Abstract
In a randomized, prospective study of 438 patients, the safety and efficacy of the Valtrac biofragmentable anastomotic ring (BAR) was compared with stapling and with conventional suture techniques. There was no significant difference in the morbidity, mortality, and clinical course of the patients. The BAR can effect reestablishment of intestinal continuity somewhat more rapidly, but its major advantage is its uniform applicability to all areas of the intestinal tract, except the low rectum.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
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.
Hardy TG Jr, Aguilar PS, Stewart WRC, et al. Initial clinical experience with a biofragmentable ring for sutureless bowel anastomosis. Dis Colon Rectum 1987;30:55–61.
Corman ML. In Colon and rectal surgery, 2nd ed. Philadelphia: JB Lippincott, 1989:428–35.
Manson PN, Corman ML, Coller JA, Veidenheimer MC. Anterion resection for adenocarcinoma: Lahey Clinic experience from 1963 through 1969. Am J Surg 1976;131:434–41.
Steinhagen RM, Weakley FL. Anastomosis to the rectum: operative experience. Dis Colon Rectum 1985;28:105–9.
Bokey EL, Chapuis PH, Pheils MT. Elective resection for diverticular disease and carcinoma: comparison of postoperative morbidity and mortality. Dis Colon Rectum 1981;24:181–2.
Everett WG, Friend PJ, Forty J. Comparison of stapling and hand-suture for left-sided large bowel anastomosis. Br J Surg 1986;73:345–8.
Detry RJ, Kestens PJ. Colorectal anastomoses with the EEA stapler. World J Surg 1981;5:739–42.
Waxman BP. Large bowel anastomosis. II. The circular staplers. Br J Surg 1983;70:64–7.
Heald RJ, Leicester RJ. The low stapled anastomosis. Dis Colon Rectum 1981;24:437–44.
Cade D, Gallagher P, Schofield PF, Turner L. Complications of anterior resection of the rectum using the EEA stapling device. Br J Surg 1981;68:339–40.
Chassin JL, Rifkind KM, Sussman B, et al. The stapled gastrointestinal tract anastomosis: incidence of postoperative complications compared with the suture anastomosis. Ann Surg 1978;188:689–96.
Beart RW Jr, Kelly KA. Randomized prospective evaluation of the EEA stapler for colorectal anastomoses. Am J Surg 1981;141:143–7.
Debas HT, Thomson FB. A critical review of colectomy with anastomosis. Surg Gynecol Obstet 1972;135:747–52.
Hawley PR, Hunt TK, Dunphy JE. Infection: the cause of anastomotic breakdown: an experimental study. Proc R Soc Med 1970;63:752.
Schrock TR, Deveney CW, Dunphy JE. Factors contributing to leakage of colonic anastomoses. Ann Surg 1973;177:513–8.
Goligher JC, Graham NG, DeDombal FT. Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 1970;57:109–18.
Clark CG, Harris J, Elmasri S, et al. Polyglycolic-acid sutures and catgut in colonic anastomosis: a controlled clinical trial. Lancet 1972;2:1006–7.
Author information
Authors and Affiliations
Consortia
Additional information
Only those investigators who contributed patients at the time of the analysis are included in this report. Please note that some investigators enrolled patients at more than one institution. Contributing Investigators: John J. Ferrara, M.D. and P. William Curreri, M.D., (University of South Alabama, Mobile, AL); Campbell Penfold, M.D., (Royal Melbourne Hospital, Melbourne, Australia); H. Whitney Boggs, Jr., M.D., (Schumpert Medical Center, Shreveport, LA); C. H. Shatney, M.D. and Emmet F. Ferguson, Jr., M.D., (University of Florida College of Medicine, Jacksonville, FL); Mr. R. Leach, M.S., F.R.C.S. and Mr. J. Cahill, (Kingston Hospital, Kingston-Upon-Thames, Surrey, England); Philip J. Huber, Jr., M.D., (University of Texas Health Science Center, Dallas, TX); Thomas A. Fox, Jr., M.D., (Henry Ford Hospital, Detroit, MI); Julius C. Bonello, M.D., (Carle Clinic, Urbana, IL); Professor J. C. Patel, (Hôpital Ambroise Paré, Boulogne, France); Charles D. Dietzen, M.D. and Charles Chappuis, M.D., (Louisiana State University Medical Center, New Orleans, LA); George J. Mastio, M.D., (Wesley Medical Center, Wichita, KS); H. Randolph Bailey, M.D., (Sharpstown General Hospital, Houston, TX); F. Carter Nance, m.D., (St. Barnabas Medical Center, Livingston, NJ); Alan M. Resnik, M.D., (Thomas Jefferson University Hospital, Philadelphia, PA); Professor Dr. Christian Herfarth and Professor Dr. Michael Betzler, (Chirurgie universitat Klinik, Heidelberg, West Germany); Bernard J. Perey, M.D. and John P. Curry, M.D., (Victoria General Hospital, Halifax, Nova Scotia); Thomas R. Russell, M.D. and Michael E. Abel, M.D., (Pacific Medical Center, San Francisco, CA); Richard P. Billingham, M.D., (Northwest Hospital, Seattle, WA); Raymond F. Crystal, M.D., (Morristown Memorial Hospital, Morristown, NJ), and John E. Ray, M.D., (Ochsner Clinic, New Orleans, LA).
Read at the meeting of the American Society of Colon and Rectal Surgeons, Anaheim, California, June 12 to 17, 1988.
About this article
Cite this article
Corman, M.L., Prager, E.D., Hardy, T.G. et al. Comparison of the Valtrac biofragmentable anastomosis ring with conventional suture and stapled anastomosis in colon surgery. Dis Colon Rectum 32, 183–187 (1989). https://doi.org/10.1007/BF02554523
Issue Date:
DOI: https://doi.org/10.1007/BF02554523