Healing of colonic anastomoses: comparative experimental study of glued, manually sutured, and stapled anastomoses

Journal Article · Mon Jul 01 04:00:00 EDT 1991 · Diseases of the Colon and Rectum; (United States)

DOI:https://doi.org/10.1007/BF02049894· OSTI ID:5408652

Jansson, O K; Zilling, T L; Walther, B S ^[1]

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1. Lund Univ. (Sweden)

In 10 pigs a nonsutured, glued colonic anastomosis was constructed with a modified stapling device without staples and compared with an EEA-stapled anastomosis and a one-layer-sutured anastomosis concerning radiologic appearance, breaking strength, circulation, and collagen concentration. 141Ce-labeled microspheres were used for measurements of the anastomotic blood flow before the animals were sacrificed on the 4th postoperative day. The breaking strength was recorded and an anastomotic index calculated. No leakage was found. The anastomotic width did not differ between the groups, but the interindividual variation was more prominent in the sutured group. The handsewn and stapled anastomoses were stronger than the glued anastomosis (P = 0.0009 and 0.0054, respectively). There was an increase in the anastomotic circulation in all of the anastomoses, but no differences were seen between groups. The collagen concentration was independent of the technique used.

• OSTI ID: 5408652
• Journal Information: Diseases of the Colon and Rectum; (United States), Journal Name: Diseases of the Colon and Rectum; (United States) Vol. 34:7; ISSN 0012-3706; ISSN DICRA
• Country of Publication: United States
• Language: English

Related Subjects

550901* -- Pathology-- Tracer Techniques
59 BASIC BIOLOGICAL SCIENCES
ANIMALS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BIOLOGICAL RECOVERY
BIOSYNTHESIS
BLOOD FLOW
CERIUM 141
CERIUM ISOTOPES
COLLAGEN
COMPARATIVE EVALUATIONS
DAYS LIVING RADIOISOTOPES
DOMESTIC ANIMALS
EVALUATION
EVEN-ODD NUCLEI
HEALING
INJURIES
INTERMEDIATE MASS NUCLEI
ISOTOPE APPLICATIONS
ISOTOPES
MAMMALS
MEDICINE
MICROSPHERES
NUCLEI
ORGANIC COMPOUNDS
PROTEINS
RADIOISOTOPES
RARE EARTH ISOTOPES
RARE EARTH NUCLEI
RECOVERY
SCLEROPROTEINS
SURGERY
SWINE
SYNTHESIS
TRACER TECHNIQUES
VERTEBRATES
WOUNDS