Use of Different Absorbable Sutures for Continuous Single-Layer Anastomosis in the Gastrointestinal Tract

Vol. 17, No. 5, 2000

Free Abstract Article (Fulltext) Article (PDF 140 KB)

Original Paper

Use of Different Absorbable Sutures for Continuous Single-Layer Anastomosis in the Gastrointestinal Tract
A Prospective, Randomized Study
Attila Oláh^a, Tibor Belágyi^a, György Neuberger^a, Eldin M. Gamal^b

Departments of Surgery,
^aPetz Aladár Teaching Hospital of Haynal I. University of Health Sciences, Gyõr, and
^bHaynal I. University of Health Sciences, Budapest, Hungary

Address of Corresponding Author

Dig Surg 2000;17:483-486 (DOI: 10.1159/000051944)

Key Words

Single-layer continuous anastomosis
Absorbable suture
Anastomotic leakage

Abstract

Background and Aims: A prospective, randomized study was designed to test the safety of the single-layer continuous anastomosis technique in gastrointestinal surgery. Results from the use of two different sutures were compared in relation to postoperative complications. Material and Methods: The safety of a single-layer continuous technique using two different types of absorbable suture was studied in 247 anastomoses performed on 183 patients between 1996 and 1997. There were 26 gastric, 117 small-bowel, 32 colonic, 29 pancreatic and 43 biliary anastomoses in the study. In 134 cases, Poliglecaprone 25 (Monocryl, Johnson & Johnson) was used, and in 113 cases Glycomer 631 (Biosyn, USSC). All procedures were carried out by the same surgeon. Results: Anastomosis-related complications were detected in 7 patients (2.8%). Anastomotic failures including minor leakage occurred in 5 cases (2.0%). Reoperation was required in only 1 patient (0.4%), and there were no deaths. No difference was found in the dehiscence rate between the two types of absorbable material (1.5% with Monocryl and 2.6% with Biosyn; p = 0.5). Conclusion: Compared with other techniques used for gastrointestinal anastomosis, this technique is safe and easy to apply using either suture material.

Author Contacts

Attila Oláh, MD, PhD
Department of Surgery
Petz Aladár Teaching Hospital of Haynal I. University of Health Sciences
Vasvári u. 2, H-9002 Gyõr (Hungary)
Tel. +36 96 507 936, Fax +36 96 412 545

Article Information

Received: Received: June 24, 1999
Accepted: April 12, 2000
Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 1, Number of References : 13

Medline Abstract (ID 11124552)

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