Rotated intestinal anastomoses
LaCalle, J.P.; Sole, J.M.; Pey, G.C.; Garcia, G.P.
Surgery Gynecology and Obstetrics 154(5): 662-666
1982
ISSN/ISBN: 0039-6087 PMID: 7041295 Document Number: 187497
Using a technique of end-to-end intestinal anastomosis, based upon a 90 degree axial rotation, the conjunction of both mesenteric edges without peritoneal serosa is avoided; theoretically, this would be the weakest area of such an anastomosis. The theory was experimentally tested in the colon of rabbits and the technique compared with the usual, so-called exact facing, end-to-end anastomosis. The bursting pressure of the anastomosis at 7 days was measured. Better resistance for the rotated compared with the exact facing technique was shown, justifying its clinical use in the hope of improving the results of gastrointestinal operations.