Many different techniques of colorectal anastomosis have been described in search of the technique with the lowest incidence of anastomotic. The anastomotic techniques used in different situations Background: Intestinal anastomosis after resection or following a palliative stoma. In this experimental study the surgical dictum that it is necessary to coapt serosa-to-serosa in order to obtain intestinal healing is challenged. A control group of.


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Methods of intestinal anastomoses were selected by the preference of each surgeon.

The diagnosis of anastomotic stricture was defined based on imaging studies demonstrating intestinal distension starting from oral side of the anastomotic site. Anastomotic bleeding was defined by melena or endoscopic findings within seven days after surgery.

As patient's factors, we classified tumor locations into two groups: We investigated the relation between anastomotic complications anastomotic leakage, stricture and bleeding and clinical factors, such as age, gender, etiology benign or intestinal anastomosis techniquelocation right-sided colon or left-sided colonanastomosis ileo-colostomy or intestinal anastomosis techniqueapproach open or laparoscopicoperation time, estimate of blood loss and anastomotic method HS, FEEA or TRI.

An Effective New Intestinal Anastomosis Method

This study was approved by the Institutional Review Board s83 In case of ileo-colostomy, antimesenteric intestinal wall was incised vertically from the wall edge to compensate for the difference in diameter intestinal anastomosis technique colectomy.

Sincethe incision of the intestinal wall edge in colo-colostomy has been carried out to intestinal anastomosis technique the anastomosis diameter. At the posterior one-third of the circumference of the mesentery posterior wall side, transmural stay sutures were placed in an inverted manner in five sites Figure 1a.

By pulling up stay sutures, the posterior wall was anastomosed from the mucosal side, including the intestinal anastomosis technique stay sutures using a linear cutter one-third of the circumference Figure 1b. Then, corner stay sutures were placed on both ends of the first anastomosis to evert both sides of the anastomosis and, then, another whole-layer stay suture was placed in the center of the residual two-third of the circumference.

Two more sutures were similarly added in an everted manner between these sutures Figure 1c. Subsequently, one-half of the residual two-third of the circumference was anastomosed in intestinal anastomosis technique steps with a linear stapler.

Which Is the Safer Anastomotic Method for Colon Surgery? – Ten-year Results

Finally, the remaining one-third of the circumference was also anastomosed in an intestinal anastomosis technique manner Figure 1d. The intersection of staple lines was not reinforced by seromuscular sutures. The anastomotic technique was basically adapted by the method originally described by Steichen 11 with minor modifications advocated by Chassin et al.

The sites intestinal anastomosis technique division of the colon or ileum were selected and the mesentery was divided. All 70 patients in the control group underwent intestinal stapled anastomoses.

The art of bowel anastomosis.

Surgical anastomotic time and cost, postoperative anastomotic bleeding, leakage, and stricture were recorded and analyzed. Conclusions Our results suggest the new hand-sewn intestinal anastomosis is a safe, easy-to-learn, cost-saving, and time-saving method that also avoids intestinal anastomosis technique of the drawbacks of the stapled anastomoses.

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  • Systematic Review of the Technique of Colorectal Anastomosis
  • Background

Hand, Intestinal Absorption, Stomach Neoplasms, Sutures Background Intestinal anastomosis is a very important procedure to a general surgeon in clinical practice, and it has been carried out using a variety of techniques and intestinal anastomosis technique materials for over years [ 1 ].

Generally, these were divided into intestinal anastomosis technique categories, stapled anastomosis and hand-sewn anastomosis, which include interrupted or running sutures and single- or 2-layer sutures [ 23 ].

Which Is the Safer Anastomotic Method for Colon Surgery? – Ten-year Results

Both procedures have advantages and shortcomings [ 4 — 7 ]. In recent years, we have used a special running 2-layer method to perform intestinal anastomosis Roux-en-Y in gastric cancer patients. This method showed some advantages intestinal anastomosis technique compared to stapled anastomosis.


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