HAND-SEWN GASTROINTESTINAL ANASTOMOSES USING CONTINUOUS VERTICAL MATTRESS SUTURE

Comparison of stapled and hand-sewn esophagogastric anastomoses.

BACKGROUND Esophagogastric anastomotic leaks continue to be a major source of morbidity and mortality after esophagectomy. Leaks usually result from technical errors or occult ischemia of the mobilized gastric fundus. The introduction of stapled esophagogastric anastomoses was initially very promising; leak rates appeared to be reduced. DATA SOURCES The English language medical literature was...

Stapled and hand-sewn anastomoses in Crohn's disease.

Accessible online at: http://BioMedNet.com/karger In this issue Kusunoki et al. [pp 679–682] prospectively compare sutured and stapled anastomoses in patients undergoing resection for Crohn’s disease and conclude that they are equivalent. With surgery for Crohn’s disease, it is important to remember that if it is performed well, the surgical results will be good. Some commonsense variables need...

Comparison of hand-sewn and stapled anastomoses in surgeries of gastrointestinal tumors based on clinical practice of China

BACKGROUND There is a lack of studies comparing stapled suturing and hand-sewn suturing in the surgeries of gastrointestinal tumors based on the clinical practice of Chinese surgeons. METHODS Data were retrospectively collected from 499 patients who underwent surgery to remove gastrointestinal tumors from January 2008 to December 2009. The patients were divided into two groups according to th...

Twisted loop mattress suture

Modified mattress suture

DISCUSSION Many surgeons default to holding the scope in a curved position. Due to the length and the ever decreasing calibre of modern scopes, the transmission of torque is reduced, resulting in decreased rotation of the tip in response to movements of the hand. Consequently, the operator resorts to excessive movements in a ‘windscreen wiper’ motion. Using this technique improves the ability o...