[Anorectal continence following manual and mechanical anastomosis suture. Results of a controlled study of rectal surgery].
In a controlled clinical trial-manual vs. stapler anastomosis in rectal surgery-it was found that both suture techniques per se made no difference in the function of anal continence. The anal pressures at rest and sphincter contraction remained unchanged. A linear reduction of functional reservoir of the "neorectum" could be shown, which depended on the level and healing of the anastomosis. An anastomosis level at 6 cm from anocutaneous line is important for functional reasons. Anastomoses above this level do not cause any consequences for anal continence. Anastomoses below this level result in a reduced functional reservoir for at least 6 months. Within this period a decrease in anal continence is possible, especially in cases of disturbed healing of the anastomosis.
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000502:physiology*; D002986:Clinical Trials as Topic; D005242:Fecal Incontinence / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D012007:Rectum / Q000502:physiology* / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques
Die anorectale Kontinenz nach manueller und maschineller Anastomosennaht. Ergebnisse einer kontrollierten Studie in der Rectumchirurgie.