[Sutures in surgery of the colon]

The use of different suture technique in the surgery of colon in the Surgical Clinic KBC Zvezdara Belgrade, was subjected to the retrospective study. The 2 years period of statistical study was performed in 1992/93. The early postoperative results of 143 patients were analysed and divided in four different groups: In the first group are the patients operated by mechanical device technique (12 patients, 8%), the second group of patients are those operated by the double row suture technique (38 patients 26%) the third one are the patients operated by one raw suture technique (37 patients, 25%)) and the fourth one in which the patients were operated by Gambee technique of suture (56 patients, 39%). In all four groups of patients three most important parameters of the postoperative evolution of the reconstructive operations in the surgery of the colon were analysed: anastomotic leakage, leptic temperature over 38 C, and evident wound infection. The best results have been registered in the group operated by mechanical device, without any anastomotic leak, septic state or evident wound infection. Good results have been obtained using the Gambee suture technique with evident anastomotic leakage in 4 patients (7,8%). The worst results were found using the double row suture where we registered 13,5% dehiscencics and in 27% of patients septic fever over 38 C. Based on our experience on the small group of patients we could find the following conclusions: a mechanical suture is the best in the surgery of colon b. in the field of manual suture we prefer the one-row extramucosal suture, c. Gambee suture is a transitional one between one row and double row suture and it presents everywhere good results except in low and extralow anastomosis.