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Biofragmentable anastomosis ring in emergency surgery
G Massi1, A Di Castro, R Brocato
1Department of Emergency Surgery, S. Camillo Hospital, Rome, Italy.
Annales Chirurgiae Et Gynaecologiae
|January 1, 1997
Summary
The biofragmentable anastomosis ring (BAR) is effective for emergency bowel surgery, even in single-stage procedures. This study shows a low leakage rate, supporting BAR use in acute abdominal conditions.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Colorectal Surgery
Background:
- The biofragmentable anastomosis ring (BAR) has demonstrated efficacy in elective bowel surgery.
- Its utility in emergency settings for restoring bowel continuity requires further investigation.
Purpose of the Study:
- To assess the effectiveness and safety of the BAR in emergency bowel surgery.
- To evaluate the BAR's role in single-stage intestinal resections for acute abdomen.
Main Methods:
- Retrospective analysis of 53 consecutive patients undergoing 62 intestinal resections with BAR-assisted primary anastomoses.
- No patients received preoperative bowel preparation or intraoperative intestinal lavage.
Main Results:
- Forty-nine of 53 patients recovered uneventfully.
- Anastomotic leakage occurred in 3.2% of cases (2 patients) with obstructing left colon carcinoma.
- Postoperative mortality was 3.7% (2 patients) due to non-anastomotic causes.
Conclusions:
- The BAR can be effectively utilized in emergency bowel surgery.
- Single-stage intestinal surgery with BAR is a viable option in acute abdominal conditions.
- Further non-randomized trials are warranted to confirm these findings.