AI Article Synopsis
- The study explores the safety and effectiveness of stapled intestinal anastomosis in premature infants, comparing it to traditional handsewn techniques.
- Over a 4-year period, researchers reviewed cases involving 65 premature infants, focusing on complications within three months post-surgery.
- Results indicated no significant differences in complication rates, although a slightly higher incidence of rectal bleeding was observed in the stapled group, but it wasn't statistically significant.
Article Abstract
Purpose: The safety and effectiveness of a stapled intestinal anastomosis in adults, children, and infants is well documented. However, in neonates it is not well validated. We hypothesized that premature infants who received a stapled bowel anastomosis utilizing endoscopic staplers had similar outcomes compared to patients with a handsewn anastomosis.
Methods: A retrospective study was performed reviewing premature infants who underwent an intestinal anastomosis over a 4-year period. Patients greater than 36weeks gestational age at birth or a weight greater than 5kg at surgery were excluded. Patient demographics, type of intestinal anastomosis, and anastomotic related complications within 3months were collected and analyzed.
Results: Sixty-five patients underwent 71 operations involving an intestinal anastomosis: 33 cases were handsewn, and 38 cases were stapled. Groups were noted to have differences in age, weight, and diagnosis. Complications including leak and anastomotic stricture did not differ between groups. Reports of blood per rectum after surgery were more common in the stapled group (24% versus 6%, p=0.0522), but this did not reach statistical significance.
Conclusion: There were no significant differences in anastomotic complications when comparing the handsewn and stapled intestinal anastomosis techniques in premature infants weighting less than 5kg.
Type Of Study: Treatment Study.
Level Of Evidence: III.
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Source |
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| http://dx.doi.org/10.1016/j.jpedsurg.2017.10.024 | DOI Listing |
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