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1. |
Transplantation of Isolated Hepatocytes into the Pancreas |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 1-11
J.P.A.M. Vroemen,
W.A. Buurman,
C.J. van der Linden,
R. Visser,
K.P.M. Heirwegh,
G. Kootstra,
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摘要:
In previous research into hepatocyte transplantation (HTX) the spleen was the preferred acceptor organ for isolated donor hepatocytes. In this study the pancreas was tested as an acceptor organ for HTX. HTX into the pancreas or spleen was performed by injection of 107 isolated hepatocytes into the parenchyma of these organs. Intrapancreatic hepatocytes showed good viability 3 months after syngenic HTX as assessed by histological and immunocytochemical parameters. Definite proof of sustained metabolic activity of normal hepatocytes, 3 months after transplantation into the pancreas of congenitally jaundiced rats, was obtained by demonstration of bilirubin conjugates in bile of the recipients: 4.0% of total biliary bilirubin was conjugated. Intrasplenic HTX, however, was more effective and resulted in a conjugated fraction of 17.7% of total biliary bilirubin (p < 0.001). Reduction of total plasma bilirubin was significant with both methods, but more pronounced in intrasplenic HTX. Bile drainage from the hepatocellular transplant via the pancreatic excretory system into the gut was not observed: conjugated bilirubins were not found in pancreatic juice of HTX-treated jaundiced rats. Intrapancreatic HTX did not adversely affect the host rat; evidence of pancreatitis or diabetes was not found. It is concluded that the pancreas is a suitable acceptor organ for HTX. However, intrapancreatic HTX appears to be less effective than intrasplenic HTX in the treatment of enzyme deficiency disease.
ISSN:0014-312X
DOI:10.1159/000128734
出版商:S. Karger AG
年代:1988
数据来源: Karger
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2. |
Polyester Arterial Grafts Impregnated with Cross-Linked Albumin: The Rate of Degradation of the Coating in vivo |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 12-17
S. Ben Slimane,
R. Guidoin,
W. Mourad,
J. Hébert,
M.W. King,
M.-F. Sigot-Luizard,
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摘要:
One of the techniques used to avoid preclotting a porous textile arterial prosthesis is to coat the graft with a layer of a bioerodible polymer. The efficacy of this treatment is dependent in part on the rate at which the polymer degrades after implantation. The focus of this study was therefore to investigate the rate of in vivo degradation of albumin-coated polyester (Dacron)-knitted vascular prostheses. Two types of cross-linked albumin were included: one using glutaraldehyde, the other using carbodiimide as the cross-linking agent. Radioactively labeled albumin-coated prostheses were implanted in the thoracic aorta and peritoneal cavity of dogs, and their rates of biodegradation in vivo were monitored over a 4-week period. The rate of biodegradation was found to depend upon the site of implantation. It occurred more rapidly in the peritoneal cavity where less than 20% of the albumin coating remained after 4 weeks in vivo in comparison to the approximately 30% in the thoracic aorta. The nature and intensity of the cellular response appeared to be related to the cytotoxic potential of the cross-linking agent. Glutaraldehyde induced an inflammatory response and a delay in healing, whereas carbodiimide caused only a mild tissue reaction.
ISSN:0014-312X
DOI:10.1159/000128735
出版商:S. Karger AG
年代:1988
数据来源: Karger
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3. |
Characteristics of Polyester Arterial Grafts Coated with Albumin: The Role and Importance of the Cross-Linking Chemicals |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 18-28
S. Ben Slimane,
R. Guidoin,
D. Marceau,
Y. Merhi,
M.W. King,
M.-F. Sigot-Luizard,
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摘要:
Preclotting is mandatory prior to implanting a knitted polyester arterial graft, unless the structure is made impermeable to blood by coating with a bioerodible material. Before achieving wide-spread clinical acceptance, the technique of impregnating with cross-linked albumin must be optimized in order to develop a graft that is immediately implant-able, easy to handle and suture and has improved healing characteristics. The choice of the chemical to cross-link the albumin is of paramount importance. In this study two alternative candidates have been evaluated by using a series of tests to measure the physical properties, the morphology and the cytocompatibility of albumin-coated grafts. A carbodiimide cross-linking agent appears more promising than glutaraldehyde, since it is equally effective in producing a blood impermeable prosthesis, yet presents improved biocompatibility and provokes a less intense inflammatory response from the host.
ISSN:0014-312X
DOI:10.1159/000128736
出版商:S. Karger AG
年代:1988
数据来源: Karger
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4. |
Local Transposition Flap for Valve Construction in Short-Gut Syndrome |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 29-32
T. Papaziogas,
C. Mantinaos,
N. Galanis,
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摘要:
In 10 mongrel dogs, massive resection of small intestine was performed by removing 90% of its length. Following a period of approximately 2 months, the animals presented excessive steatorrhea and severe cachexia. Construction of a valve using a local transposition flap within the intestinal lumen near the colon resulted in a detainment of weight loss and steatorrhea. The animals were kept under observation over a period of 4 months.
