Use of a mattress suture to eliminate dog ears in double-stapled and triple-stapled anastomoses.
Double-stapling techniques for restorative rectal resection have been effective in minimizing local contamination compared with open circular stapling techniques. Inclusion of the transverse staple line closure of the distal rectal stump in the circular stapled anastomosis may minimize the risk of suture line recurrence. A technique for formation of such an anastomosis is described that avoids use of a distal purse string.
Asao
Takayuki
T
Department of Surgery I, Gunma University Faculty of Medicine, Maebashi, Japan.
Kuwano
Hiroyuki
H
Nakamura
Jun-ichi
J
Hirayama
Isao
I
Ide
Munenori
M
Moringa
Nobuhiro
N
Fujita
Kin-ichi
K
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D017792:Surgical Stapling / Q000379:methods*; D013536:Suture Techniques