Annals of Coloproctology

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Original Article

Effect of reinforcement suture on anastomotic healing in rectal and sigmoid tumor resections, single-center experience: a retrospective case-controlled study: Tomáš Řezáč, Petr Špička, Pavel Zbořil, Martin Stašek, Radek Vrba, Dušan Klos; Ann Coloproctol. 2023;39(2):139-146. Published online March 11, 2022; DOI: https://doi.org/10.3393/ac.2021.00948.0135

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Purpose
Healing of colorectal anastomosis is burdened with a number of risk factors and the development of leak carries with it higher morbidity and mortality associated not only with worse quality of life but also worse oncological outcomes. The purpose of the study was an evaluation of the effect of reinforcement suture in the healing of stapler rectal anastomosis and risk factors for anastomotic leakage in mid, upper rectal and sigmoid tumors.
Methods
A total of 357 patients who underwent curative resection for rectal or sigmoid tumor over 5 years were analyzed. Risk factors, baseline demographic and clinical data, and presence of leak were recorded. All statistical analyses were carried out at a significance level of P<0.05.
Results
One hundred fifty-one patients met the inclusion criteria for the study. The overall incidence of leak was 2.8% in the group with reinforcement suture and 6.3% in the group without reinforcement suture. Because of the low incidence of leak the results were not statistically significant. Further results also show that none of the monitored parameters (age, weight, body mass index, tumor distance, preoperative radiotherapy, tumor stage, type of surgery) were significant predictors of anastomotic leakage.
Conclusion
Although the reinforcement suture is a safe and simple option for anastomosis protection after rectal or sigmoid resections, its statistical significance was not demonstrated in our study.

Citations

Citations to this article as recorded by

Risk Factors for Sigmoid Colonic Anastomosis: A Comparative and Cross-Sectional Analysis
Tutkun Talih, Gokhan Sonmez, Erdogan Sozuer, Sevket Tombul, Mahmut Kulturoglu, Dogan Islam, Hızır Akyıldız, Abdullah Demirtas, Mustafa Karaagac, Fatih Dal
Therapeutics and Clinical Risk Management.2025; Volume 21: 1219. CrossRef
Comprehensive evaluation of reinforcement strategies for anastomotic leak prevention in rectal cancer surgery: an umbrella review of meta-analyses
Arcangelo Picciariello, Gianpiero Gravante, Alfredo Annicchiarico, Rossella Melcarne, Leonardo Vincenti
Updates in Surgery.2025; 77(8): 2195. CrossRef
Defining key interventions for rectal cancer surgery: a literature review and expert panel consensus
Cédric Schraepen, Gabriele Bislenghi, Kris Vanhaecht, André D’Hoore, Albert Wolthuis, Ellen Coeckelberghs
International Journal of Colorectal Disease.2025;[Epub] CrossRef

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