title: Early bursting strength of human colon anastomoses--an in vitro study comparing current anastomotic techniques.
abstract: An experimental in vitro study involving ten hand-sutured, ten biofragmentable anastomotic ring (BAR) and ten stapled anastomoses was conducted to compare current anastomotic techniques on the basis of early bursting pressure. The 30 fresh human colon segments used in the study were harvested from patients who had undergone elective oncologic resection. Following the construction of in vitro anastomoses, the pressure required to burst these specimens was measured. The results showed no significant differences among the three techniques. Since hand-sutured anastomoses proved to be as effective and reliable as the other methods and can offer the advantage of cost savings, they should remain standard procedure in colorectal surgery.
authors.affiliation: Department of General Surgery, Teaching Hospital of the University of Mainz, Abt. Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Strasse 170, 56072 Koblenz, Germany. Dr.Robert.Schwab@t-online.de
authors.forename: Robert
authors.initials: R
authors.lastname: Schwab
authors.forename: S
authors.initials: S
authors.lastname: Wessendorf
authors.forename: A
authors.initials: A
authors.lastname: Gutcke
authors.forename: P
authors.initials: P
authors.lastname: Becker
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002277:Carcinoma / Q000503:physiopathology* / Q000601:surgery*; D003106:Colon / Q000503:physiopathology* / Q000601:surgery*; D003110:Colonic Neoplasms / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011897:Random Allocation; D017792:Surgical Stapling; D013536:Suture Techniques; D013718:Tensile Strength / Q000502:physiology*