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  • Title: [Anorectal continence following manual and mechanical anastomosis suture. Results of a controlled study of rectal surgery].
    Author: Jostarndt L, Thiede A, Lau G, Hamelmann H.
    Journal: Chirurg; 1984 Jun; 55(6):385-90. PubMed ID: 6380981.
    Abstract:
    In a controlled clinical trial-manual vs. stapler anastomosis in rectal surgery-it was found that both suture techniques per se made no difference in the function of anal continence. The anal pressures at rest and sphincter contraction remained unchanged. A linear reduction of functional reservoir of the "neorectum" could be shown, which depended on the level and healing of the anastomosis. An anastomosis level at 6 cm from anocutaneous line is important for functional reasons. Anastomoses above this level do not cause any consequences for anal continence. Anastomoses below this level result in a reduced functional reservoir for at least 6 months. Within this period a decrease in anal continence is possible, especially in cases of disturbed healing of the anastomosis.
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