Abstract:
BACKGROUND:The biofragmentable anastomosis ring (BAR) was introduced by Hardy in 1985 as a simple alternative to sutured or stapled intestinal anastomosis. METHODS:The aim of this study was to analyze complications related to the use of the BAR in elective intraperitoneal intestinal anastomosis to identify technical aspects important in the safe use of the device. The BAR was used by a single surgeon over a 10-year period. Three hundred fifty sequential intraperitoneal anastomoses were performed in 346 patients. There were 12 enteroenteric, 2 gastrojejunal, 199 enterocolic, and 137 colocolic anastomoses. RESULTS:There was 1 suture line recurrent carcinoma but no strictures. There were 11 complications that appeared related to construction of the anastomosis, 2 of them resulting in death. The 2 patients who died both had cirrhosis with ascites. Eight patients required re-exploration for suspected anastomotic complications. Six of them recovered and were discharged. CONCLUSION:The BAR appears to be a safe alternative to sutured or stapled bowel anastomosis provided certain precautions are taken in its use.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Forde KA,Goodell KH,DellaBadia Mdoi
10.1016/j.amjsurg.2006.01.005subject
Has Abstractpub_date
2006-04-01 00:00:00pages
483-7; discussion 488issue
4eissn
0002-9610issn
1879-1883pii
S0002-9610(06)00008-0journal_volume
191pub_type
杂志文章abstract::The current study suggests the need for routine post-discharge surveillance to improve reliability on surgical site infection incidence rates. Surveillance only during hospitalization may not provide precise data on the incidence of surgical site infection, underestimating a true postoperative infection rate. ...
journal_title:American journal of surgery
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