J.Jpn. Surg. Soc.. 80(11): 1190-1192, 1979
Report on the annual meeting
OUR DEVICES IN COLONIC ANASTOMOSIS
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The Department of Surgery (Gastroenterological Division), Wakayama Medical College, Wakayama, Japan Masaharu Katsumi, Shinzo Ura, Shigehiko Tonoda |
First of all, preoperative colonic preparation is done with an elemental diet for 4 days, including an aperient medication 4 days before operation. Neither colonic irrigation nor per oral antibiotics treatment is used routinely, because they seem unusing.
Secondly, colonic anastomosis is performed with modified Gambee one layer method. Based upon our experimental studies, the colon is cut with a surgical knife or scissors or seromuscularly with a nelectric knife, sewn with P.G.A. suture material less than 4 mm distant between stitches and tied rather strongly.
At last after the completion of anastomosis, a tolerance test deviced by us is carried out at 35 cm H2O pressure through a transanal catheter, in order to examine whether the anastomosis is sealed or not.
Out of 96 colonic anastomoses recently operated under such a device, 5 cases (5.2%) had leakage.
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