Stapled versus hand-sewn pediatric intestinal anastomoses: A retrospective cohort study

Hintz, Graeme; Alshehri, Abdullah; Bell, Carolyn Magee; Butterworth, Sonia A.

doi:10.1016/j.jpedsurg.2018.02.021

Cited by 20 publications

(21 citation statements)

References 15 publications

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“…Table 4 summarizes the various parameters compared in our study with recent similar studies. 1 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…These parameters are comparable to recent similar studies by Hintz et al (10.5 months for the stapled group and 8.9 months for the hand-sewn group); Kozlov et al, however, reported their findings on younger infants (1.93 months for the stapled group and 1.64 months for the hand-sewn group), and Sato et al reported their findings in older children (0–13 years with a mean of 20 months). 1 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…This was comparable to similar studies by Hintz et al, Sato et al, and Kozlov et al as described in Table 4 . 1 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…In the Hintz et al study, the median time to initial and full feeds was 5 and 11 days in the stapled group and 3 and 7 days in the hand-sewn group, respectively. 18 Kozlov et al reported that mean time to full enteral feeding for patients with stapled anastomosis was isochronous for patients with standard hand-sewn technique (6.7 vs 6.7 days; p = 0.926). 1 …”

Section: Discussionmentioning

confidence: 99%

“…In the Hintz et al study, there were a total of 20 anastomotic complications: 11 with strictures alone (2 in the stapled group and 9 in the hand-sewn group), 3 with leaks alone (1 in the stapled group and 2 in the hand-sewn group), and 6 with both a leak and a stricture (1 in the stapled group and 5 in the hand-sewn group). 18 …”

Section: Discussionmentioning

confidence: 99%

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Stapled vs Conventional Hand-sewn Gastrointestinal Anastomosis during Infancy: A Prospective Comparative Study from Central India

Mitra¹,

Chandak²,

Kulkarni³

et al. 2020

Euroasian Journal of Hepato-Gastroenterology

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Background The creation of a joint between two bowel ends in newborns and infants is one of the core surgical procedures in pediatric surgery. For a proper and perfect gastrointestinal (GI) anastomosis, the factors to be considered are intraoperative duration, restoration of normal GI function, effective hemostasis, reduction of tissue damage, and prevention of postoperative mortality and morbidity. The safety and efficacy of stapled GI tract anastomosis in adults have been extensively documented; however, available literature on the same is limited for infants. Materials and methods Fifty-six patients were divided into two groups—stapled group and hand-sewn group. Patients operated on both emergency and elective basis were included in the study. Hand-sewn anastomosis was done by either end-to-end single-layer or double-layer anastomosis. Suture material used for the anastomosis was Vicryl 3-0 or Vicryl 4-0. Stapled anastomosis was done by 55 mm linear cutting GI stapler with side-to-side anastomosis. Results The present study included a total of 56 patients; there were 28 neonates and 28 infants; 37 of them were males. The most common clinical presentations were vomiting, abdominal distention, refusal to feed, and lethargy. The intraoperative duration in stapled GI anastomosis was less when compared to hand-sewn anastomosis, so was the return of bowel activity and consequently early initiation of feeds and shorter hospital stay. Conclusion The present study favors stapled over hand-sewn GI anastomosis in infancy in view of decreased intraoperative duration, reduced blood loss, early return of peristalsis, early initiation of feeds, and shorter duration of hospital stay. However, a small number of patients and lack of matching are the shortcomings of this study. How to cite this article Mitra AS, Chandak U, Kulkarni KK, et al. Stapled vs Conventional Hand-sewn Gastrointestinal Anastomosis during Infancy: A Prospective Comparative Study from Central India. Euroasian J Hepato-Gastroenterol 2020;10(1):11–15.

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“…Table 4 summarizes the various parameters compared in our study with recent similar studies. 1 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%