title: Kumacone II: an adapter to aid in the placement of a purse-string suture in very low anterior rectal resection.
abstract: We have designed an adapter called the "Kumacone II", being a bottle-shaped rubber device which greatly aids in placing a purse-string suture, even at the lowest level near the anorectal junction of the rectum. When this adapter is used, performing the anastomosis is much less time-consuming and not as much training is needed as for low anterior resection using conventional manual suturing. In a clinical study, the incidence of leakage and incontinence was nil in five out of five patients.
authors.affiliation: Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Kumashiro
authors.forename: T
authors.initials: T
authors.lastname: Maekawa
authors.forename: C
authors.initials: C
authors.lastname: Sano
authors.forename: S
authors.initials: S
authors.lastname: Inutsuka
authors.forename: N
authors.initials: N
authors.lastname: Tomoda
authors.forename: M
authors.initials: M
authors.lastname: Hara
mesh_terms: D001003:Anal Canal; D000714:Anastomosis, Surgical / Q000295:instrumentation; D006801:Humans; D012004:Rectal Neoplasms / Q000601:surgery; D012007:Rectum / Q000601:surgery*; D013525:Surgical Instruments; D013536:Suture Techniques