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Clin Colon Rectal Surg 2014; 27(04): 156-161
DOI: 10.1055/s-0034-1394089
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Staple Line/Anastomotic Reinforcement and Other Adjuncts: Do They Make a Difference?

Richard Betzold
1   Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas
,
Jonathan A. Laryea
1   Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas
› Author Affiliations
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Publication History

Publication Date:
10 November 2014 (online)

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Abstract

Since the development of the stapled intestinal anastomosis, efforts have been aimed at reducing complications and standardizing methods. The main complications associated with stapled anastomoses include bleeding, device failure, and anastomotic failure (leaks and strictures). These complications are associated with increased cost of care, increase in cancer recurrence, decreased overall survival, poor quality of life, and in some cases the need for further procedures including a diverting ostomy. Reducing these complications therefore has important implications. To this end, techniques to reduce the incidence of anastomotic complications have been the focus of many investigators. In this review, we summarize the current staple line reinforcement technology as well as other adjunctive measures, and specifically discuss the role of biologic materials in this realm.

Keywords

anastomotic complications - staple line reinforcement - stapled anastomosis
 

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