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Related Experiment Video

Updated: Jul 15, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Is synchronous bowel anastomosis safe?

S Boylu¹, H Ozgun, P Tuncyurek

¹Adnan Menderes University Department of Surgery, Aydin, Turkey. sboylu2002@yahoo.com

Acta Chirurgica Belgica

|January 28, 2006

Summary

Synchronous double anastomosis impairs intestinal healing compared to single anastomosis in rats. Proximal anastomoses showed reduced bursting pressure and hydroxyproline levels, indicating compromised healing.

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Area of Science:

Surgical Research
Gastrointestinal Surgery
Wound Healing

Background:

Colonic resection often requires intestinal anastomosis.
The safety and efficacy of synchronous (double) anastomosis versus single anastomosis require further investigation.

Purpose of the Study:

To evaluate the impact of synchronous anastomosis on intestinal healing following experimental colonic resection in rats.

Main Methods:

Sprague-Dawley rats underwent either control, single, or synchronous double colonic anastomosis.
Healing was assessed on postoperative day 7 via bursting pressure, hydroxyproline levels, and histological examination.

Main Results:

Synchronous anastomosis led to impaired healing of proximal anastomoses, evidenced by lower bursting pressure and hydroxyproline levels.
Histology revealed significant fibrosis in distal anastomoses of the synchronous group.
Proximal anastomoses in the synchronous group exhibited the most compromised healing.

Conclusions:

Synchronous double colonic anastomosis poses additional risks and is less safe than single anastomosis.
The healing process of proximal anastomosis is significantly altered by experimental synchronous resection.