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Single layer anastomosis after rectosigmoid resection.

N A Matheson, A D Irving

    The British Journal of Surgery
    |March 1, 1975
    PubMed
    Summary
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    Rectosigmoid resection anastomosis leakage is common. A single-layer technique significantly reduced suture line leakage to 6%, avoiding high rates of anastomotic dehiscence.

    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Colorectal Surgery

    Background:

    • Anastomotic leakage following rectosigmoid colon resection is a significant clinical concern.
    • Reported incidence rates of suture line leakage, including occult cases, can exceed 50%.

    Purpose of the Study:

    • To evaluate the efficacy of a single-layer interrupted seromuscular inverting technique in reducing anastomotic leakage after elective rectosigmoid resection.

    Main Methods:

    • A cohort of 52 consecutive patients undergoing elective rectosigmoid resection utilized a single-layer interrupted seromuscular inverting anastomosis.
    • No routine contrast studies were performed; leakage was identified clinically.

    Main Results:

    • The overall incidence of suture line leakage in this series was 6%.

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  • This represents a substantial reduction compared to previously reported rates.

    • Conclusions:

    • A single-layer interrupted seromuscular inverting technique is a sound method for rectosigmoid anastomosis.
    • This technique can effectively avoid the high incidence of anastomotic dehiscence observed with other methods.