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Sutures & Surgical Specialties

Wound closure – As close to nature as possible

Clotting, sealing and closing marks the end of every surgery and plays a decisive role for the patient’s quality of life. B. Braun provides innovative wound closure technologies as well as offering training and service.

Monomax® extra long-term absorption and maximum elongation
Anastomotic leakage treatment endoluminal vacuum therapy
Histoacryl® LapFix surgical mesh fixation
CSC-KOL® internal staplers in low colorectal anastomosis
Female surgeon perspective
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Sutures & Surgical Specialties


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[1] In vivo test. Lab No. 3080 (Annex 11).; In vivo test. Lab No 2540 (Annex 12).; Lab No. 01C 01850 00 (Annex 13)

[2] Huisman JF, van Westreenen HL, van der Wouden EJ, Vasen HFA, de Graaf EJR, Doornebosch PG, Tang TJ, Schot I, Brohet RM, de Vos Tot Nederveen Cappel WH, Vermaas M. Effectiveness of endosponge therapy for the management of presacral abscesses following rectal surgery. Tech Coloproctol. 2019 Jun;23(6):551-557.

[3] Weidenhagen R, Gruetzner KU, Wiecken T, Spelsberg F, Jauch KW. Endoscopic vacuum-assisted closure of anastomotic leakage following anterior resection of the rectum: a new method. Surg Endosc. 2008 Aug;22(8):1818-25.

[4] Borstlap WAA, Musters GD, Stassen LPS, van Westreenen HL, Hess D, van Dieren S, Festen S, van der Zaag EJ, Tanis PJ, Bemelman WA. Vacuum-assisted early transanal closure of leaking low colorectal anastomoses: the CLEAN study. Surg Endosc. 2018 Jan;32(1):315-327.

[5] Arezzo A, Verra M, Passera R, Bullano A, Rapetti L, Morino M. Long-term efficacy of endoscopic vacuum therapy for the treatment of colorectal anastomotic leaks. Dig Liver Dis. 2015 Apr;47(4):342-5.

[6] Riss S, Stift A, Meier M, Haiden E, Grünberger T, Bergmann M. Endo-Sponge assisted treatment of anastomotic leakage following colorectal surgery. Colorectal Dis. 2010;12(7):104-8.

[7] Jimenez-Rodriguez RM, Araujo-Miguez A, Sobrino-Rodriguez S, Heller F, Díaz-Pavon JM, Bozada Garcia JM, De la Portilla F. A New Perspective on Vacuum-Assisted Closure for the Treatment of Anastomotic Leak Following Low Anterior Resection for Rectal Cancer, Is It Worthy? Surg Innov. 2018 Aug;25(4):350-356.

[8] Milito G, Lisi G. Endoluminal Vacuum Therapy as treatment for anastomotic colorectal leakage. Surg Technol Int. 2017 Jan;10(30):125-30

[9] Gardenbroek TJ, Musters GD, Buskens CJ, Ponsioen CY, D'Haens GR, Dijkgraaf MG, Tanis PJ, Bemelman WA. Early reconstruction of the leaking ileal pouch-anal anastomosis: a novel solution to an old problem. Colorectal Dis. 2015 May;17(5):426-32.

[10] Mussetto A, Arena R, Buzzi A, Fuccio L, Dari S, Brancaccio ML, Triossi O. Long-term efficacy of vacuum-assisted therapy (Endo-SPONGE(®)) in large anastomotic leakages following anterior rectal resection. Ann Gastroenterol. 2017;30(6):649-653.

[11] Helbling C, Schlumpf R. Sutureless Lichtenstein: first results of a prospective randomized clinical trial. Hernia. (2003) 7:2 (80-4).

[12] Kim-Fuchs C, Angst E, Vorburger S, Helbling C, Candinas D, Schlumpf R. Prospective randomized trial comparing sutured with sutureless mesh fixation for Lichtenstein hernia repair: long-term results. Hernia. (2012) 16:1 (21-7).

[13] Crafa F, Megevand J, Romano G, Sileri P. New double-stapled anasto-motic technique to avoid crossing staple lines. Tech Coloproctol. 2015 May;19(5):319-20.

[14] Crafa F, Smolarek S, Missori G, Shalaby M, Quaresima S, Noviello A, Cassini D, Ascenzi P, Franceschilli L, Delrio P, Baldazzi G, Giampiero U, Megevand J, Maria Romano G, Sileri P. Transanal Inspection and Management of Low Colorectal Anastomosis Performed With a New Technique: the TICRANT Study. Surg Innov. 2017 Oct;24(5):483-491.