Twenty two bowel anastomoses were attempted in 22 patients with a Valtrac(r) biofragmentable anastomosis ring(BAR) for elective and emergency bowel anastomosis. Patients ranged in age from 26 to 78 years(mean 47.2), with following diagnosis:
Primary
colon cancer, nine; diverticulosis, three; postoperative intestinal obstruction, two; intussusception, two; traumatic transverse colon rupture, traumatic right colon necrosis, strangulated jejunal umbilical hernia, traumatic jejunal perforation,
hepatomay rupture with metastatic colon cnacer rupture, jejunal free graft for larynx cancer, one each. Operation were perfomed as elective in 14 and emergency in 8. Anastomoses performed were entercolic(N=11), enteroenteric(N=6), and colocolic
or
coloretal(N=5). Use of the BAR device size and gap were 28/1.5 mm(N=6), 28/2.0 mm(n=1), 31/1.5 mm(n=10), and 31/2.0mm(n=5).
In one patient intraoperative complication was occured due to serosal tear. One patient developed anastomotic leak. There was one death due to ARDS and sepsis.
The average duration of postoperative ileus was 3.0 days.
Advantages appear to be a more rapid and easy anastomosis with better healing. The BAR seems to be a safe and reliable alternative to conventional suture anastomosis in elective and emegency bowel surgery.
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