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The biofragmentable anastomosis ring in elective colon resections
M Valle1, F Biancari, A Caviglia
1Department of General Surgery, Flaiani I S. Camillo Hospital, Rome, Italy.
International Surgery
|August 26, 1998
Summary
The biofragmentable anastomosis ring (BAR) shows a low rate of major complications in elective colon surgery. However, surgeons should anticipate frequent postoperative constipation and obstructive episodes associated with its use.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Colorectal Surgery
Background:
- The biofragmentable anastomosis ring (BAR) is a device used to create surgical connections in the gastrointestinal tract.
- Evaluating the safety and efficacy of novel surgical devices is crucial for improving patient outcomes.
Purpose of the Study:
- To assess the complication rate and postoperative events associated with the use of the biofragmentable anastomosis ring (BAR) in elective colon surgery.
Main Methods:
- A cohort of sixty-eight patients undergoing elective colon resection with intraperitoneal anastomosis using the BAR were studied.
- Complications such as anastomotic dehiscence, constipation, and bowel obstruction were recorded and analyzed.
Main Results:
- Anastomotic dehiscence occurred in 4.4% of patients, with causes including size mismatch and fecal impaction.
- A significant majority of patients (70.5%) experienced troublesome constipation, with delayed bowel movements.
- Four patients developed bowel obstruction proximal to the BAR, managed conservatively.
Conclusions:
- The BAR demonstrates a low rate of major complications, supporting its use in elective colon surgery.
- Surgeons must be vigilant regarding the frequent occurrence of postoperative obstructive episodes and constipation when employing the BAR.