Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study
Purpose Healing of colorectal anastomosis is burdened with a number of risk factors and the development of leak carries with it higher morbidity and mortality associated not only with worse quality of life but also worse oncological outcomes. The purpose of the study was an evaluation of the effect...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2023-04-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00948-0135.pdf |
| _version_ | 1797831740753969152 |
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| author | Tomáš Řezáč Petr Špička Pavel Zbořil Martin Stašek Radek Vrba Dušan Klos |
| author_facet | Tomáš Řezáč Petr Špička Pavel Zbořil Martin Stašek Radek Vrba Dušan Klos |
| author_sort | Tomáš Řezáč |
| collection | DOAJ |
| description | Purpose Healing of colorectal anastomosis is burdened with a number of risk factors and the development of leak carries with it higher morbidity and mortality associated not only with worse quality of life but also worse oncological outcomes. The purpose of the study was an evaluation of the effect of reinforcement suture in the healing of stapler rectal anastomosis and risk factors for anastomotic leakage in mid, upper rectal and sigmoid tumors. Methods A total of 357 patients who underwent curative resection for rectal or sigmoid tumor over 5 years were analyzed. Risk factors, baseline demographic and clinical data, and presence of leak were recorded. All statistical analyses were carried out at a significance level of P<0.05. Results One hundred fifty-one patients met the inclusion criteria for the study. The overall incidence of leak was 2.8% in the group with reinforcement suture and 6.3% in the group without reinforcement suture. Because of the low incidence of leak the results were not statistically significant. Further results also show that none of the monitored parameters (age, weight, body mass index, tumor distance, preoperative radiotherapy, tumor stage, type of surgery) were significant predictors of anastomotic leakage. Conclusion Although the reinforcement suture is a safe and simple option for anastomosis protection after rectal or sigmoid resections, its statistical significance was not demonstrated in our study. |
| first_indexed | 2024-04-09T13:57:36Z |
| format | Article |
| id | doaj.art-3cbc927ac37248c6aa245167bbf13045 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-04-09T13:57:36Z |
| publishDate | 2023-04-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-3cbc927ac37248c6aa245167bbf130452023-05-08T00:41:03ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-04-0139213914610.3393/ac.2021.00948.01351915Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled studyTomáš Řezáč0Petr Špička1Pavel Zbořil2Martin Stašek3Radek Vrba4Dušan Klos5 Department of Surgery I, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic Department of Surgery I, University Hospital Olomouc, Olomouc, Czech Republic Department of Surgery I, University Hospital Olomouc, Olomouc, Czech Republic Department of Surgery I, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic Department of Surgery I, University Hospital Olomouc, Olomouc, Czech Republic Department of Surgery I, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech RepublicPurpose Healing of colorectal anastomosis is burdened with a number of risk factors and the development of leak carries with it higher morbidity and mortality associated not only with worse quality of life but also worse oncological outcomes. The purpose of the study was an evaluation of the effect of reinforcement suture in the healing of stapler rectal anastomosis and risk factors for anastomotic leakage in mid, upper rectal and sigmoid tumors. Methods A total of 357 patients who underwent curative resection for rectal or sigmoid tumor over 5 years were analyzed. Risk factors, baseline demographic and clinical data, and presence of leak were recorded. All statistical analyses were carried out at a significance level of P<0.05. Results One hundred fifty-one patients met the inclusion criteria for the study. The overall incidence of leak was 2.8% in the group with reinforcement suture and 6.3% in the group without reinforcement suture. Because of the low incidence of leak the results were not statistically significant. Further results also show that none of the monitored parameters (age, weight, body mass index, tumor distance, preoperative radiotherapy, tumor stage, type of surgery) were significant predictors of anastomotic leakage. Conclusion Although the reinforcement suture is a safe and simple option for anastomosis protection after rectal or sigmoid resections, its statistical significance was not demonstrated in our study.http://coloproctol.org/upload/pdf/ac-2021-00948-0135.pdfsuture technicsrectal and sigmoid surgeryleakprotection |
| spellingShingle | Tomáš Řezáč Petr Špička Pavel Zbořil Martin Stašek Radek Vrba Dušan Klos Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study Annals of Coloproctology suture technics rectal and sigmoid surgery leak protection |
| title | Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study |
| title_full | Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study |
| title_fullStr | Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study |
| title_full_unstemmed | Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study |
| title_short | Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study |
| title_sort | effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections single center experience a retrospective case controlled study |
| topic | suture technics rectal and sigmoid surgery leak protection |
| url | http://coloproctol.org/upload/pdf/ac-2021-00948-0135.pdf |
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