Intestinal anastomosis with the biofragmentable anastomosis ring.
BACKGROUND
The fear of anastomotic complications prevents the spread of the use of the biofragmentable anastomosis ring (BAR) in intestinal surgery.


METHODS
A total of 453 patients underwent intestinal resection and anastomosis with the BAR.


RESULTS
In all, 514 anastomoses have been carried out, 424 (83%) in elective settings, and 90 (18%) in emergency. Fifty-one patients had multiple anastomoses. Reoperation was performed in 4 patients (1%) who had a complete anastomotic leakage. In 13 patients (3%), anastomotic leakage was partial, and only 1 patient required reoperation. No postoperative intestinal obstruction occurred. Four patients (1%) developed late anastomotic strictures, which have been treated by endoscopic dilation.


CONCLUSIONS
The results of our experience and those of other large clinical series definitely confirm the effectiveness of the BAR method, which seems to be a standard, easy, rapid, and safe technique either in elective or emergency surgery.
Di Castro
A
A
Department of Emergency Surgery, S. Camillo Hospital, Rome, Italy.
Biancari
F
F
Brocato
R
R
Adami
E A
EA
Truosolo
B
B
Massi
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery; D007422:Intestines / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D016896:Treatment Outcome