A Study on the Efficacy of Vagotomy Performed with Panatone

Year 1982, Volume: 35 Issue: 1, 241 - 252, 31.03.1982

Nusret Torun

Abstract

This study evaluates the adequacy of vagotomy in the surgical treatment of duodenal ulcers, focusing on 37 cases operated between 1979 and 1982 at Ankara University Faculty of Medicine’s General Surgery Clinic. To determine whether the vagal nerve branches were completely severed during surgery, “Leucomethylene Blue” (Panatone) was applied intraoperatively for selective staining. Stained nerve fibers were excised and sent for histopathological analysis. Pre- and postoperative Basal Acid Secretion (BAS) and Hollander tests were used for comparative evaluation. Findings indicate that the staining method increases the complete vagotomy rate by 7–10% and is a simple, safe, and effective adjunct to duodenal ulcer surgery.

Keywords

vagotomi , panatone , çalışma

Panatone ile Vagotominin Yeterliliği Üzerine Bir Çalışma

Abstract

Bu çalışma, duodenum ülserinin cerrahi tedavisinde uygulanan vagotominin yeterliliğini değerlendirmek amacıyla Ankara Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği’nde 1979–1982 yılları arasında gerçekleştirilen 37 olguyu içermektedir. Ameliyat sırasında vagal sinir dallarının tam olarak kesilip kesilmediğini belirlemek için “Leucomethylene Blue” (Panatone) kullanılarak boyama yöntemi uygulanmıştır. Boyama ile sinir lifleri tespit edilen vakalarda, ilgili bölge çıkarılıp patolojik incelemeye gönderilmiştir. Cerrahi öncesi ve sonrasında Bazal Asit Sekresyon (B.A.S.) testi ve Hollander testi karşılaştırmalı olarak değerlendirilmiştir. Bulgular, boyama yöntemiyle komplet vagotomi oranının %7–10 arttığını, ayrıca yöntemin basit, güvenli ve etkili olduğunu göstermiştir.

Keywords

vagotomi , panatone , çalışma

References

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