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[Manual suture versus/or mechanical suture from the Austrian viewpoint].

L Kronberger1, R Germann

  • 1Universitäts-Klinik für Chirurgie, Graz.

Langenbecks Archiv Fur Chirurgie
|January 1, 1987
PubMed
Summary

Hand sutures were preferred for surgical anastomosis between 1980-1985 in Austria, with lower leakage and lethality rates compared to machine stapling techniques. This study reviews early anastomosis methods.

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Area of Science:

  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Anastomosis is a critical surgical procedure connecting tubular structures.
  • Surgical practice evolves, necessitating reviews of historical techniques.

Purpose of the Study:

  • To investigate the prevalence and outcomes of different anastomosis techniques used in Austria between 1980 and 1985.
  • To compare the efficacy and safety of hand-sewn versus stapler-based anastomosis.

Main Methods:

  • A general inquiry was conducted among surgical units and university clinics in Austria.
  • Data on anastomosis techniques (hand vs. machine) and associated outcomes were collected for the period 1980-1985.

Main Results:

  • Hand-sewn sutures were used in 90.3% of cases, with 66% employing a double-row inverting technique and 30% an all-layer suture.
  • Machine stapling was predominantly used for esophagojejunostomy and rectal resections.
  • Suture line leakage occurred in 3.9% of hand-sewn anastomoses and 6.3% of stapled ones.
  • Total lethality was 1.4% for hand-sewn sutures and 1.8% for stapled sutures.

Conclusions:

  • Hand-sewn anastomosis was the dominant technique during the study period.
  • Hand-sewn sutures demonstrated a trend towards lower rates of leakage and lethality compared to stapler techniques in this era.

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