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A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers

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Stapled bowel anastomoses in newborn surgery.

Yury Kozlov¹, Vladimir Novogilov, Alexey Podkamenev

¹Department of Newborn Surgery, Pediatric Hospital, Irkutsk, Russian Federation. yuriherz@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|October 27, 2012

Summary

Stapled anastomosis in infants significantly reduces operative time compared to hand-sewn techniques. This method is equally effective for feeding and hospitalization, confirming its feasibility in pediatric surgery.

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Area of Science:

Pediatric Surgery
Gastrointestinal Surgery

Background:

Bowel discontinuity repair is a common surgical challenge in neonates and infants.
Traditional hand-sewn anastomosis and modern stapled techniques are employed.

Purpose of the Study:

To compare the efficacy and feasibility of stapled versus hand-sewn intestinal anastomosis in pediatric patients.
To evaluate operative time, feeding, and hospitalization outcomes.

Main Methods:

A comparative study of 23 hand-sewn (Group I) and 21 stapled (Group II) anastomoses in infants under 3 months.
Hand-sewn technique used continuous two-layer absorbable sutures.
Stapled anastomosis utilized a linear endoscopic stapler with 2.5-mm staples.

Main Results:

Operative time was significantly shorter for stapled anastomosis (56.4 min) versus hand-sewn (77.4 min) (p < 0.0001).
No significant differences were observed in mean preoperative age or weight between groups.
Time to full enteral feeding and postoperative hospital stay were comparable for both techniques (6.7 days and ~14 days, respectively).

Conclusions:

Stapled anastomosis is an effective and feasible technique for bowel continuity restoration in neonates and infants.
It offers a significant advantage by reducing operative time without compromising patient outcomes.