𝔖 Bobbio Scriptorium
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Staples or sutures for colonic anastomoses—a controlled clinical trial

✍ Scribed by S. S. Brennan; I. R. Pickford; Mary Evans; A. V. Pollock


Publisher
John Wiley and Sons
Year
1982
Tongue
English
Weight
344 KB
Volume
69
Category
Article
ISSN
0007-1323

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✦ Synopsis


Abstract

We randomly allocated 100 patients undergoing colonic or rectal resections to have their anastomoses made either by a single layer of braided polyester interrupted sutures, or by the SPTU circular stapling instrument. Twelve anastomoses leaked, 4 being detected only by contrast enema. There was no difference in leak rate between the two anastomotic methods, but patients in the stapled group had a significantly higher incidence of minor wound infection, and spent significantly more days in hospital after operation. The stapling instrument is no safer than sutures for colonic and rectal anastomoses, but considerably facilitates the performance of a low anterior resection.


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