[Gastrointestinal extramucous running suture anastomosis].
There is an ongoing discussion in surgery about what is the best or "correct" technique for gastrointestinal anastomosis. An ideal anastomosis should fulfill the following criteria: it must be well vascularised, safe ("waterproof"), easily feasible, tension-free, spillage should be avoided and it should be inexpensive. We give an illustrated report of the surgical technique of the continuous single-layer anastomosis in the gastrointestinal tract. On the basis of a pilot study, a randomised comparative study, a Swiss multicenter trial and, finally, a prospective 5-year-follow-up quality control study we demonstrate that this "Schweizer (Swiss)"-technique fulfills the criteria of an "ideal" anastomosis and can be used in almost all intestinal localisations.
Steinke
W
W
Abteilung Chirurgie, Kantonsspital, Schaffhausen.
Leippold
T
T
Schweizer
W
W
D000714:Anastomosis, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005767:Gastrointestinal Diseases / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D013536:Suture Techniques; D013557:Switzerland