Revista chilena de cirugía
versión ISSN 0718-4026
BARRERA E, Alejandro; BANNURA C, Guillermo; ILLANES F, Felipe y MELO L, Carlos. Experience with mechanical anastomoses in bowel surgery. Rev Chil Cir [online]. 2012, vol.64, n.3, pp. 274-277. ISSN 0718-4026. doi: 10.4067/S0718-40262012000300009.
Background: The use of mechanical anastomoses reduce the length of gastrointestinal surgical procedures. Aim: To report the experience with mechanical functional terminal anastomoses in bowel surgery. Material and Methods: Prospective non randomized registry of all mechanical anastomoses carried out in a surgical service. Results: A total of 327 patients (193 women) were analyzed. Two hundred and one anastomoses were ileo-colonic and 126 were entero-enteral. Seventeen percent of patients experienced some complication. Fourteen required a new operation due to peritonitis or deep infection of the surgical site. The global rate of anastomotic dehiscence was 3.1%. No differences in the rate of complications between surgeons with experience and trainees were observed. Conclusions: Mechanical anastomoses in bowel surgery are safe and require a short learning period to be used.
Palabras clave : Mechanical suture; anastomoses; dehiscence.