Blood flow in colonic anastomoses. Effect of stapling and suturing.

  title={Blood flow in colonic anastomoses. Effect of stapling and suturing.},
  author={Raphael S. K. Chung},
  journal={Annals of surgery},
  volume={206 3},
Sutureline blood flow was measured with laser Doppler velocimetry in colonic anastomoses created with the stapler, manual suturing, or a combination. Blood flow was always reduced in the sutureline compared with normal mucosa. Of all the anastomoses studied, tight stapling reduced sutureline blood flow the most, whereas the two-layered manual anastomosis or stapling reinforced with sutures were somewhat less ischemic. Stapling adjusted to bowel wall thickness impaired flow only moderately. It… CONTINUE READING
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