PMID: 9537567Apr 16, 1998Paper

All mechanical low rectal anastomosis in children

Journal of Pediatric Surgery
G MattioliV Jasonni

Abstract

The aim of this study is to demonstrate the feasibility and usefulness of mechanical suturing in children for low rectal anastomosis. The study group includes 31 children operated on from January 1993 to July 1996 by the same senior surgeon, performing the modified Duhamel procedure for Hirschsprung's disease in 17 children, intestinal neuronal dysplasia in seven, and the Knight-Griffen procedure in seven pediatric patients with chronic ulcerative colitis. In all the cases the technique of "viscero-synthesis" was performed using the mechanical stapler. A circular stapler has been used for the end-to-end and the end-to-side anastomosis between the anal canal or the back wall of the rectum with the pulled viscus, while a linear endoscopic stapler (GIA) has been used for the consolidation of the rectocolic wall in the modified Duhamel technique. The results obtained demonstrate that the mechanical staplers in children are safe and effective in low rectal anastomosis, sparing operative time and reducing the risk of anastomotic dehiscence; however, the size of circular instruments limits its use in neonates and small infants.

References

May 1, 1991·Journal of Pediatric Surgery·S B PalderP Sherman
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May 1, 1989·Diseases of the Colon and Rectum·I T KhubchandaniR D Riether
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Oct 1, 1994·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·G MartuccielloV Jasonni
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Citations

Aug 10, 2004·Pediatric Surgery International·Arnold G Coran, Massimo Rivosecchi
Mar 29, 2011·Pediatric Surgery International·Girolamo MattioliVincenzo Jasonni
Jul 16, 2003·Journal of Pediatric Surgery·Girolamo MattioliVincenzo Jasonni
Nov 18, 2005·Journal of Pediatric Surgery·Girolamo MattioliArrigo V Barabino

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