Kumacone II: an adapter to aid in the placement of a purse-string suture in very low anterior rectal resection.
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.
Kumashiro
R
R
Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
Maekawa
T
T
Sano
C
C
Inutsuka
S
S
Tomoda
N
N
Hara
M
M
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