Dissecting and Suturing

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


This chapter describes the fundamental skills used to develop anatomic planes and thereby improve exposure and expedite surgery. Various types of suture material are discussed. The basic technique for constructing a two-layer gastrointestinal anastomosis is then described in detail.


Suture Material Cystic Artery Intestinal Anastomosis Left Index Finger Needle Holder 
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Further Reading

  1. Burch JM, Franciose RJ, Moore EE, et al. Single-layer continuous versus two-layer interrupted intestinal anastomosis: a prospective randomized trial. Ann Surg. 2000;231:832.PubMedCrossRefGoogle Scholar
  2. Chassin JL. Esophagogastrectomy: data favoring end-to-side anastomosis. Ann Surg. 1978;188:22.PubMedCrossRefGoogle Scholar
  3. Connell ME. An experimental contribution looking to an improved technique in enterorrhaphy whereby the number of knots is reduced to two or even one. Med Rec. 1982;42:335.Google Scholar
  4. Khoury GA, Waxman BP. Large bowel anastomosis: I. The healing process and sutured anastomoses: a review. Br J Surg. 1983;70:61.PubMedCrossRefGoogle Scholar
  5. MacRae HM, McLeod RS. Handsewn vs. stapled anastomoses in colon and rectal surgery: a meta-analysis. Dis Colon Rectum. 1998;41:180.PubMedCrossRefGoogle Scholar
  6. Mortensen NJ, Ashraf S. Chapter 29. Intestinal anastomosis. In: ACS surgery: principles and practice. Hamilton: BC Decker Inc; 2008.Google Scholar
  7. Shikata S, Yamagishi J, Taji Y, et al. Single versus two- layer intestinal anastomosis: a meta-analysis of randomized controlled trials. BMC Surg. 2006;6:2.PubMedCrossRefGoogle Scholar
  8. Wind GG, Rich NM. Surgical knots and suture materials. In: Principles of surgical technique. Baltimore: Urban & Schwarzenberg; 1987. p. 41–52.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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