Single-layer large-bowel anastomosis: a report of 250 cases.
Single-layer mucosa-excluding intestinal anastomoses involving the large bowel were evaluated in 249 patients (250 procedures). All patients operated on electively had mechanical bowel preparation but not all received antibiotics. Forty-nine anastomoses were performed as part of emergency procedures in which antibiotics were given intravenously. Three leaks were noted in two patients, a rate of 1.2%. There were no deaths attributable to anastomotic dehiscence. These results compare favourably with both hand-sewn and stapled anastomoses described in the literature.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011300:Preoperative Care; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques