title: [Colorectal anastomosis using a compression device].
abstract: BACKGROUND
  The most severe complication following an intestinal anastomosis is the dehiscence with the consequent development of sepsis, fistulas, stenosis, and death. For this reason the compression anastomosis (NiTi) system was developed, with the aim of reducing these complications.
  
  
  METHODS
  A retrospective study was conducted, from 1 June 2012 to 30 August 2014, on total of 14 patients operated on the Humanitas Hospital Medical Group Coyoacán, the ASMED, and Clínica Médica Sur. The subjects were predominantly male 65%, a mean age of 58 years, with range 30-79 years.
  
  
  RESULTS
  A total of 14 patients were included. The indication for surgery was complicated diverticular disease Hinchey II-III (36%), and the procedures performed were: 6 (43%) left hemicolectomy with primary end to end compression anastomosis, 2 (14%) major complications (dehiscence wall and anastomosis), 1 (7%) minor complication (infection of the soft tissues). There was a mean 98ml (range 20-300ml) of intraoperative bleeding, with start of oral feeding on the second day, a mean hospital stay of 4 days (range 2-10), one patient with ileo-rectal anastomosis dehiscence presented on the 4th post-operative day, and performing anastomosis with stapling device and loop ileostomy. Stenosis developed in 7% during follow-up and was resolved with a new anastomosis stapler.
  
  
  CONCLUSIONS
  The NiTi device is an additional alternative for colorectal anastomosis, mainly in low anastomosis, obtaining good results in this study without major complications.
authors.affiliation: Cirugía General, Gastrointestinal y Colorrectal, Hospital Humanitas Medical Group Coyoacán, Ciudad de México, México. Electronic address: quinhec@hotmail.com.
authors.forename: Quintín Héctor
authors.initials: QH
authors.lastname: González-Contreras
authors.affiliation: Cirugía General, Gastrointestinal y Colorrectal, Hospital Humanitas Medical Group Coyoacán, Ciudad de México, México.
authors.forename: Mónica
authors.initials: M
authors.lastname: de Jesús-Mosso
authors.affiliation: Cirugía General, Gastrointestinal y Colorrectal, Hospital Humanitas Medical Group Coyoacán, Ciudad de México, México.
authors.forename: Jesús Alberto
authors.initials: JA
authors.lastname: Bahena-Aponte
authors.affiliation: Cirugía General, Gastrointestinal y Colorrectal, Hospital Humanitas Medical Group Coyoacán, Ciudad de México, México.
authors.forename: Omar
authors.initials: O
authors.lastname: Aldana-Martínez
authors.affiliation: Cirugía General, Gastrointestinal y Colorrectal, Hospital Humanitas Medical Group Coyoacán, Ciudad de México, México.
authors.forename: Karen
authors.initials: K
authors.lastname: Pineda-Solís
authors.affiliation: Servicio de Cirugía General, Hospital Central Militar, Ciudad de México, México.
authors.forename: Sari Narsil
authors.initials: SN
authors.lastname: Mejia-Arcadia
mesh_terms: D000328:Adult; D000368:Aged; D000497:Alloys; D000714:Anastomosis, Surgical / Q000295:instrumentation*; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D058106:Wound Closure Techniques / Q000295:instrumentation*
chemical_list: D000497:Alloys; C013616:nitinol
keywords: Anastomosis por compresión (NiTi); Compression anastomosis (NiTi); Hemicolectomía izquierda; Left hemicolectomy; Low anterior resection of the rectum; Resección anterior baja de recto