ISSN:0014-312X
DOI:10.1159/000128737
出版商:S. Karger AG
年代:1988
数据来源: Karger
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5. |
Inflammatory Reaction and Blood Flow in Experimental Wounds Inoculated withStaphylococcus aureus |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 33-38
M. Laato,
J. Niinikoski,
C. Lundberg,
B. Gerdin,
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摘要:
Wound healing and granulation tissue fromation can be accelerated by inoculation with live pathogenic microorganisms. For further elucidation of this phenomenon the present work was undertaken to study the effects of Staphylococcus aureus microorganisms on the inflammatory reaction and blood flow in developing granulation tissue in rats. Cylindrical hollow sponge implants were used as an inductive matrix for the growth of granulation tissue. In control animals 1 ml of wound fluid was withdrawn from the central dead space of the implant immediately after implantation and replaced with 1 ml of physiological saline. In experimental animals the implants were injected with live staphylococci, 102 or 105 microorganisms/ml. Wound fluid was analyzed 3, 7, 10 and 14 days after implantation, whereas measurements of local blood flow and albumin extravasation in the granulation tissue were made after 7 days. Implants inoculated with 105 organisms developed infection with pus formation while implants contaminated with 102 organisms showed no infection. In wound fluid specimens collected from the infected implants correlation between the number of polymorphonuclear leukocytes and prostaglandin E2 concentration was statistically significant. The most prominent finding in contaminated but uninfected implants was an enhanced local blood flow. This may explain some of the mechanisms leading to S. aureus-induced acceleration of wound healing.
ISSN:0014-312X
DOI:10.1159/000128738
出版商:S. Karger AG
年代:1988
数据来源: Karger
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6. |
Oral, Poster Presentions (Part 3 of 11) |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 35-50
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ISSN:0014-312X
DOI:10.1159/000315777
出版商:S. Karger AG
年代:1988
数据来源: Karger
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7. |
Prevention of Death following One-Hour Occlusion of the Portal Vein in the Rat |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 39-45
F. Filipponi,
J. Van de Stadt,
P. Icard,
A. Michel,
D. Houssin,
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摘要:
This study was conducted to evaluate various methods to reduce the mortality rate following acute portal vein occlusion in rat: systemic heparinization, intravenous saline infusion, enteral antibiotics and simultaneous clamping of the superior mesenteric artery were tested alone or in combination. Each of these treatments improved the survival rate after 45 or 60 min occlusion of the portal vein; combination of all treatments provided better results than each treatment alone. These results indicate that, following acute portal vein occlusion in the rat, several factors cooperate to cause death. The decrease in mean arterial blood pressure during occlusion of the portal vein was correlated with the mortality rate; this correlation was significant in the animals with 45 min occlusion of the portal vein. It appeared in this study that, when used in association, simple therapeutic methods are highly effective in improving the survival rate following acute portal vein occlusion in the rat.
ISSN:0014-312X
DOI:10.1159/000128739
出版商:S. Karger AG
年代:1988
数据来源: Karger
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8. |
Effect of Gastric Cold Irrigation on Stress Ulceration |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 46-50
G. Zavagno,
I.-W. Khan,
Nicoletta Moschin,
E. Pasqual,
P.P. Cagol,
M. Lise,
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摘要:
Gastric cold irrigation is widely used in the treatment of gastric bleeding. The purpose of this study was that of studying the effect of cooling on gastric mucosal lesions induced by hemorrhagic shock. The gastric transmucosal potential difference (GTPD) and the severity of ulceration were assessed in rats subjected to continuous gastric irrigation with 0.1 N HC1 at a temperature of 37 or 5 ° C. The effect of gastric cooling was evaluated in basal conditions and in rats subjected to hemorrhagic shock. Although gastric cooling has been able to cause ulcers in basal conditions, it showed a protective effect during hemorrhagic shock, reducing the degree of ulceration and improving the GTPD recovery. It is likely that the decrease in cellular metabolic requirements induced by cooling plays an important role in mucosal protection during hemorrhagic shock
ISSN:0014-312X
DOI:10.1159/000128740
出版商:S. Karger AG
年代:1988
数据来源: Karger
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9. |
A Computer-Assisted Device for the Intraoperative CT-Correlated Localization of Brain Tumors |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 51-58
H. Reinhardt,
H. Meyer,
E. Amrein,
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摘要:
In a series of 72 open brain tumor operations the 32P (radiophosphorus) test proved to be valuable for the removal of visually not detectable tumor residues. As during resection a topographical orientation in the depth of tumor cavities was nearly impossible, a computerized measuring device was developed which enables the surgeon to locate the tumor boundaries by simultaneous comparison with preoperative CT scans. For 32P-beta emission measurements a miniature semiconductor probe can be attached to the tip of the four-axis digitizing arm allowing the evaluation of radicality by topographic distinction between tumor ramifications and normal brain tissue. The device was tested during 3 craniotomies and the perspectives of computerized stereotaxy are discussed.
ISSN:0014-312X
DOI:10.1159/000128741
出版商:S. Karger AG
年代:1988
数据来源: Karger
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10. |
Pancreatic Function after Seromyotomy of the Canine Stomach |
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European Surgical Research,
Volume 20,
Issue 1,
1988,
Page 59-65
R. Van Hee,
D. Verhulst,
P. Van Schil,
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摘要:
Anterior gastric seromyotomy combined with posterior truncal vagotomy has been proposed as an acid-reducing operation for patients with duodenal ulcer. Section of the posterior vagal trunk could, however, be held responsible for reduced pancreatic function, seen in patients after bilateral truncal vagotomy. In this study the pancreatic function after anterior gastric seromyotomy and posterior truncal vagotomy has been evaluated in a series of canine experiments by means of a direct hormone stimulation test. No reduction of the basal or stimulated exocrine pancreatic secretion was noted after this type of vagotomy.
ISSN:0014-312X
DOI:10.1159/000128742
出版商:S. Karger AG
年代:1988
数据来源: Karger
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