Back to Search Start Over

Hand-Sewn Versus Stapled Small Bowel Anastomoses in Patients With Secondary Mesenteric Ischemia

Hand-Sewn Versus Stapled Small Bowel Anastomoses in Patients With Secondary Mesenteric Ischemia

Authors :
Antonio Brillantino
Maria Laura Sandoval Sotelo
Antonio Maria Cricrì
Antonella Geraci
Michele Cricrì
Francesco Scardi
Giovanni Monte
Ferdinando Fusco
Pietro Francesco Atelli
Massimo Antropoli
Michele Lanza
Simone Squillante
Giacomo Benassai
Gennaro Quarto
Maurizio Castriconi
Source :
The Journal of surgical research. 281
Publication Year :
2022

Abstract

Although stapled anastomoses have been widely evaluated in the context of the elective surgery, few reports compared manual with stapled anastomoses in patients undergoing emergency surgery. The aim of this study is to compare the outcome of hand-sewn end-to-end anastomoses with stapled side-to-side and stapled end-to-side anastomoses in patients undergoing small bowel resection for acute mesenteric ischemia secondary to intestinal obstruction.From January 2015 to June 2021 all the hemodynamically stable patients undergoing emergency surgery with small bowel resection for intestinal obstruction were enrolled in this study. According to surgical technique in performing anastomosis, the patients were divided into three groups: group 1: hand-sewn end-to-end anastomosis, group 2: stapled end-to-side anastomosis, and group 3: stapled side-to-side anastomosis.Although the anastomosis failure rate was higher in group 3, it was not significantly different between the three groups (P = 0.78: chi-square test). Likewise, no significant differences in the median hospital stay were found between the patients' groups (P = 0.87: Kruskal-Wallis test). The median operating time was similar in patients undergoing stapled anastomoses and was significantly higher in patients undergoing hand-sewn anastomoses (P = 0.0009: Kruskal-Wallis test).In patients undergoing emergency small bowel resection for complicated intestinal obstruction, a similar outcome in terms of dehiscence rate and hospital stay can be achieved performing stapled or hand-sewn anastomoses, even if restoring the intestinal continuity with stapled technique is associated with lower operating time.

Details

ISSN :
10958673
Volume :
281
Database :
OpenAIRE
Journal :
The Journal of surgical research
Accession number :
edsair.doi.dedup.....a7227f0937b4d2de534ec664a0761eef