The handsewn anastomosis after colon resection due to colonic cancer

Pramateftakis, Manousos-Georgios; Vrakas, G.; Hatzigianni, P.; Tsachalis, T.; Matzoros, I.; Christoforidis, E.; Roidos, G.; Lazaridis, Charalampos

doi:10.1007/s10151-010-0612-1

Cited by 10 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If the diameter of the fistula is less than 3 mm, transfix and resect the fistula close to the rectal wall, but if the fistula has a wide base which is more than 3 mm, it would be better to resect the fistula and then repair the rectal wall with extramucosal interrupted or continuous suture, because ligation or transfixion can leave folds at fistular base with tension. As the submucosal layer of the bowel is the strongest layer, leaving the mucosal layer open, and just suturing the extramucosal layers, can achieve anatomic anastomosis without inverting or everting, which leads to better healing [12].…”

Section: Discussionmentioning

confidence: 99%

Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children

Wang¹,

Chen²,

Zhang³

et al. 2015

Journal of Pediatric Surgery

View full text Add to dashboard Cite

The purpose of this study was to review a 7-year operative experience of anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children. From January 2007 to December 2013, 105 female children with H-type rectovestibular fistula and a normal anus underwent anterior perineal fistulectomy in the Department of General Surgery, Beijing Children's Hospital, Capital Medical University. Clinical data were retrospectively analyzed. Patients' age ranged from 6 months to 13 years 10 months, with an average age 5 years 2 months. The clinical feature of this disease was a definite history of vestibular infection at about 30 days after birth and leakage of gas or loose stool through vestibular fistular orifice after the infection was controlled. All patients had a normal anus. Follow-up through telephone or outpatient visits from 6 months to 7 years (median, 5.2 years), showed that all the patients were continent and had regular bowel movements. Among the 105 patients, 97 (92.4%) gained primary healing with a satisfactory appearance; 8 (7.6%) patients relapsed, among which 5 healed after hip bathing treatment within 3 weeks, 2 required another anterior perineal fistulectomy 7 months later and were cured, and the last one had another anterior perineal fistulectomy 1 year 10 months later but relapsed again, which healed after hip bathing treatment within 3weeks after the second surgery. Anterior perineal fistulectomy is a simple, safe and reliable surgical method to treat H-type rectovestibular fistula with a normal anus.

show abstract

Section: Discussionmentioning

confidence: 99%

Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children

Wang¹,

Chen²,

Zhang³

et al. 2015

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

“…Розходження колоректальних анастомозів, накладені безперервними швами, коливались від 1,4% до 6,2% (Law et al, 1999) [6]. Частота розходжень колоректальних анастомозів, накладених вузловими швами, від 2,5% до 4,5 % (Pramateftakis et al, 2010) [7].…”

Section: основна частинаunclassified

New Data Concerning Disruption and Treatment of Colorectal Anastomosis Breakdown

Senyutovich¹,

Malyshevsky²,

Іващук³

et al. 2020

Clin. and experim. pathol.

View full text Add to dashboard Cite

“…Various risk factors have been described for anastomotic leakage, and studies have endeavored to improve techniques of anastomosis (4)(5)(6)(7)(8) . The risk factors for anastomotic leakage may be related to the patient or the surgical technique.…”

Section: Introductionmentioning

confidence: 99%

Is the Use of a Stapler for Ileocolic Anastomosis Linked to Anastomotic Leakage?

Ölmez¹,

Uzun²,

Ozduman³

et al. 2020

BMJ

View full text Add to dashboard Cite

Objective: The effect of stapler use on anastomotic leakage (AL) is uncertain in right hemicolectomy and ileocolic anastomosis. In this study, the effect of hand-sewn or assisted anastomosis performed in our center on anastomotic leakage will be investigated and short-term mortality results will be presented. Method: The present study was planned as a retrospective review of the medical charts of patients who underwent right hemicolectomy and an ileocolic anastomosis for the treatment of right colon cancer. Patients 18 years and older, elective surgeries were included in the study. Emergency surgeries were excluded. Ileocolic anastomosis performed with staples or using hand-sewn technique was recorded. Anastomotic leakage and mortality rates at 1., and 6. postoperative months were compared. Results: Of the 101 patients who underwent right hemicolectomy for a right colon adenocarcinoma, 66 (65.3%) underwent hand-sewn anastomosis and 35 (34.7%) ileocolic anastomosis using staplers. Anastomotic leakage developed in one patient (1.5%) in the hand-sewn group and in two patients (5.7%) in the stapled anastomosis group, although the difference was not statistically significant (p=0.23). Mortality rates at 1 month and 6 months did not differ significantly between the groups. Conclusion: The present study shows that a stapled ileocolic anastomosis after a right hemicolectomy doesn't increase the risk of anastomotic leakage, and also has not any unfavorable effect on mortality in the short term.

show abstract

The handsewn anastomosis after colon resection due to colonic cancer

Abstract: The single-layer anastomosis with interrupted extramucosal sutures after colon resection is safe and effective.

Cited by 10 publications

References 5 publications

Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children

Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children

New Data Concerning Disruption and Treatment of Colorectal Anastomosis Breakdown

Is the Use of a Stapler for Ileocolic Anastomosis Linked to Anastomotic Leakage?

Contact Info

Product

Resources

About