A Comparative Study of Intestinal Anastomoses

Singleton, Albert O.; White, Dezra; Montalbo, Philip

doi:10.1001/archsurg.1968.01330220079014

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Our decision to set up this clinical trial was instigated by the mainly favourable results of the animal experimental work on everting intestinal suture up to early 1968. It is interesting to note that since then much additional animal research along the same lines has been performed (Canalis and Ravitch, 1968;Mellish, Ty, and Keller, 1968;Singleton, White, and Montalbo, 1968;Hargreaves and Keddie, 1968;Gill, Fraser, Carter, and Hill, 1969;McAdams, Meikle, and Medina, 1969;Orr, 1969;Rusca, Bornside, and Cohn, 1969;Trueblood, Nelson, Kohatsu, and Oberhelman, 1969), with all but Orr (1969) coming out strongly in support of the conventional inverting technique and against the everting method. Possibly, indeed, if these more recent experimental data had been available at an earlier stage we might never have embarked on our clinical study.…”

Section: Discussionmentioning

confidence: 99%

A controlled trial of inverting versus everting intestinal suture in clinical large-bowel surgery

Goligher

Morris

McAdam

et al. 1970

Journal of British Surgery

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A controlled evaluation of a single‐layer everting technique of suture versus a conventional two‐layer inverting technique has been attempted in clinical large‐bowel surgery. Thirty‐five patients suffering from carcinoma or other diseases of the large intestine were allocated randomly to each technique in the conduct of various forms of colonic resection with anastomosis or closure of a transverse colostomy. There were 3 operative deaths after everting suture and 1 after inverting suture, all attributable mainly to anastomotic failure. A higher proportion of patients developed wound infection or peritonitis after everting than inverting suture—51 as against 35 per cent. Overt faecal fistulation was observed in no less than 43 per cent of the patients having everting suture, but in only 8·6 per cent of those treated by inverting suture. Late stricture formation was noted in 2 cases after everting suture, but in none after inverting suture. These experiences are considered to provide a clear condemnation of the use of an everting technique of suture in the large intestine in clinical practice.

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Section: Discussionmentioning

confidence: 99%

A controlled trial of inverting versus everting intestinal suture in clinical large-bowel surgery

Goligher

Morris

McAdam

et al. 1970

Journal of British Surgery

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“…I n this study the non-suture invagination technique of anastomosis could be performed nearly twice as fast as the conventional method which substantiates the findings of Linn et al (1966Linn et al ( , 1968. Singleton et al (1968) preferred the invagination technique to inversion or eversion for end-to-end entero-anastomosis, provided the proximal segment was not much longer than the distal. I n contrast, in the present investigation, the proximal segment being longer than the distal, the invagination technique proved superior to conventional methods of anastomosis.…”

Section: Discussionmentioning

confidence: 99%

“…Linn et al (1966) investigated the invagination technique of intestinal anastomosis using tissue adhesives. Many workers, with minor variations and use of sutures, have performed the invagination technique of intestinal anastomosis (Grier, 1968;Linn et al, 1968;Singleton, White & Montalbo, 1968).…”

Section: Introductionmentioning

confidence: 99%

Non‐suture intestinal anastomosis by invagination*

Prasad¹,

Ahmed²,

Bhatt³

1972

J of Small Animal Practice

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Intestinal anastomoses were performed on seventeen mongrel dogs by non‐suture invagination technique and by the conventional method. A comparative evaluation revealed the non‐suture technique to be easier and less time‐consuming. Also the tissue reaction was minimal. Encouraging results suggest further investigation prior to clinical trial of this relatively new technique. Résumé. Des anastomoses intestinales sur dix‐sept chiens métis par l'invagination technique pas de suture et la méthode de convention. Une évaluation comparative a révélé que la technique pas de suture était plus facile et moins de temps était perdu. Aussi la réaction du tissu était minimum. Les résultats encourageants proposent un surcro***ît d'investigation antérieurement a l'expérience clinique de cette technique relativement plus nouvelle. Zusammenfassung. Die Darmanastomosen von siebzehn Mischhunden durch die Intussuscep‐tiontecknik keiner Naht und die verabredete Methode. Eine vergleichende Abschatzung zeigte, daß die Tecknik keiner Naht leichter ist, und wenigere Zeitverschwendung hat. Auch war die Reaktion des Gewebes minderst. Die ermutigenden Ergebnisse suggerieren eine Forderung der Erforschung vor klinischem Versuch dieser Tecknik, die verhältnismäßig neuere ist.

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Visceral and parietal suture in abdominal surgery

Goligher¹

1976

The American Journal of Surgery

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A Comparative Study of Intestinal Anastomoses

Cited by 5 publications

References 7 publications

A controlled trial of inverting versus everting intestinal suture in clinical large-bowel surgery

A controlled trial of inverting versus everting intestinal suture in clinical large-bowel surgery

Non‐suture intestinal anastomosis by invagination*

Visceral and parietal suture in abdominal surgery

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