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Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery

Originating in the 1970s, magnetic compression anastomosis (MCA) has lately been revisited with a focus on minimal invasive surgery (MIS). The aim of this report is to reappraise our earlier experience with MCA with the intention of facilitating future MCA advancement. A retrospective review was con...

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Autores principales: Kotlovsky, Anatole M., Muensterer, Oliver J., Nikolaev, Vasily V., Razumovskiy, Alexander Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453638/
https://www.ncbi.nlm.nih.gov/pubmed/37628327
http://dx.doi.org/10.3390/children10081328
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author Kotlovsky, Anatole M.
Muensterer, Oliver J.
Nikolaev, Vasily V.
Razumovskiy, Alexander Y.
author_facet Kotlovsky, Anatole M.
Muensterer, Oliver J.
Nikolaev, Vasily V.
Razumovskiy, Alexander Y.
author_sort Kotlovsky, Anatole M.
collection PubMed
description Originating in the 1970s, magnetic compression anastomosis (MCA) has lately been revisited with a focus on minimal invasive surgery (MIS). The aim of this report is to reappraise our earlier experience with MCA with the intention of facilitating future MCA advancement. A retrospective review was conducted regarding preclinical experiments and clinical trials at a single institution from 1980 to 1995. The reviewed information was compiled and appraised to generate proposals for future MCA use. The experimental studies, including 250 MCA cases in gastrointestinal and urinary tract animal models, demonstrated the technical versatility of MCA as well as the superior biomechanical characteristics in comparison to hand-sewn anastomoses. Clinical trials encompassed 87 MCA procedures in 86 children, 2 to 10 years of age, involving the following techniques: non-operative esophageal recanalization (n = 15), non-operative ileostomy undiversion (n = 46), Swenson pull-through (n = 10), non-operative urethral recanalization (n = 5), and extravesical ureterocystoneostomy (n = 11). Clinical MCA was found to be successful in over 87% of cases. MCA limitations concerning anastomotic failure and scarring were thought to be mostly due to inadequate magnetic compression. Based on our historic experience, we propose further research on the technical aspects of MCA, along with the biological aspects of anastomotic tissue remodeling. Magnets should be designed and manufactured for a wide spectrum of pediatric surgical indications, particularly in combination with novel MIS techniques.
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spelling pubmed-104536382023-08-26 Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery Kotlovsky, Anatole M. Muensterer, Oliver J. Nikolaev, Vasily V. Razumovskiy, Alexander Y. Children (Basel) Review Originating in the 1970s, magnetic compression anastomosis (MCA) has lately been revisited with a focus on minimal invasive surgery (MIS). The aim of this report is to reappraise our earlier experience with MCA with the intention of facilitating future MCA advancement. A retrospective review was conducted regarding preclinical experiments and clinical trials at a single institution from 1980 to 1995. The reviewed information was compiled and appraised to generate proposals for future MCA use. The experimental studies, including 250 MCA cases in gastrointestinal and urinary tract animal models, demonstrated the technical versatility of MCA as well as the superior biomechanical characteristics in comparison to hand-sewn anastomoses. Clinical trials encompassed 87 MCA procedures in 86 children, 2 to 10 years of age, involving the following techniques: non-operative esophageal recanalization (n = 15), non-operative ileostomy undiversion (n = 46), Swenson pull-through (n = 10), non-operative urethral recanalization (n = 5), and extravesical ureterocystoneostomy (n = 11). Clinical MCA was found to be successful in over 87% of cases. MCA limitations concerning anastomotic failure and scarring were thought to be mostly due to inadequate magnetic compression. Based on our historic experience, we propose further research on the technical aspects of MCA, along with the biological aspects of anastomotic tissue remodeling. Magnets should be designed and manufactured for a wide spectrum of pediatric surgical indications, particularly in combination with novel MIS techniques. MDPI 2023-08-01 /pmc/articles/PMC10453638/ /pubmed/37628327 http://dx.doi.org/10.3390/children10081328 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kotlovsky, Anatole M.
Muensterer, Oliver J.
Nikolaev, Vasily V.
Razumovskiy, Alexander Y.
Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title_full Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title_fullStr Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title_full_unstemmed Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title_short Magnetic Compression Anastomosis–Past Experience and Current Proposals for Further Development in Pediatric Minimally Invasive Surgery
title_sort magnetic compression anastomosis–past experience and current proposals for further development in pediatric minimally invasive surgery
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453638/
https://www.ncbi.nlm.nih.gov/pubmed/37628327
http://dx.doi.org/10.3390/children10081328
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