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Updates in Surgery

, Volume 65, Issue 4, pp 333–335 | Cite as

Autobuttressing of colorectal anastomoses using a mesenteric flap

  • H. M. Mohan
  • D. C. Winter
Technical Note

Abstract

Anastomotic leakage is a common and dreaded complication of colorectal surgery. Many different approaches have been tried to attempt to reduce leakage and associated morbidity. The concept of reinforcement of an anastomosis by buttressing is well established. Techniques described include using sutures, native omentum, animal or synthetic material. We report a technique for buttressing using a mesenteric flap to envelope the anastomosis. The primary rationale is to reduce clinical sequelae of anastomotic leakage by promoting local containment, as well as providing a scaffold for healing. Using autologous tissue provides a safe, time-efficient and cost-effective buttress without the risks of infection or reaction associated with foreign material. A mesenteric flap is particularly useful in patients in whom omentum is not available due to previous surgery, or to fill the dead space posterior to a low anastomosis within the pelvis.

Keywords

Anastomoses Mesenteric flap Buttressing Anastomotic leak 

Notes

Acknowledgments

The authors acknowledge the assistance of Paul Quinlan, Medical Illustrations Unit, Trinity College Dublin, Ireland, with the illustrations in this paper.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Department of SurgerySt. Vincent’s University HospitalDublin 4Ireland

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