[One-row continuous suture in abdominal surgery].

Area of Science:

• Abdominal Surgery
• Surgical Techniques
• Gastrointestinal Surgery

Background:

• Anastomosis in abdominal surgery requires secure and reliable suturing techniques.
• Continuous suture methods are widely employed, but their efficacy varies by application.
• Assessing the performance of one-row continuous suture (OCS) across diverse intra-abdominal procedures is crucial.

Purpose of the Study:

• To evaluate the reliability and complication rates of one-row continuous suture (OCS) in various abdominal surgical procedures.
• To compare the efficacy of OCS in gastrointestinal, biliary, and pancreatic surgeries.
• To determine the suitability of OCS for routine clinical use in abdominal surgery.

Main Methods:

• Retrospective analysis of 3605 patients undergoing abdominal surgery utilizing OCS.
• Categorization of OCS application into biliary tract, stomach/small intestine, colon/rectum, and pancreatic surgeries.
• Documentation and analysis of complication and anastomotic insufficiency rates for each surgical category.

Main Results:

• OCS demonstrated a low complication rate of 1.3% in biliary tract surgery.
• Anastomotic insufficiency rates were notably low (0.04%) in stomach and small intestine surgeries.
• Colon and rectum surgeries showed an insufficiency rate of 1.5%, while pancreatic surgery had no reported complications with OCS.

Conclusions:

• One-row continuous suture (OCS) is a highly reliable technique for creating anastomoses in a wide range of abdominal surgeries.
• The low rates of complications and anastomotic insufficiency support the broader clinical application of OCS.
• OCS is a safe and effective suturing method for gastrointestinal, biliary, and pancreatic procedures.