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Prospective evaluation of sutured, continuous, and interrupted single layer colonic anastomoses
Objective:
To evaluate the merits of continuous and interrupted colonic anastomoses.
Design:
Prospective non-randomised study.
Setting:
District hospital, UK.
Subjects:
53 Patients (24 male and 29 female) of whom 26 underwent continuous and 27 interrupted sutured colonic anastomoses.
Main Outcome Measures:
Mortality at 30 days, time taken to complete anastomosis, anastomotic dehiscence and anastomotic stricture.
Results:
No patient died within 30 days. There were no significant differences in (median, range) time taken to complete the anastomosis (continuous: 15 (7-23) minutes; interrupted: 26 (10-34) minutes, p = 0.27); anastomotic leak rate (continuous 1; interrupted 1) and anastomotic stricture (continuous 1 and interrupted 1). Patients were followed up for a mean of 15 months after continuous and 18 months after interrupted colonic anastomoses.
Conclusion:
As both techniques were equally safe, it is probable that the type of colonic anastomosis done will remain a matter of individual preference.