title: [Biofragmentable anastomosis ring (BAR) in surgery of the digestive system].
abstract: Twenty-six patients submitted to surgery using BAR in intestinal anastomosis have been studied. The results were compared with data of the literature concerning this device of anastomosis and about mechanical staplers and manual suture. The following data were taken into consideration: type of operation, type of anastomosis, average time of execution, complications, days of postoperative canalization and feeding, costs of three anastomosis types. Postoperative complications rate were 23% with a postoperative death rate of 7.6%. There was only one intraoperative complication during a colorectal anastomosis. The average time, to package an intestinal anastomosis using BAR, was 69.9 minutes. The average type of postoperative canalization was 3.7 days and average period in hospital was 10.3 days. The costs of manual suture, of mechanical staplers and of BAR are respectively L. 50,000, 1,340,000 and 583,000. BAR complications are similar to the other techniques; this study shows a reduction of operative time, postoperative canalization and period in hospital, with a consequent decreasing of global costs. The execution of intestinal anastomosis using BAR is easier then the other techniques, the learning time is least and the procedure is uniform. The introduction of this technique in the common operative practice together with manual suture and stapler is stressed.
authors.affiliation: Clinica Chirurgia I, Università degli Studi, Firenze.
authors.forename: L
authors.initials: L
authors.lastname: Bandettini
authors.forename: R
authors.initials: R
authors.lastname: Gattai
authors.forename: M
authors.initials: M
authors.lastname: Pace
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000191:economics; D003365:Costs and Cost Analysis; D013505:Digestive System Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007422:Intestines / Q000601:surgery*; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000191:economics; D013528:Surgical Staplers / Q000191:economics; D013537:Sutures; D013997:Time Factors
vernacular_title: Le anastomosi con l'anello bioframmentabile (BAR) in chirurgia dell'apparato digerente.