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[Manual colonic anastomosis with continuous single layer suture. Our experience]
T Petitti1, G Lippolis, L Ferrozzi
1Divisione di Chirurgia Generale, Ospedale T. Masselli Mascia, San Severo, FG.
Il Giornale Di Chirurgia
|August 30, 2003
Summary
Hand-sewn sutures for colonic anastomoses offer comparable outcomes to staplers in colorectal surgery. This manual technique in 113 cases showed results aligning with the best literature, maintaining low complication rates.
Area of Science:
- Colorectal Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Context:
- Surgical staplers have reduced operative times in colorectal surgery.
- Concerns remain regarding anastomotic complications associated with stapler use.
- Manual suturing techniques are an alternative for colonic anastomoses.
Purpose:
- To present the experience with one-layer continuous extramucosal sutures for colonic anastomoses.
- To evaluate the outcomes of hand-sewn colonic anastomoses in terms of efficacy and safety.
Summary:
- A retrospective review of 157 large bowel operations between January 2000 and January 2003 was conducted.
- 113 patients underwent manual colonic anastomoses (ileo-colic, colo-colic, and colo-rectal intraperitoneal) using a synthetic slow-absorbable one-filament suture.
- The results demonstrated outcomes comparable to the best series reported in the literature, with no increase in anastomotic complications.
Impact:
- Hand-sewn sutures remain a viable and effective technique for colonic anastomoses.
- This study supports the continued use of manual suturing in specific colorectal surgical scenarios.
- The findings contribute to the understanding of anastomotic techniques in large bowel surgery.