Stapled versus hand-sewn anastomoses in emergency intestinal surgery: results of a prospective randomized study.
Surg Today
; 34(2): 123-6, 2004.
Article
in En
| MEDLINE
| ID: mdl-14745611
ABSTRACT
PURPOSE:
Sutured and stapled intestinal anastomoses are perceived to be equally safe in elective intestinal surgery. However, our search of the literature failed to find any studies comparing hand-sewn and mechanical anastomoses in emergency intestinal surgery. Thus, we compared the short-term outcomes of patients with sutured as opposed to stapled anastomoses in emergency intestinal surgery.METHODS:
Between 1995 and 2001, 201 patients underwent emergency intestinal operations at the Department of Emergency Surgery of Sant'Orsola-Malpighi University Hospital. The outcomes of patients with sutured and stapled anastomoses were compared in a prospective analysis. Patients were randomly divided into a stapled group (106 anastomoses) with anastomoses made using linear and circular staplers, and a hand-sewn group (95 anastomoses) with anastomoses made by double-layer suturing.RESULTS:
There were no significant differences between the groups in operative indications or other parameters. The operation times in the stapled group were significantly shorter than those in the hand-sewn group (P < 0.05), but there were no significant differences in anastomotic leak rates, morbidity, or postoperative mortality between the two groups.CONCLUSIONS:
In emergency intestinal surgery comparable results can be achieved using mechanical and manual anastomoses.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anastomosis, Surgical
/
Suture Techniques
/
Surgical Stapling
/
Intestines
Type of study:
Clinical_trials
/
Observational_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Surg Today
Year:
2004
Document type:
Article
Affiliation country:
Italy