What is anastomotic dehiscence?
Anastomotic dehiscence was defined as the leak of luminal content from a surgical join between two hollow viscera.
How do you prevent anastomotic leak in colon surgery?
Core tip: Although the most important prerequisites for the creation of anastomosis is well-perfused and tension-free anastomosis, surgeons have proposed several preventive measures, which were assumed to reduce the incidence of anastomotic leakage, including antibiotic prophylaxis, intraoperative air leak test.
What causes anastomotic leakage?
surgeon-related factors, which are of the most important causes of an anastomotic leakage. The presence of local sepsis (e.g. perforated diverticulitis, a perforated colorectal cancer, colorectal trauma, faecal con tamination during colorectal surgery) causes the reduction in collagen at the colonic anastomosis.
How do you prevent anastomotic leak and peritonitis?
- good exposure and access to large bowel (long enough incision)
- adequate blood supply of anastomosed stumps.
- prevent sepsis or gross faecal contamination.
- sutures or staplers should be properly placed assuring good approximation of all layers of bowel wall (most important is submucosa)
When does anastomotic leak occur?
Early anastomotic leakage (AL), usually defined as leakage within 30 post-operative days, represents a severe entity. However, mounting evidence has indicated that majorities of leakage occur within one week after surgery, making late AL rarity.
What is anastomotic ulcer?
Anastomotic ulcer is a benign lesion which may potentially occur on the surgical resection margin of intestinal wall in both upper and lower tract.
What is end to end anastomosis?
There are several techniques used by surgeons to perform an ileocolic anastomosis: End-to-end (EEA). This technique connects the two open ends of the intestines together. Side-to-side (SSA). This technique connects the sides of each part of the bowel together rather than the two ends.