Ann Coloproctol.
2022 Jun;38(3):271-275. 10.3393/ac.2021.00990.0141.
Double-layered hand-sewn anastomosis: a valuable resource for the colorectal surgeon
- Affiliations
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- 1Coloproctology Unit, Department of General Surgery, Hospital Dr. Domingo Luciani, Caracas, Venezuela
- 2Division of Colorectal Surgery, Department of General Surgery, Royal Hospital, Muscat, Oman
- 3Department of General Surgery, Mother Hospital, Thrissur, India
- 4Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- KMID: 2531267
- DOI: http://doi.org/10.3393/ac.2021.00990.0141
Abstract
- Hand-sewn anastomosis is an essential and fundamental skill for surgeons dealing with any gastrointestinal anastomosis. Despite the advances in minimally invasive surgery and stapling devices, there are still complex surgical circumstances when the surgeon’s surgical know-how are necessary. Therefore, a safe hand-sewn technique for bowel anastomosis is required to establish a tension-free, well-perfused, and sealed anastomosis that allows gastrointestinal continuity with no unexpected complications. We describe a step-by-step procedure for hand-sewn double-layered anastomosis that reflects these principles and is practical for small and large bowel anastomosis.
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