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Gastrointestinal Anastomosis

The ideal intestinal anastomosis is the one which does not leak and does not obstruct, allowing normal function of the gastro-intestinal tract within a few days of construction. [1]

Recommended technique
Single-layer continuous technique using a monofilament is:
  • Accurate
  • Fast to perform
  • Cost effective [1], [2], [3]
Recommended materials

Synthetic monofilament absorbable suture material, size 4/0 (metric 1.5) armed with a ½ circle, 26 mm long taper point needle is ideal for anastomosis in the gastrointestinal tract. [4]

Monosyn®

Mid-term synthetic absorbable monofilament suture made of glyconate.

Product features
  • Smooth passage through tissue
  • Less infection promoting effect in vitro [5]
  • Excellent handling properties
  • Mid-term degradation profile
Recommended codes
  • C0022814 MONOSYN VIOLET 4/0 (1.5) 70 cm 2xHR22
  • C0022823 MONOSYN VIOLET 4/0 (1.5) 70 cm 2xHR26
  • C0022649 MONOSYN VIOLET 3/0 (2) 70 cm 2xHR26b
    (Easyblack Needle)

[1] Schein M et al. (eds). Schein’s Common Sense Emergency Abdominal Surgery. The Intestinal Anastomosis. Chapter 13; 3rd ed. © Springer-Verlag Berlin Heidelberg 2010: 107-112
[2] Burch J, Franciose R, Moore E, et al.; Single-Layer Continuous Versus Two-Layer Interrupted Intestinal Anastomosis. Ann Surg; 2000; 231(6): 832
[3] Law WL, Bailey HR, Max E, et al. Single-layer continuous colon and rectal anastomosis using monofilament absorbable suture: study of 500 cases. Dis Colon Rectum. 1999 Jun;42(6):736-40
[4] Kocher T, Harder F. Anastomosis techniques in the gastrointestinal tract: using modern, monofilament suture materials; Chapter 5; st ed. Wollerau: Covidien Switzerland Ltd., 2007: 35
[5] Choi HJ, Chae HD. Comparison of E. coli infiltration between new synthetic absorbable sutures. J Jorean Surg Soc. 2009;77(1):1-6