Microbiological spectrum of the intraperitoneal surface after elective right-sided colon cancer: are there differences in the peritoneal contamination after performing a stapled or a handsewn anastomosis?

International Journal of Colorectal Disease
Jaime Ruiz-TovarRafael Calpena

Abstract

Although colonic surgery is performed with strict aseptic measures, some contamination is nearly impossible to avoid. In stapled anastomosis, the hole opened in the colon is minimum, just necessary for introducing the parts of the mechanical devices. In handsewn anastomosis, the colonic lumen is more exposed to the peritoneum, despite colonic occlusion with clamps while the suture is performed. A prospective, randomized study was performed between October 2009 and June 2011. Inclusion criteria were a diagnosis of right-sided colon cancer and having undergone an elective surgery with curative aims. The patients were divided into two groups: those patients undergoing a stapled ileocolonic anastomosis (group 1) and those undergoing a handsewn anastomosis (group 2). A microbiological sample was obtained from the peritoneal surface before opening the colon and after finishing the anastomosis in each group. Data were correlated with the wound infection and intra-abdominal infection rates. Eighty-four patients were included in the study: 42 patients in each group. There were two intra-abdominal abscesses (5 %) in each group (NS). Wound infection rate was 10 % in group 1 and 7 % in group 2 (NS). Mean operative time was 98.8 min in the ...Continue Reading

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References

Oct 27, 1998·Diseases of the Colon and Rectum·M HashemiA A Lewis
Jan 24, 2002·Diseases of the Colon and Rectum·M Muñoz-JuárezM R Keighley
Aug 17, 2002·The European Journal of Surgery = Acta Chirurgica·Kennet SmedhThorsten Hagberg
Feb 19, 2005·Diseases of the Colon and Rectum·Andrea ResegottiGian Ruggero Fronda

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