이후 출판된 예비초등교사 교육을 위한 실과와 관련된 전공서적들에서 사진과 설명으로 제시되고 있다. ‘손바늘과 실을 올리는 손가락의 손’은 전체 집단과 오른손잡이 집단에서 ‘주로 오른손’이 가장 많았으며, 다음으로 ‘주로 왼손’, ‘항상 왼손’, ‘항상 오른손’, ‘양손’의 순으로 같은 경향을 보였으나, 왼손잡이 집단은 ‘주로 왼손’, ‘양손’, ‘주로 오른손’, ‘항상 왼손’의 순이었으며, 지금까지의 일반적인 손잡이의 예측과 다른 경향을 보였다. ‘손바늘에 실을 감는 방향’은 전체 집단과 오른손잡이 집단에 서 ‘시계 방향’이 가장 많았으며, 그 다음으로 ‘반시계 방향’, ‘때때로 다름’의 순으로 같은 경향을 보 였으나, 왼손잡이 집단은 ‘반시계 방향’이 가장 많았으며, 그 다음으로 ‘시계 방향’, ‘때때로 다름’의 순으로 다른 경향을 보였다. 손잡이와 ‘손바늘에 실을 올리는 손가락의 손’간에는 통계적으로 유의 미한 차이(p<.05)를 보였으나, 손잡이와 ‘손바늘에 실을 감는 방향’간에는 통계적인 유의미한 차이 를 보이지 않았는데, 이는 ‘손바늘과 바느질 할 실을 잡는 손’이 손잡이 분류의 중요한 요소인 것과 관계있는 것으로 보인다. 마지막으로, 교육 현황과 사례 분석을 바탕으로 다양성을 고려한 ’손바늘 에 실을 감아 만드는 손바느질 시작매듭 짓기‘ 방법을 개발하여 새로운 교육의 방향을 제시하였다.

Developing a clothing and textiles studio course for future home economics teachers using principles of PBL and maker education

The aim of this research is to develop a clothing and textiles studio course for preservice home economics teachers applying principles of Project-Based Learning (PBL) and maker education to equip future teachers with the ability to nurture creativity among adolescents. The studio course was developed in the following stages: analysis, design, development, implementation, and evaluation. We concluded that the resulting course met the following objectives extracted from the 2015 revised curriculum of home economics subjects: to promote creative and environmentallyfriendly fashion design and styling abilities, gain the ability to use makerspace tools, understand flat pattern making and sewing processes, and develop creative thinking, aesthetic sense, and communication skills. Furthermore, the educational effects of PBL and maker education were confirmed through student comments on the course. Students mentioned the practicality of the material in their actual lives along with their enhanced integration of the subject material, self-directedness, aesthetic sense, ability to learn through trial and error, collaboration and communication, and sharing. Based on results from the implementation and evaluation stages, a clothing and textiles studio course should include the following modules: introduction of terms and tools, submission and sharing of clothing reformation and upcycling techniques, introduction to hand sewing, pouch making, heat-transfer printing, 3D printing, mask making, hat making, vest making, and the final team project on fashion styling. It is important for instructors to provide detailed guidelines on selecting personas for styling, looking for available materials, and selecting materials online.

Esophagus two-step-cut overlap method in esophagojejunostomy after laparoscopic gastrectomy.

Esophagojejunostomy is a challenging step in laparoscopic gastrectomy. Although the overlap method is a safe and feasible approach for esophagojejunostomy, it has several technical limitations. We developed novel modifications for the overlap method to overcome these disadvantages. Forty-eight consecutive gastric cancer patients underwent totally laparoscopic total gastrectomy or laparoscopic proximal gastrectomy with double-tract reconstruction at our institution from January 2019 to April 2020 using the overlap method with the following modifications. The esophagus was initially rotated by 90° counterclockwise, followed by transection of two-thirds of the esophageal diameter. The unstapled esophagus was then transected with a harmonic ultrasonic scalpel to enable esophagostomy at the posterior side of the esophagus. A side-to-side esophagojejunostomy was then formed at the posterior side of the esophagus using an endoscopic linear stapler through the right lower trocar. The common entry hole was closed via hand sewing method using V-Loc suture. This procedure was termed "esophagus two-step-cut overlap method." Only one patient suffered from esophagojejunal anastomotic leakage but subsequently recovered after conservative treatment. Patients did not experience anastomotic bleeding or stricture. Our modified overlap method provides satisfactory surgical outcomes and overcomes several technical limitations, such as entering the false lumen of the esophagus, unnecessary pollution caused by nasogastric tube, and unintended left crus stapling during anastomosis.

Comparison study stapled versus hand sewn method for large bowel anastomosis surgery

Background: Intestinal anastomosis is one of the most commonly performed procedure it required to re-establish gastrointestinal continuity after surgical resection, traumatic disruption or bypass procedures. In last decade, advances in intestinal stapling devices have led to an increased frequency of stapled anastomosis. There are a variety of proposed benefit from a stapled technique: better blood supply, reduced tissue manipulation, less oedema, uniformity of suture, adequate or perhaps wider, lumen at the site of anastomosis, ease and rapidity. Objectives: To compare the relative safety and effectiveness of stapled anastomosis with that of hand sewn anastomosis for large bowel surgery. Patients & Methods: A prospective study was conducted on 103 patients who suffered from benign and malignant disease in addition to trauma patients. They were divided into two groups (SA) group which involved (51) patients where the anastomosis were done by stapler and other group of (52) patients where the anastomosis were done by hand sewing named as (HS) group. All elective cases were prepared for surgery preoperatively by mechanical and chemical preparation while patients in emergency situation had the full criteria for primary anastomosis. Both groups had the same preoperative characters such as age and sex, and the types of outcome analyzed were specific mortality, clinical anastomotic leak, stricture, anastomotic haemorrhage, re-operation, wound infection, anastomotic duration and hospital stay. Results: A total of 9 patients (17.6%) in SA group developed complications compared to 20 patients (38.5%) in H.S group (P. value >0.019). Nine patient developed fistula in HS group (17.3%) compared to two patients (3.9%) in SA group (P. value > 0.035). Mean postoperative hospitalization time for SA group (6.5) days while for HS group (8.8) days (P. value 0.75). There is a significant difference regarding fistula in favours of stapled anastomosis. Conclusions: Staples anastomosis is safe and effective and associated with fewer leak than hand sewn anastomosis.

