Document Detail


The 'modified triple staple' technique: a variant stapling technique for anastomosis after low anterior resection.
MedLine Citation:
PMID:  17849953     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Stapled techniques of coloanal anastomosis in anterior resection have gained widespread acceptance over hand anastomosis. We believe a modification of the 'triple staple technique' has ergonomic advantages over existing stapling methods and present our technique and experience here. METHODS: Fifty consecutive patients underwent anterior resection with a concomitant defunctioning ileostomy in 44 (86%) patients. A modified triple staple technique of side to end coloanal anastomosis was performed without the need of a purse string suture on the proximal and the distal segments. RESULTS: There were no major intra-operative complications. 2/50 (4%) clinical leaks and 2/37 (5.4%) radiological leaks were noted. A combined leak rate of 4/50 (8%) was reported. The incidence of anastomotic stricture encountered was 1/50 (2%). CONCLUSION: The modified triple staple technique for side to end anastomosis in anterior resection has ergonomic advantages and comparable safety to the existing techniques of stapling coloanal anastomosis. We believe this technique can be widely adopted as an added alternative to the current techniques of stapled anastomosis after anterior resection.
Authors:
N S Balaji; C P Macklin; S Fawole; A S Aster; V S R Rao; P J Moore; S M Ahmad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  5     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-09-13     Completed Date:  2007-10-04     Revised Date:  2009-03-31    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Affiliation:
Colorectal Surgical Unit, Scunthorpe General Hospital, Scunthorpe, UK.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Colectomy / methods
Colon / surgery*
Colonic Diseases / surgery*
Humans
Rectum / surgery*
Suture Techniques / instrumentation*
Treatment Outcome
Comments/Corrections
Comment In:
Surgeon. 2009 Feb;7(1):63; author reply 63   [PMID:  19241989 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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