Intestinal anastomosis with the biofragmentable anastomosis ring
Autor: | Fausto Biancari, Roberto Brocato, Bruno Truosolo, Giorgio Massi, Ennio A Adami, Angelo Di Castro |
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Rok vydání: | 1998 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Anastomosis Surgical anastomosis Postoperative Complications Emergency surgery Postoperative intestinal obstruction Humans Medicine Digestive System Surgical Procedures Aged Colectomy Aged 80 and over business.industry Anastomosis Surgical General Medicine Middle Aged Intestinal anastomosis Surgery Intestines Intestinal Diseases Treatment Outcome Anastomotic leakage Female Intestinal resection business |
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 |
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