title: [Benefits of mechanical suture in our experience].
abstract: The evolution of mechanical suture technology experienced a continuous improvement but the implementation of these devices in current practice of Romanian surgery encountered difficulties related mostly to increased costs.
  
  
  OBJECTIVE
  Review of casuistic related to the use of mechanical suture devices.
  
  
  METHODS
  We studied the casuistic between 2008 and July 2011. More parameters were analyzed compared to cases in which manual suture was used.
  
  
  RESULTS
  74 patients benefited from using mechanical suture. Circular staplers EAEC type were used in 53 cases, TA staplers in 48 cases and Endo GIA in 19 cases. Operations performed were: 44 colo-rectal anastomoses (2 laparoscopic), 9 eso-jejunal anastomoses, 17 gastric resections, 2 duodenal stump closures and 2 rectal stump closures. One (2.56%) colorectal anastomotic fistula was found which led to death. There was a single anastomotic imperfection where we performed ileostomy with favorable evolution. Duration of Dixon's operation was shortened by 36 minutes average. The anastomosis could be lowered to 3 cm from the anal verge. There were 3 late local rectal cancer recurrences, 1 recto-vaginal fistula and 1 rectovesical fistula. There were no anastomotic stenoses.
  
  
  CONCLUSIONS
  There were two main advantages of using mechanical anastomosis: (1) the opportunity of palette broadening of laparoscopic operations, (2) the possibility of making safe anastomosis in difficult to access areas (rectum, esophagus). The use of mechanical staplers offers advantages especially in patients with rectal tumors, especially in obese male patients with narrow basin, where we can save many cases from rectal amputation. Staplers bring more comfort to the surgeon offering physical and psychological feeling of a perfect anastomosis. Although staplers cost is high, in selected cases, this disadvantage is offset by reducing the duration of operations, hospitalization and subsequent cost of stomas maintenance.
authors: Clinica Chirurgie 1, Spital Clinic Judetean Mureş, România. chirurgie.mures@gmail.com
authors: M F
authors: MF
authors: Coroş
authors: S
authors: S
authors: Sorlea
authors: C
authors: C
authors: Crăciun
authors: G
authors: G
authors: Rareş
authors: G
authors: G
authors: Pascarenco
authors: T
authors: T
authors: Corhan
authors: C
authors: C
authors: György
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation; D003082:Colectomy / Q000009:adverse effects / Q000295:instrumentation*; D015179:Colorectal Neoplasms / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012383:Romania; D013274:Stomach Neoplasms / Q000601:surgery; D013528:Surgical Staplers / Q000191:economics; D017792:Surgical Stapling / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing