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- Title
The Missing Doughnut Problem In Colorectal Anastomosis; Should We Confirm Whether The Anastomosis Is Intact.
- Authors
Dilek, Osman Nuri; Acar, Nihan; Cengiz, Fevzi; Gür, Emine Özlem; Atahan, Murat Kemal; Hacıyanlı, Mehmet
- Abstract
Introduction: Colorectal anastomosis using circular stapler has a lot of advantages. However, some technical problems may be encountered during the use of the device such as firing system disorders, incomplete anastomosis and formation of stapler defects. In this study, our clinical experience in 'the missing doughnut' problem will be evaluated with the literature. Methods: The patients who were operated with colorectal tumor between 2012-2017 was entered the study. In which we have researched and evaluated the operation reports. Case series: We detected a missing doughnut in 7 cases. The condition of the anastomosis was checked by intra-abdominal palpation, endoscopy, and "air leak test". We did not detect any leakage with the air test. Conclusion: Missing doughnuts is a condition that disturbs the surgeon, makes them think that the anastomosis is insufficient and insecure at first and evokes the idea that the anastomosis should be remade. However, a condition like this in difficult areas may jeopardize the safety of the anastomosis and cause the patient to have a permanent colostomy. In such conditions, at first one must be calm, test the strength and leak of the anastomosis line and then decide what to do.
- Subjects
COLORECTAL cancer; STAPLERS (Surgery); HISTOPATHOLOGY; LAPAROSCOPIC surgery; METRONIDAZOLE; INTRAVENOUS therapy
- Publication
Surgical Chronicles, 2021, Vol 26, Issue 2, p151
- ISSN
1108-5002
- Publication type
Article