Document Detail

Randomized trial on the application of biofragmentable anastomosis ring in intestinal anastomosis.
MedLine Citation:
PMID:  19781320     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The biofragmentable anastomosis ring (BAR) is a simple alternative device to create intestinal anastomosis. Our study was designed to evaluate the clinical value of BAR in intestinal anastomosis. METHODS: A total of 167 patients performed intestinal anastomosis from January 2002 to February 2006 were randomized to BAR group (n = 82) and manual suture group (n = 85) as control. They were equally allocated to the two groups regarding sex, age, site of anastomosis, emergent or elective surgery and contaminant diseases. The results of postoperative complications and recovery were recorded in each group. RESULTS: Eighty-seven intraperitoneal BAR anastomoses were completed in 82 patients. Two and one postoperative deaths were recorded in BAR and suture group, respectively, no deaths were directly related to anastomotic technique. In suture group, anastomotic leakage and early bleeding both occurred in two patients respectively, no anastomotic bleeding occurred in BAR group, one patient in BAR group developed enterocutaneous fistulae. Perioperative bleeding, operation time and length of hospitalization were similar in two groups (P > 0.05). Time for return of bowel function was significantly shortened in BAR group than that in suture group (P < 0.05). CONCLUSION: The BAR appears to be a standard, easy, safe and effective alternative either in elective or emergent intraperitoneal intestinal anastomotic surgery.
Shuang Chen; Bin Yang; Jia-hui He; Yu-chao Zhang; Dong-ming Lai
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Chinese medical journal     Volume:  122     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-28     Completed Date:  2010-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  1755-8     Citation Subset:  IM    
Department of Gastrointestinal Surgery, Second Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510120, China.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical / instrumentation*
Digestive System Surgical Procedures / instrumentation*
Intestines / surgery*
Middle Aged
Postoperative Complications
Suture Techniques / instrumentation*
Treatment Outcome
Young Adult

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