Related Experiment Video
Updated: Jul 6, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Compression anastomosis: history and clinical considerations
Orit Kaidar-Person1, Raul J Rosenthal, Steven D Wexner
1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA.
American Journal of Surgery
|March 28, 2008
Summary
Compression anastomosis techniques are comparable to traditional suturing and stapling, offering cost-effectiveness and time savings. Despite these benefits, sutureless compression anastomosis has not achieved widespread clinical adoption.
Area of Science:
- Surgical Innovation
- Medical Device Technology
- Gastrointestinal Surgery
Background:
- Compression anastomosis has been explored for nearly 200 years.
- Despite its long history, widespread acceptance remains limited.
- This review examines the existing literature on compression anastomoses.
Purpose of the Study:
- To conduct a comprehensive literature review on compression anastomosis techniques.
- To evaluate the efficacy, cost-effectiveness, and safety of compression anastomosis.
- To understand the reasons behind the limited adoption of this surgical method.
Main Methods:
- A systematic search of PubMed, Ovid, and Cochrane Databases was performed.
- Search terms included various combinations of anastomosis, sutureless, compression, and specific device names (e.g., Nitinol, BAR).
- No language restrictions were applied to the search.
Main Results:
- Compression anastomosis methods demonstrate comparable outcomes to suturing and stapling.
- These techniques are time-saving, cost-effective, and offer an acceptable cost/benefit ratio.
- Despite proven advantages, worldwide popularity has not been achieved.
Conclusions:
- Compression anastomosis is a viable alternative to conventional methods.
- The technique presents favorable economic and efficiency profiles.
- Barriers to widespread adoption require further investigation.
Related Concept Videos
01:19Anastomoses
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...