[Prevention of suture incompetence in end-to-end anastomoses]

On the basis of the experimental investigation and clinical observations, the authors consider that the formation of inter-intestinal end-to-end anastomosis with two-layer interrupted suture of non-absorbable material creates the prerequisites for the development of suture failure and anastomotic stenosis. The removal of the mesothelium of the sutured intestinal surfaces leads to the early formation of adhesions between the organs. The first-turn placing of the internal layer of sutures with tightening the threads provides their timely eruption and rejection. The suturing of the mesenterial sites of the intestine with the surfaces covered by serous membrane increases the safety of anastomotic sutures and creates convenience for the work of a surgeon.