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Use of different absorbable sutures for continuous single-layer anastomosis in the gastrointestinal tract. A
A Oláh1, T Belágyi, G Neuberger
1Department of Surgery, Petz Aladár Teaching Hospital of Haynal I. University of Health Sciences, Gyõr, Hungary.
Background And Aims:
A prospective, randomized study was designed to test the safety of the single-layer continuous anastomosis technique in gastrointestinal surgery. Results from the use of two different sutures were compared in relation to postoperative complications.
Material And Methods:
The safety of a single-layer continuous technique using two different types of absorbable suture was studied in 247 anastomoses performed on 183 patients between 1996 and 1997. There were 26 gastric, 117 small-bowel, 32 colonic, 29 pancreatic and 43 biliary anastomoses in the study. In 134 cases, Poliglecaprone 25 (Monocryl, Johnson & Johnson) was used, and in 113 cases Glycomer 631 (Biosyn, USSC). All procedures were carried out by the same surgeon.
Results:
Anastomosis-related complications were detected in 7 patients (2.8%). Anastomotic failures including minor leakage occurred in 5 cases (2.0%). Reoperation was required in only 1 patient (0.4%), and there were no deaths. No difference was found in the dehiscence rate between the two types of absorbable material (1.5% with Monocryl and 2.6% with Biosyn; p = 0.5).
Conclusion:
Compared with other techniques used for gastrointestinal anastomosis, this technique is safe and easy to apply using either suture material.