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[Mechanical suture in classic and laparoscopic general surgery]
1Secţia de chirurgie generală, Spitalul Sf. Dr. Cosma şi Damian, Str. Arhitect Ion Mincu nr. 7, sector 1, Bucureşti.
Aim:
Of this working is the study of employment the mechanical suture in general surgery classic and laparoscopic.
Material And Method:
We analysed the possibility of accomplishment and postoperatory evolution of 104 mechanical sutures performed in 24 patients, with diverse surgery pathology, operated in Department of General Surgery, between January 1999 and January 2000.
Results:
Mechanical sutures allowed us to minimize the duration of surgical interventions and to perform some difficult anastomotic assembles (sometimes including creation of organ substitute). We had only two postoperatory fistulas and two postoperatory haemorrhages from anastomotic area (both cases because of bad closing of clips, through tissue excess between anvil and cartridge of the stapler).
Conclusions:
There are certain advantages in using mechanical sutures (versus manual sutures) consisting in decreasing of time period, both in operation itself and in hospitalization, despite their high level cost.