SINGLE-LAYER CONTINUOUS ANASTOMOSIS IN GASTROINTESTINAL SURGERY: A PROSPECTIVE AUDIT


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Abstract

Background:Single-layer intestinal anastomoses have been constructed conventionally using an interrupted suture technique. It is, however, increasingly popular to perform such anastomosis using a continuous suture.Methods:One hundred and eighty consecutive patients with 254 continuous single-layer anastomoses performed over a 4 year period were included in the study. Sixty-one patients underwent oesophagectomy, oesophageal bypass or gastrectomy, 32 underwent biliary bypass, hepatic, biliary or pancreatic resection and 88 had colorectal operations. The median age was 67 years.Results:There were 254 anastomoses of which four leaked (1.6%). Fifteen patients(8.3%) died in hospital.Conclusion:These results show that the single-layer continuous suture technique is safe in gastrointestinal anastomoses.

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