Questo sito utilizza cookie tecnici e consente l'invio di cookie di "terze parti" al fine di effettuare misure di traffico per la valutazione delle prestazioni del sito. Per saperne di più, clicca sull'apposito bottone "Maggiori dettagli", che aprirà in modalità pop up l'informativa estesa, dove è possibile avere informazioni per negare il consenso all'installazione di qualunque cookie. Cliccando il bottone OK, o cliccando su una qualsiasi altra area del sito, presterai consenso all'uso dei cookie.

Implantation of amniotic membrane over pancreatic anastomosis after pancreaticoduodenectomy: report of the first case

Implantation of amniotic membrane over pancreatic anastomosis after pancreaticoduodenectomy: report of the first case

Frigerio I, Bannone E, Trojan D, Montagner G, Bergamaschi G, Butturini G 09 May 2019

J Surg Case Rep. 2019 May 9;2019(5):rjz097. doi: 10.1093/jscr/rjz097

Abstract

The amniotic membrane (AM) has an increasing role as a scaffold for tissue repair due to its unique biological properties. The implantation of AM on pancreatic anastomosis after pancreaticoduodenectomy might improve the anastomotic healing and strengthen its structure, however has never been used in pancreatic surgery. We present the first application of AM after a pancreaticoduodenectomy was performed for a malignant tumor of the pancreatic head. After completing the pancreatic anastomosis, the AM was placed around the pancreatic anastomosis and fixed to it with single stiches. The AM, due to its physical characteristics, could be easily manipulated and adapted to the pancreatic anastomosis. This interesting and unique case shows that covering a pancreatic anastomosis with the AM is safe and technically feasible. The AM has no adverse effects while it may eventually provide a beneficial impact over the anastomotic healing.

Download abstract