Panama Medical Vacations
Tubarian Anastomosis in Panama
In medicine, anastomosis is the surgical connection of two structures. Tubarian Anastomosis refers to connections between blood vessels or connections between other tubular structures such as the loops of the intestines. The necessity for such a procedure can either be the result of injury or trauma or a weakening caused by infection or disease. In such cases, a tubarian anastomosis can correct the problem and get you back on the road to health; the best way to travel that road is to take advantage of Panama’s health tourism and come here for your tubarian anastomosis.
The Procedure
In surgical jargon, to create a tubarian anastomosis is to stitch together two cut ends of any hollow organ, usually to restore continuity after resection, or to bypass an unresectable disease process.
Tubarian anastomosis is typically performed on:
- Blood vessels: This includes both arteries and veins. Most vascular procedures, including all arterial bypass operations (e.g. coronary artery bypass), aneurysmectomy of any type, and all solid organ transplants require vascular anastomoses.
- Gastrointestinal (GI) tract: Esophagus, stomach, small bowel, large bowel, bile ducts, and pancreas. Virtually all elective resections of gastrointestinal organs are followed by anastomoses to restore continuity; pancreaticoduidenectomy is considered a massive operation, in part, because it requires three separate anastomoses (stomach, biliary tract and pancreas to small bowel). Bypass operations on the GI tract, once rarely performed, are the cornerstone of bariatric surgery. The widespread use of mechanical suturing devices (linear and circular staplers) changed the face of gastrointestinal surgery.
- Urinary tract: Ureters, urinary bladder, urethra. Radical prostatectomy and radical cystectomy both require anastomosis of the bladder to the urethra in order to restore continuity.
- Microsurgery: The advent of microsurgical technique allowed anastomoses previously thought impossible, such as so-called "nerve anastomoses" (not strictly an anastomosis according to the above definition), and operations to restore fertility after tubal ligation or vasectomy.
Surgeries such as these vary in the actual procedure. After preparing the sections to be reconnected, your surgeon will use sutures finer than a human hair to delicately reconnect the two surfaces. The typical tubarian anastomosis requires two to three hours to complete.
After your surgery
This procedure requires the use of a microscope to enable the surgeon to assess the quality of the tube and simply to see the sutures and needles. Recuperation time is variable with most office workers back to full activities in 2 to 3 weeks. Some more strenuous jobs may require up to 5 weeks off from work.
Risks
Risks associated with tubarian anastomosis will vary based on the affected area but may include excessive bleeding, infection, and complications due to general anesthesia.