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Sutureless Intestinal Anastomosis With the Biofragmentable Anastomosis Ring: Experience of 632 Anastomoses in a Single Institute

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  • Published:
Diseases of the Colon & Rectum

PURPOSE

Uncertainty with the safety of the biofragmentable anastomosis ring makes surgeons hesitate in its widespread use in intestinal surgery. This study was designed to evaluate the validity of the biofragmentable anastomosis ring as a routine anastomotic device in enterocolic surgery.

METHODS

The study analyzed the nine-year experience of 632 biofragmentable anastomosis ring anastomoses performed in 617 patients: 525 (83 percent) as elective procedures and 107 (17 percent) as emergency. Three classic types of anastomosis, end-to-end (n = 354), end-to-side (n = 263), and side-to-side (n = 15), were performed with a standard technique.

RESULTS

Anastomotic sites included ileocolic/ileorectal in 283 patients (45 percent), colorectal in 148 (23 percent), enteroenteric in 101 (16 percent), and colocolic in 100 patients (16 percent). Anastomotic leakage with clinical relevance was observed in five patients (0.8 percent): three elective cases, and two emergency (2 colorectal anastomoses and 1 ileorectal required diversions). Among 13 instances (2.1 percent) with postoperative intestinal obstruction, only 1 required relaparotomy for closed-loop obstruction. Seven patients (1.1 percent; 4 elective cases, and 3 emergency) died postoperatively; no deaths were directly related to the biofragmentable anastomosis ring technique.

CONCLUSIONS

Our data suggest that the anastomosis using the biofragmentable anastomosis ring is a uniform and highly reliable technique even in high-risk emergency surgery. Along with its clinical validities, clinical application of the biofragmentable anastomosis ring in different types of anastomoses in enterocolic surgery is expected to be expanded with a high level of technical safety.

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Authors and Affiliations

  1. Department of Surgery, Dong-A University College of Medicine, Pusan, South Korea

    Sung-Heun Kim M.D., Hong-Jo Choi M.D., Ki-Jae Park M.D., Jung-Min Kim M.D., Ki-Han Kim M.D., Min-Chan Kim M.D., Young-Hoon Kim M.D., Se-Heon Cho M.D. & Ghap-Joong Jung M.D.

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  1. Sung-Heun Kim M.D.
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  2. Hong-Jo Choi M.D.
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  3. Ki-Jae Park M.D.
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  4. Jung-Min Kim M.D.
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  5. Ki-Han Kim M.D.
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  6. Min-Chan Kim M.D.
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  7. Young-Hoon Kim M.D.
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  8. Se-Heon Cho M.D.
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  9. Ghap-Joong Jung M.D.
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Corresponding author

Correspondence to Hong-Jo Choi M.D..

Additional information

Supported by the Dong-A University Research Fund in 2004.

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Kim, SH., Choi, HJ., Park, KJ. et al. Sutureless Intestinal Anastomosis With the Biofragmentable Anastomosis Ring: Experience of 632 Anastomoses in a Single Institute. Dis Colon Rectum 48, 2127–2132 (2005). https://doi.org/10.1007/s10350-005-0144-3

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  • DOI: https://doi.org/10.1007/s10350-005-0144-3

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