Comparison of the Valtrac biofragmentable anastomosis ring with conventional suture and stapled anastomosis in colon surgery. Results of a prospective, randomized clinical trial.
In a randomized, prospective study of 438 patients, the safety and efficacy of the Valtrac biofragmentable anastomotic ring (BAR) was compared with stapling and with conventional suture techniques. There was no significant difference in the morbidity, mortality, and clinical course of the patients. The BAR can effect reestablishment of intestinal continuity somewhat more rapidly, but its major advantage is its uniform applicability to all areas of the intestinal tract, except the low rectum.
Corman
M L
ML
Sansum Medical Clinic, Santa Barbara, California 93102.
Prager
E D
ED
Hardy
T G
TG
Bubrick
M P
MP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation*; D002986:Clinical Trials as Topic; D003082:Colectomy; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D011446:Prospective Studies; D011897:Random Allocation; D012086:Reoperation; D013528:Surgical Staplers; D013536:Suture Techniques