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Constructing successful anastomosis is an important concept in gastrointestinal tract surgeries, which can be affected by various factors such as preoperative bowel condition, intra- and postoperative complications, bleeding and the device characteristics. Suturing, stapling and compression anastomosis are different techniques. Despite the invention of compression anastomosis, which goes back almost two centuries, this method has not obtained the popularity of the suturing and stapling anastomosis and further studies are required. Designing methods and devices with no drawbacks might reduce the complications associated with anastomosis as the alternative to suturing and stapling anastomoses. Several materials can be used as reinforcement materials, which can improve the consequences of the stapled anastomosis. In addition to reinforcement materials, other forms of supports have been proposed, which might be capable of reducing the postoperative complications of anastomosis. In this study, we briefly review various types of anastomotic techniques and associated complications in different types of gastrointestinal surgeries. [ABSTRACT FROM AUTHOR]

Introduction: Intraoral synechia is a rare congenital condition, generally associated with other maxillofacial malformations. We present a neonate with congenital intraoral bilateral synechia without any other facial anomalies. Case Report: In this paper, we present a 19-day-old male neonate with congenital intraoral bilateral synechia without any other facial anomalies. We review the literature to discuss the surgical and anesthesia management of this rare congenital disease. Conclusion: The disease manifested with a wide spectrum of symptoms. Most cases need surgery and airway management. In patients with a low risk of bleeding or a compromised airway, it is possible to manage them with face mask-inhalation anesthesia and maintain spontaneous breathing. [ABSTRACT FROM AUTHOR]

Surgery has dramatically improved survival of infants with esophageal atresia. However, early and late complications of these surgeries affect the future life of this population. A probable step toward minimizing such complications is through modifying the technique of surgery. We evaluated two groups of esophageal atresia undergoing surgery with two different techniques including preservation and ligation of the Azygos vein and compared early complications, duration of surgery, and hospital and neonatal intensive care unit (NICU) stay between them. A total number of 24 patients with mean age of 24 to 48 h, who were diagnosed with esophageal atresia, were included in the study. All cases were randomly allocated in two groups: group A (case group) in which patients underwent surgery with preservation of the Azygos vein and group B (control group) in which patients underwent the former surgical method with ligation of the Azygos vein. Incidence of early complications, duration of surgery, and NICU and hospital stay were compared between the two groups. None of the complications occurred in either group. Duration of surgery, NICU stay, and hospital stay were not statistically significant between the groups. Preserving the Azygos vein during esophageal atresia surgery is probably a good modification of the classic technique. [ABSTRACT FROM AUTHOR]

Introduction: A Nasogastric (NG) tube insertion is a common technique in all neonatal intensive care units (NICUs). In some cases, NG insertion in infants with friable esophageal tissues may lead to some adverse side-effects, although such problems are not commonly seen. Esophageal perforation is a rare but known complication associated with this procedure. Methods: An infant (first child), weighing nearly 2800 gr, underwent elective surgery on the first day of his life; there was no maternal history of diseases and the fetus was born in 39th week of pregnancy. The NG tube was first inserted in the NICU, and the tube, which enters the esophagus at around 5 cm of esophagus, hit a hurdle Results: Simple radiography of thorax was performed after tube insertion, and the tube was detected in the first intra rib; esophageal atresia was suggested. Conclusion: Conservative management in an otherwise uncomplicated case can result in complete recovery in most affected neonates. This case highlights the fact that esophageal perforation can happen due to procedures such as NG tube insertion. [ABSTRACT FROM AUTHOR]