Revista Colombiana de Cirugía
Print version ISSN 2011-7582
SANABRIA, Álvaro E; VEGA, Neil Valentín; DOMINGUEZ, Luis C and OSORIO, Camilo. Intestinal anastomosis: manual or mechanical? One plane or two planes?. rev. colomb. cir. [online]. 2010, vol.25, n.2, pp. 97-103. ISSN 2011-7582.
Introduction. Different methods of intestinal anastomosis are currently recommended. In Colombia there is lack of clear and relevant information supporting their precise respective indications. We completed a literature review in order to determine the effectiveness of the one plane and two planes intestinal suture and the precise indications of the mechanical suture. Material and methods. A literature search was performed for the identification of articles comparing the one plane suture and the two plane suture, as well as the manual versus the mechanical suture in gastrointestinal surgery. Articles were reviewed according to the JAMA literature critical appreciation criteria. Effectiveness and pertinence range of data were analyzed. Results. Three systematic reviews and two clinical trials were identified. Both sensitivity and specificity of the systematic reviews were above 90%. As for the individual studies, sensibility was above 90% and specificity 47% to 100%. Conclusion. The one plane or two plane suture do not show any differences in respect to relevant clinical end results. Mechanical suture appears of obligatory indication in ileo-colic anastomoses. In colo-rectal anastomoses, probably mechanical suture exhibits adequate results, and its use is recommended. In intraperitoneal entero-enteral and colo-colic anastomoses, mechanical suture does not offer advantage in regard to anastomotic dehiscence.
Keywords : intestine; large; intestine; small; surgical; suture techniques.