Intestinal anastomosis with the biofragmentable anastomosis ring

Autor: Fausto Biancari, Roberto Brocato, Bruno Truosolo, Giorgio Massi, Ennio A Adami, Angelo Di Castro
Rok vydání: 1998
Předmět:
Zdroj: The American Journal of Surgery. 176:472-474
ISSN: 0002-9610
DOI: 10.1016/s0002-9610(98)00241-4
Popis: BACKGROUND: The fear of anastomotic complications prevents the spread of the use of the biofragmentable anastomosis ring (BAR) in intestinal surgery. PATIENTS AND METHODS: A total of 453 patients underwent intestinal resection and anastomosis with the BAR. RESULTS: In all, 514 anastomoses have been carried out, 424 (83%) in elective settings, and 90 (18%) in emergency. Fifty-one patients had multiple anastomoses. Reoperation was performed in 4 patients (1%) who had a complete anastomotic leakage. In 13 patients (3%), anastomotic leakage was partial, and only 1 patient required reoperation. No postoperative intestinal obstruction occurred. Four patients (1%) developed late anastomotic strictures, which have been treated by endoscopic dilation. CONCLUSIONS: The results of our experience and those of other large clinical series definitely confirm the effectiveness of the BAR method, which seems to be a standard, easy, rapid, and safe technique either in elective or emergency surgery.
Databáze: OpenAIRE