Skip to main content
Log in

New device for biofragmentable anastomotic ring in low anterior resection

  • Technical Notes
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: The biofragmentable anastomotic ring (BAR) is now accepted as an alternative anastomotic method to handsewn and stapled anastomosis in colonic surgery. However, for a short rectal stump in a narrow pelvis, it is rather difficult to use the BAR in a low anterior resection. METHOD: To overcome the difficulty, we designed and used a BAR-adapter to facilitate biofragmentable ring anastomosis following low anterior resection in eight patients with rectal cancers. RESULTS: There was no case in our series having received conversion to other methods. There was no significant complication associated with this technique. CONCLUSION: With the BAR-adapter, the applicability of the BAR can be greatly expanded in colorectal anastomosis following low anterior resection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hardy TG Jr, Pace WG, Maney JW, Katz AR, Kaganov AL. A biofragmentable ring for sutureless bowel anastomosis: an experimental study. Dis Colon Rectum 1985;28:484–90.

    PubMed  Google Scholar 

  2. Hardy TG Jr, Aguilar PS, Stewart WR,et al. Initial clinical experience with a biofragmentable ring for sutureless bowel anastomosis. Dis Colon Rectum 1987;30:55–61.

    PubMed  Google Scholar 

  3. Corman ML, Prager ED, Hardy TG Jr, Bubrick MP. Comparison of the Valtrac biofragmentable anastomosis ring with conventional suture and stapled anastomosis in colon surgery: results of a prospective, randomized clinical trial. Dis Colon Rectum 1989;32:183–7.

    PubMed  Google Scholar 

  4. Bubrick MP, Corman ML, Cahill CJ, Hardy TG Jr, Nance FC, Shatney CH. Prospective, randomized trial of the biofragmentable anastomosis ring. Am J Surg 1991;161:136–43.

    Article  PubMed  Google Scholar 

  5. Gullichsen R, Havia T, Ovaska J, Rantala A. colonic anastomosis using the biofragmentable anastomotic ring and manual suture: a prospective, randomized study. Br J Surg 1992;79:578–80.

    PubMed  Google Scholar 

  6. Forde KA, McLarty AJ, Tsai J, Ghalili K, Delany HM. Murphy's button revisited: clinical experience with the biofragmentable anastomotic ring. Ann Surg 1993;217:78–81.

    PubMed  Google Scholar 

  7. Gullichsen R. The biofragmentable ring in intestinal surgery. Euro J Surg 1993;569(Suppl):6–31.

    Google Scholar 

  8. Cahill CJ, Betzler M, Gruwez JA, Jeekel J, Patel J-C, Zederfelt B. Sutureless large bowel anastomosis: european experience with the biofragmentable anastomosis ring. Br J Surg 1989;76:344–7.

    PubMed  Google Scholar 

  9. McCue JL, Phillips RK. Sutureless intestinal anastomoses. Br J Surg 1991;78:1291–6.

    PubMed  Google Scholar 

  10. Trollope ML, Cohen RG, Lee RH, Cannon WB, Marzoni FA, Cressman RD. A 7 year experience with low anterior sigmoid resections using the EEA stapler. Am J Surg 1986;152:11–5.

    Article  PubMed  Google Scholar 

  11. Kyzer S, Gordon PH. Experience with the use of the circular stapler in rectal surgery. Dis Colon Rectum 1992;35:696–706.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Chen, T.C., Ding, K.C., Yang, M.J. et al. New device for biofragmentable anastomotic ring in low anterior resection. Dis Colon Rectum 37, 834–836 (1994). https://doi.org/10.1007/BF02050151

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02050151

Key words

Navigation