Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
HAND-SEWN GASTROINTESTINAL ANASTOMOSES USING CONTINUOUS VERTICAL MATTRESS SUTURE
Mari MAKIOShigeaki MORIURAIchiro KOBAYASHIKotaro HATTORITaihei OSHIROTakatoshi MATSUMOTO
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2006 Volume 67 Issue 7 Pages 1473-1476

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Abstract
The continuous vertical mattress technique for anastomoses in the gastrointestinal or colorectal surgery has not been well reported in the literature. We use the technique (“Continuous Gambee's method”) for all hand-sewn anastomoses with a double-armed monofilament absorbable suture. In the 535 consecutive anastomoses, there were 4 anastomotic leakages (0.75%) and 1 anastomotic stricture (0.19%). Intestinal obstruction and peritoneal dissemination of cancer were statistically significant risk factors of the leakege (_??_0.001). The technique is feasible and economical and achieves satisfactory results. It may be used for every case requiring hand-sewn gastrointestinal anastomosis.
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