The single-layer continuous polypropylene colon anastomosis. A prospective assessment using water-soluble contrast enemas.
Fifty consecutive unselected patients with anastomoses to the left side of the colon were studied. Each patient had an anastomosis constructed with a single layer of continuous 4-0 polypropylene. On the seventh postoperative day, or sooner, a water-soluble contrast enema was obtained to evaluate the integrity of the anastomosis. Two patients developed radiographic and clinical evidence of anastomotic leakage, and one patient developed a late pelvic abscess and colocutaneous fistula. The documented leak rate of 6 percent attests to the safety of this method of colonic anastomosis.
Skakun
G B
GB
Colon and Rectal Clinic, Houston, Texas.
Reznick
R K
RK
Bailey
H R
HR
Smith
K W
KW
Max
E
E
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D003287:Contrast Media; D004733:Enema; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010969:Plastics; D011126:Polypropylenes; D011446:Prospective Studies; D011859:Radiography; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging*; D013536:Suture Techniques; D013537:Sutures
D003287:Contrast Media; D010969:Plastics; D011126:Polypropylenes