Surgery of the colon, rectum and anal canal

Intestinal anastomoses

Anastomosis is the connection of two parts of the intestine. It is constructed:

-          after a resection procedure, when the two ends of the bowel are joined to restore continuity of the bowel

-          in palliative surgery, the anastomosis bypasses an inoperable obstruction to the bowel, most commonly a tumour


Palliative procedure in case of colonic tumor

ileo-transverso anastomosis         transverso-sigmoideo anastomosis

https://www.jaypeedigital.com/eReader/chapter/9789350251218/ch24



  According to the reconstruction we differentiate:

- hand made anastomoses

- stapler anastomoses


Stapler anastomosis side-to-side


https://core.ac.uk/download/78546104.pdf


Hand made constructed anastomosis end-to-end


Jan Muhammad Memon, et al.  Hand sewn single layer serosubmucosal interrupted Vs. Continuous intestinal anastomosis., 2015

 

According to the type of junction we differentiate:

- end to end see a)

- end to side see b)

- side to side see c)


https://www.jaypeedigital.com/eReader/chapter/9789350251218/ch24