title: Use of a mattress suture to eliminate dog ears in double-stapled and triple-stapled anastomoses.
abstract: 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.
authors.affiliation: Department of Surgery I, Gunma University Faculty of Medicine, Maebashi, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Asao
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuwano
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Nakamura
authors.forename: Isao
authors.initials: I
authors.lastname: Hirayama
authors.forename: Munenori
authors.initials: M
authors.lastname: Ide
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Moringa
authors.forename: Kin-ichi
authors.initials: K
authors.lastname: Fujita
mesh_terms: 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