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    Autobuttressing of colorectal anastomoses using a mesenteric flap.

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    Authors
    Mohan, H M
    Winter, D C
    Issue Date
    2013-12
    Keywords
    SURGERY
    Local subject classification
    SURGERY, COLORECTAL
    MeSH
    Anastomosis, Surgical
    Anastomotic Leak
    Colon
    Electrocoagulation
    Humans
    Mesentery
    Rectum
    Surgical Flaps
    Suture Techniques
    
    Metadata
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    Citation
    Mohan HM, Winter DC. Autobuttressing of colorectal anastomoses using a mesenteric flap. Updates Surg. 2013, 65 (4):333-5
    Journal
    Updates in surgery
    URI
    http://hdl.handle.net/10147/324625
    DOI
    10.1007/s13304-013-0230-3
    PubMed ID
    23980021
    Additional Links
    http://link.springer.com/article/10.1007%2Fs13304-013-0230-3
    Abstract
    Anastomotic leakage is a common and dreaded complication of colorectal surgery. Many different approaches have been tried to attempt to reduce leakage and associated morbidity. The concept of reinforcement of an anastomosis by buttressing is well established. Techniques described include using sutures, native omentum, animal or synthetic material. We report a technique for buttressing using a mesenteric flap to envelope the anastomosis. The primary rationale is to reduce clinical sequelae of anastomotic leakage by promoting local containment, as well as providing a scaffold for healing. Using autologous tissue provides a safe, time-efficient and cost-effective buttress without the risks of infection or reaction associated with foreign material. A mesenteric flap is particularly useful in patients in whom omentum is not available due to previous surgery, or to fill the dead space posterior to a low anastomosis within the pelvis.
    Item Type
    Article
    Language
    en
    ISSN
    2038-131X
    ae974a485f413a2113503eed53cd6c53
    10.1007/s13304-013-0230-3
    Scopus Count
    Collections
    St. Vincent's University Hospital

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