Özofagogastrik Bileşkeye 5cm Yakınlıkta Yerleşen Mide Submukozal Tümörlerde Endoskopi Destekli Laparoskopik Rezeksiyon; Zor Lokalizasyonda Kombine Cerrahi

Objective: Removal of the lesion with safe surgical margins is often sufficient including GISTs. Endoscopic resections can become challenging or impossible even if the tumor was located near esophagogastric junction. Performing gastrectomy for these mostly benign lesions will also be a rather brutal treatment method in most cases.Therefore, alternative minimal invasive resection techniques and their reliability should be evaluated. The aim of this study is to evaluate the efficacy and safety of endoscopy-assisted laparoscopic transgastric resection method in proximally located submucosal tumors. Materials and methods: Transgastric combined endoscopic and laparoscopic surgery (CELS) with intragastric port was performed in one patient and Transgastric CELS with gastrotomy was performed in six patients who had tumor located near esophagogastric junction at XXX Hospital between February 2019 and February 2020. Results: The patients were included 3 men and 4 women with and average age of 45.8 years (range 25-70). In five of the cases, four ports and nathanson retractor were used for liver retraction. While three ports were used in one patient, the stomach was suspended with traction suture. In one patient, 5 ports were used. The average operation time was 88 minutes (range 59-140 min). While gastrostomy line was closed with linear stapler in two patients, laparoscopic hand sewing method was used in the remaining patients. No patient had intraoperative complications. Conclusion: We strongly suggest that the laparoscopic transgastric resection approach for submucosal tumors close to the gastroesophageal junction, is a feasible and safe method, when used in combination with endoscopy.

Education with Handedness on ‘Making a Knot by Winding a Thread on a Finger When Starting Hand Sewing’

Education with Handedness on ‘Making a Knot by Winding a Thread on a Finger When Starting Hand Sewing’

Why Does Postoperative Pancreatic Fistula Occur After Hand-sewn Parenchymal Closure and Staple Closure in Distal Pancreatectomy?

Hand-sewing (HS) and stapling are common parenchymal closure techniques after distal pancreatectomy. However, these methods cannot completely prevent postoperative pancreatic fistula (POPF). The mechanisms of POPF formation after closure are unknown. We performed distal pancreatectomy in mongrel dogs to identify the mechanisms of POPF formation after HS and staple closure. We measured the closed pancreatic duct burst pressures and examined the histology of the remnant pancreas. The after staple-closure burst pressures depended on stapler height; lower pressures were associated with greater stapler heights. Post-HS closure burst pressures were significantly higher than those at each stapler height (P<0.01). Post-HS closure pathologic findings showed extensive necrosis (day 3), and some regenerated pancreatic duct stumps (day 5). Necrosis was not observed around the stapled tissues. Although HS completely closes the pancreatic ducts, stump necrosis and blood flow disturbances may cause POPF. With stapler closure, pancreatic fluid leakage may occur even with appropriate stapler heights.

V09-03 FIRST HAND PIECE TYPE SURGICAL SEWING MACHINE USING TWO THREADS: ANIMAL STUDY FOR THE FEASIBILITY OF INTESTINAL AND VASCULAR USE.

INTRODUCTION AND OBJECTIVES:Even though its long history, there have been few advances in fundamental principles of surgical suture that is based on hand sewing technique. We had reported a prototy...

Comparative study between hand sewn and stapled anastomosis in laparoscopic right hemicolectomy

Background: Laparoscopic hemicolectomy for colonic cancer can be performed safely with morbidity, mortality and long-term results comparable to those of open surgery. Despite these advantages, laparoscopic right hemicolectomy is technically challenging and warrants intensive structured training to minimize conversion to open surgery and associated complications. Anastomosis could be done either by hand sewn or stapler.Methods: Present study was a prospective study. It included 30 patients presented to Menoufia University Hospital and El Salam Oncology Center with carcinoma of right colon from March 2016 until September 2018. The patients were divided into two groups each group of 15 patients. In the first group, author used the hand sewing for anastomosis compared to the stapled anastomosis in the second group.Results: In the first group, 11 of them were males (73.3%) and 4 were females (26.7 %) with the mean age was 55.93±8.64 years. In the second group, 6 of them were males (40%) and 9 were females (60%) with the mean age was 48.33±17.97 years. In the first group, the mean time of anastomosis was 36.0±4.71 minutes and in the second group the mean time of anastomosis was 21.67±5.56 minutes. In the first group, 1 case was complicated by leakage from anastomosis (6.2%), 1 case was complicated by wound infection (6.2%). In the second group, there was no complication.Conclusions: In this study, the main advantages of doing a stapled anastomosis are the operative time, hospital stay and intraoperative bleeding. Postoperative complications than the hand sewn anastomosis.