Abstract
Introduction: Recent studies indicate that trauma patients with hollow viscus injuries requiring anastomosis who are managed with stapling have a higher rate of complications than do those in whom a hand-Sewn anastomosis is used. We undertook this study to determine whether this finding applied to patients with small bowel trauma at our institution. Methods: Records of patients with small bowel injuries were retrospectively reviewed. Demographics, severity of injury, injury management, and outcome data were collected. Results: Patients who had their small bowel injuries managed by hand-Sewn repair versus resection and stapled anastomosis demonstrated a nonsignificant decrease in overall complication rate (35% vs. 44%) and rate of intra-abdominal complication (10% vs. 18%). Yet the rate of intra-abdominal abscess formation was significantly lower with hand-sewn repair than with resection and stapled anastomosis (4% vs. 13%). However, when handsewn primary repairs were excluded from the analysis and injuries that required resection and either stapled or hand-sewn anastomosis were compared, there was a similar overall complication rate (41% vs. 41%) and rate of intra-abdominal complications (17% vs. 21%). Conclusion: The rate of intra-abdominal complications did not differ significantly between patients requiring small bowel resection and reanastomosis managed by either a stapled or hand-sewn technique. In our experience, surgical stapling devices appear to be safe for use in repairing traumatic small bowel injury.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 660-666 |
| Number of pages | 7 |
| Journal | Journal of Trauma - Injury, Infection and Critical Care |
| Volume | 49 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 2000 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Critical Care and Intensive Care Medicine
Cite this
Stapled versus hand sewn anastomoses in patients with small bowel injury : A changing perspective. / Witzke, J. D.; Kraatz, J. J.; Morken, J. M.; Ney, A. L.; West, M. A.; Van Camp, J. M.; Zera, R. T.; Rodriguez, J. L.; Jurkovich, Gregory; Feliciano, D.; Taheri, P. A.; Hinsdale, J. G.; Sugerman, H. J.; Demetriades, D.; Hauser, C. J.; Kraatz, J. J.
In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 49, No. 4, 01.01.2000, p. 660-666.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Stapled versus hand sewn anastomoses in patients with small bowel injury
T2 - A changing perspective
AU - Witzke, J. D.
AU - Kraatz, J. J.
AU - Morken, J. M.
AU - Ney, A. L.
AU - West, M. A.
AU - Van Camp, J. M.
AU - Zera, R. T.
AU - Rodriguez, J. L.
AU - Jurkovich, Gregory
AU - Feliciano, D.
AU - Taheri, P. A.
AU - Hinsdale, J. G.
AU - Sugerman, H. J.
AU - Demetriades, D.
AU - Hauser, C. J.
AU - Kraatz, J. J.
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Introduction: Recent studies indicate that trauma patients with hollow viscus injuries requiring anastomosis who are managed with stapling have a higher rate of complications than do those in whom a hand-Sewn anastomosis is used. We undertook this study to determine whether this finding applied to patients with small bowel trauma at our institution. Methods: Records of patients with small bowel injuries were retrospectively reviewed. Demographics, severity of injury, injury management, and outcome data were collected. Results: Patients who had their small bowel injuries managed by hand-Sewn repair versus resection and stapled anastomosis demonstrated a nonsignificant decrease in overall complication rate (35% vs. 44%) and rate of intra-abdominal complication (10% vs. 18%). Yet the rate of intra-abdominal abscess formation was significantly lower with hand-sewn repair than with resection and stapled anastomosis (4% vs. 13%). However, when handsewn primary repairs were excluded from the analysis and injuries that required resection and either stapled or hand-sewn anastomosis were compared, there was a similar overall complication rate (41% vs. 41%) and rate of intra-abdominal complications (17% vs. 21%). Conclusion: The rate of intra-abdominal complications did not differ significantly between patients requiring small bowel resection and reanastomosis managed by either a stapled or hand-sewn technique. In our experience, surgical stapling devices appear to be safe for use in repairing traumatic small bowel injury.
AB - Introduction: Recent studies indicate that trauma patients with hollow viscus injuries requiring anastomosis who are managed with stapling have a higher rate of complications than do those in whom a hand-Sewn anastomosis is used. We undertook this study to determine whether this finding applied to patients with small bowel trauma at our institution. Methods: Records of patients with small bowel injuries were retrospectively reviewed. Demographics, severity of injury, injury management, and outcome data were collected. Results: Patients who had their small bowel injuries managed by hand-Sewn repair versus resection and stapled anastomosis demonstrated a nonsignificant decrease in overall complication rate (35% vs. 44%) and rate of intra-abdominal complication (10% vs. 18%). Yet the rate of intra-abdominal abscess formation was significantly lower with hand-sewn repair than with resection and stapled anastomosis (4% vs. 13%). However, when handsewn primary repairs were excluded from the analysis and injuries that required resection and either stapled or hand-sewn anastomosis were compared, there was a similar overall complication rate (41% vs. 41%) and rate of intra-abdominal complications (17% vs. 21%). Conclusion: The rate of intra-abdominal complications did not differ significantly between patients requiring small bowel resection and reanastomosis managed by either a stapled or hand-sewn technique. In our experience, surgical stapling devices appear to be safe for use in repairing traumatic small bowel injury.
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U2 - 10.1097/00005373-200010000-00013
DO - 10.1097/00005373-200010000-00013
M3 - Article
VL - 49
SP - 660
EP - 666
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 4
ER -