LEAKAGE from the suture line in intestinal anastomoses is a complication of the gravest nature. Since oxidized cellulose, an absorbable substance that can be left in the tissues, has been introduced into surgical practice, its value as a protective aid in intestinal anastomoses seemed worthy of investigation.
The literature on intestinal anastomoses has been extremely voluminous.1 The fundamental work of Lembert2 and Halsted,3 insisting on the importance of the serosal and submucosal sutures, remains the basis of successful anastomoses of the bowel.
As revealed by a rather extensive search of the literature,1 the use of materials in protection of the anastomotic suture line apparently has not been reported to any great extent. Freeman4 suggested the use of omental grafts for this purpose; Fenton and Peet5 reported on the use of omental grafts in intestinal anastomoses in dogs. Devine6 presented a preliminary report in
UHRICH GI. EFFECT OF OXIDIZED CELLULOSE IN THE PROTECTION OF THE SUTURE LINE IN INTESTINAL ANASTOMOSES IN DOGS. Arch Surg. 1949;59(2):326–336. doi:10.1001/archsurg.1949.01240040331013