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  • Title: [Use of mechanical suture in anterior resection of the rectum].
    Author: Vaĭsberg D, Mints Ia, Kaufman M, Ben Zeev I.
    Journal: Khirurgiia (Mosk); 1993 Dec; (12):39-41. PubMed ID: 8158949.
    Abstract:
    Anterior resection of carcinoma of the rectum was carried out in 129 patients. Hand-sutured anastomoses were formed in 73 and stapled anastomoses in 56 patients. There were 7 leaks after sutured anastomoses (9.6%) and 2 leaks after stapled anastomoses (3.57%). No late leaks or strictures were encountered in either group. Stapled anastomoses are advantageous for the following reasons: they are standardized; they can be created at a lower level than those formed by hand sutures, thus avoiding abdominoperineal resection in many patients; the incidence of anastomotic leakage is lower; time is saved. The EEA stapler is recommended for routine use in anastomoses of the rectum.
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