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April 1968

A Comparative Study of Intestinal Anastomoses

Author Affiliations

Galveston, Tex
From the Department of Surgery, University of Texas Medical Branch, Galveston.

Arch Surg. 1968;96(4):563-566. doi:10.1001/archsurg.1968.01330220079014

INVERTING serosa-to-serosa intestinal anastomoses have been generally accepted as the procedure of choice in making a union between two bowel segments. Two other methods have recently appeared in the surgical literature: the inserting of the proximal end of the bowel into the distal portion in conjunction with the use of adhesives and the more startling use of an eversion rather than inversion type of anastomosis.1-6 We have been dissatisfied with the conventional inverting anastomosis in the dog where bowel thickness and spasm make suturing more difficult than in the human. The overlapping technique with sutures instead of adhesives seemed to offer advantages.

A study was carried out in dogs comparing inverting end-to-end anastomoses with an overlapping type using sutures.

Methods  Thirty-three mongrel dogs were used with-out any bowel preparation except withholding food the day before surgery. Eleven of the animals received an overlapping end-to-end anastomosis, 11 received the inverting

Linn, B.S., et al:  Intestinal Anastomosis by Invagination and Gluing , Amer J Surg 111:197, 1966.Article
O'Neil, P., et al:  Non-Suture Intestinal Anastomosis , Amer J Surg 104:761, 1962.Article
Healey, J.E., Jr.:  Is Serosa to Serosa Approximation Necessary in Intestinal Anastomosis? Surgical Forum , Amer Col Surg 15:297, 1964.
Cutting, R.A.:  The Relative Mechanical Strength of Enterostomies Performed With and Without Clamps , Arch Surg 17:658-671 ( (Oct) ) 1928.Article
Getzen, L.C.; Roe, R.D.; and Holloway, C.K.:  Comparative Study of Intestinal Anastomotic Healing in Inverted and Everted Closures , Surg Gynec Obstet 123:1219, 1966.
Getzen, L.C.:  Clinical Use of Everted Intestinal Anastomoses , Surg Gynec Obstet 123:1027, 1966.
Llowes, E.L., et al:  The Healing at Wounds as Determined by Their Tensile Strength , JAMA 92:42 ( (Jan 5) ) 1929.Article
Sandblom, P.N.:  The Tenile Strength of Healing Wounds , Acta Chir Scand 90( (suppl) ):89, 1944.
Nelsen, T.S., et al:  Dynamic Aspects of Small Intestinal Rupture With Special Consideration of Anastomotic Strength , Arch Surg 93:309-314 ( (Aug) ) 1966.Article
Moore, R.M., and Singleton, A.O., Jr.:  Value of Free Grafts of Peritoneum or Pleura in Sealing Large Defects in the Alimentary Tract of the Dog . Surg Gynec Obstet 92:466, 1951.
Matsumoto, T., et al:  Intestinal Patch Closure With Cyancacrylate Tissue Adhesive for Gastrointestinal Perforations , Arch Surg 94:184-189 ( (Feb) ) 1967.Article
Trowbridge, P.E., and Howes, E.L.:  Reinforcement of Colon Anastomoses Using Polyurethane Foam Treated With Neomycin , Amer J Surg 113:236, 1967.Article
Bronwell, A.W.; Rutledge, R.; and Dalton, M.L.:  Single-layer Open Gastrointestinal Anastomosis , Ann Surg 165:925, 1967.Article