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Sutureless intestinal anastomoses
1Professorial Surgical Unit, St. Bartholomew's Hospital, London, UK.
The British Journal of Surgery
|November 1, 1991
Summary
Sutureless intestinal anastomoses offer alternatives to traditional suturing. Compression devices and laser welding show promise, while tissue glues appear unsafe for clinical use.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biomedical Engineering
Background:
- Traditional suturing for intestinal anastomoses carries risks.
- Sutureless techniques aim to improve outcomes and reduce complications.
Purpose of the Study:
- To review current sutureless intestinal anastomosis techniques.
- To evaluate the safety and efficacy of compression devices and laser welding.
Main Methods:
- Review of existing literature on compression devices (Valtrac, Rosati rings, AKA guns).
- Analysis of studies on tissue glues and laser welding for intestinal anastomoses.
Main Results:
- Compression devices are used clinically with reported success.
- Tissue glues have shown safety concerns in animal studies.
- Laser welding demonstrates promising experimental results for intestinal anastomoses.
Conclusions:
- Sutureless intestinal anastomoses are achievable via compression or laser welding.
- Further research and development of laser welding techniques are recommended.
- Tissue glues are not currently considered safe for clinical application.