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Biomedical subjects

F M Steichen

Publications and source records attributed to F M Steichen.

At least 37 records · Page 2Linked to original sources
PubMed1980

Mechanical sutures in esophageal surgery.

Precise, safe and expeditious suturing of the esophagus to the stomach or the small or large bowel is required in procedures designed to re-establish continuity following esophagogastrectomy, partial or total esophagectomy and total gastrectomy, and to control exsanguinating hemorrhage from ruptured esophageal varcies. In the anastomosis of the esophagus to the stomach, small or large bowel, and in the control of hemorrhage from bleeding esophageal varices by a modified Tanner-Boerema procedure, the EEA, the GIA (loaded with SGIA cartridges) and the TA-55 stapling instruments significantly facilitate and simplify these operations.

Colostomy↗
PubMed1979

A stapling instrument for end-to-end inverting anastomoses in the gastrointestinal tract.

A stapling instrument is described for end-to-end inverting anastomoses applicable principally to low rectal anastomosis or esophagogastric or esophagojejunal anastomosis. The instrument creates an inverting anastomosis held by a double staggered row of stainless steel wire staples creating an anastomosis 21.2 mm internal diameter with no significant inverted flange. The early experience is encouraging.

Animals↗
PubMed1978

Autosuture ileal conduit construction: experience in 110 cases.

Our experience with 110 cases of ileal conduit construction with autosuture stapling devices is discussed. The technique is described briefly and the results are compared to results with ileal conduits constructed with the conventional suture technique. Analysis of our data revealed a significant reduction in operating time and postoperative morbidity.

Adolescent↗
PubMed1977

The creation of autologous substitute organs with stapling instruments.

After partial or total esophagectomy, total gastrectomy, pancolectomy, and urinary cystectomy, it becomes necessary to reestablish continuity and/or replace function by the creation of a substitute organ obtianed from the various portions of the gastrointestinal tract. Ideally, the creation of the substitute organ should be undertaken at the same operation in which the original organ is excised. At times, however, the surgeon may elect a two-stage approach by replacing the afflicted organ during a separate operation either prior to or after excision, as dictated by the circumstances surrounding each individual patient. The use of stapling instruments has greatly facilitated the precision, neatness, and speed with which substitute organs can be constructed. This is especially spectacular in those patients in whom a one-stage procedure is elected.

Adolescent↗
PubMed1976

Dilation of intraheptic bile ducts in choledochal cyst: case report with follow-up review of the literature.

Fifty-five cases of intrahepatic dilation of the bile ducts associated with choledochal cyst have been found in the literature, mostly reported over the past five years. Obstructive jaundice is often not present at an early stage in this group of patients, but dissociation of the serum bilirubin and alkaline phosphatase levels could be an early manifestation of this condition. Recent advances in diagnosis and new concepts of the cause and surgical management are reviewed. A case is reported where choledochocystojejunostomy was performed using automatic stapling instruments. Disappearance of symptoms, normalization of liver functions, and reduction in size of the cysts were observed during the two-year postoperative period.

Adolescent↗
PubMed1976

Preferential cerebral hypothermia with elective cardiac arrest: resection of "giant" aneurysm.

The technique of preferential cerebral hypothermia is reported in its application to a patient with a "giant" anterior communicating artery aneurysm. The method utilizes elective ventricular fibrillation and differential or "preferential" hypothermia induced by a combination of external skin cooling and perfusion of core organs with 0 degree buffered electrolyte solution. The value of the technique lies in its provision of a period of safe circulatory arrest approaching one hour without the need for anticoagulation, heart-lung bypass, open chest resuscitation or major vessel clamping. Because of the absence of blood flow and because of the clear fluid washout of the cerebral vessels, it was possible to open the aneurysm, evacuate its contents and resect it in several sections. It was not necessary to clip the feeding arteries until all dissection and total removal of the aneurysm were completed. The application of the technique to neurosurgery and cardiovascular surgery is discussed.

Heart Arrest, Induced↗