Colorectal anastomosis using a compression device

The most severe complication following an intestinal anastomosis is the dehiscence with the consequent development of sepsis, fistulas, stenosis, and death. For this reason the compression anastomosis (NiTi) system was developed, with the aim of reducing these complications. A retrospective study wa...

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Published inCirugia y cirujanos Vol. 84; no. 6; p. 482
Main Authors González-Contreras, Quintín Héctor, de Jesús-Mosso, Mónica, Bahena-Aponte, Jesús Alberto, Aldana-Martínez, Omar, Pineda-Solís, Karen, Mejia-Arcadia, Sari Narsil
Format Journal Article
LanguageSpanish
Published Spain 01.11.2016
Subjects
Adult
Aged
Alloys
Anastomosis, Surgical - instrumentation
Blood Loss, Surgical
Colectomy - instrumentation
Colectomy - methods
Female
Humans
Male
Middle Aged
Pressure
Retrospective Studies
Surgical Wound Dehiscence - prevention & control
Wound Closure Techniques - instrumentation
Low anterior resection of the rectum
Resección anterior baja de recto
Compression anastomosis (NiTi)
Anastomosis por compresión (NiTi)
Hemicolectomía izquierda
Left hemicolectomy
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Summary:The most severe complication following an intestinal anastomosis is the dehiscence with the consequent development of sepsis, fistulas, stenosis, and death. For this reason the compression anastomosis (NiTi) system was developed, with the aim of reducing these complications. A retrospective study was conducted, from 1 June 2012 to 30 August 2014, on total of 14 patients operated on the Humanitas Hospital Medical Group Coyoacán, the ASMED, and Clínica Médica Sur. The subjects were predominantly male 65%, a mean age of 58 years, with range 30-79 years. A total of 14 patients were included. The indication for surgery was complicated diverticular disease Hinchey II-III (36%), and the procedures performed were: 6 (43%) left hemicolectomy with primary end to end compression anastomosis, 2 (14%) major complications (dehiscence wall and anastomosis), 1 (7%) minor complication (infection of the soft tissues). There was a mean 98ml (range 20-300ml) of intraoperative bleeding, with start of oral feeding on the second day, a mean hospital stay of 4 days (range 2-10), one patient with ileo-rectal anastomosis dehiscence presented on the 4th post-operative day, and performing anastomosis with stapling device and loop ileostomy. Stenosis developed in 7% during follow-up and was resolved with a new anastomosis stapler. The NiTi device is an additional alternative for colorectal anastomosis, mainly in low anastomosis, obtaining good results in this study without major complications.
ISSN:0009-7411