New technique for performing the colonic anastomosis

The new colonic anastomosis technique takes advantage of the hardware and continuous single-row suture. After mobilization of the intestine, the anastomosed areas at the level of the planned resection are placed with the mesenteric edges to each other in the form of a double-barreled gun. Sutured in the middle of the distance between the mesenteric and antimesenteric edges on both sides, evenly stretched over the ligatures in the transverse direction. The formation of the posterior lip of the anastomosis occurs by simultaneous stitching of all four walls of the intestine with the imposition of a hardware suture with a U0-60 device and subsequent cutting off of the intestinal section. Moving away from the posterior lip of the anastomosis, all layers of the anterior walls of the intestines are dissected at a distance equal to 0.8–0.95 of its width. The anterior lip is formed with a twisted single-row continuous serous-muscular-submucosal suture using atraumatic absorbable synthetic suture material 4/0 with the immersion of the corners of the hardware suture. The creation of a combined colonic anastomosis greatly simplifies the operation, reduces its time while maintaining sufficient efficiency.