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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 28, 2013; 19(32): 5309-5313
Published online Aug 28, 2013. doi: 10.3748/wjg.v19.i32.5309
Published online Aug 28, 2013. doi: 10.3748/wjg.v19.i32.5309
Can trans-anal reinforcing sutures after double stapling in lower anterior resection reduce the need for a temporary diverting ostomy?
Se-Jin Baek, Jin Kim, Jungmyun Kwak, Seon-Hahn Kim, Department of Surgery, Korea University College of Medicine, Seoul 136-705, South Korea
Author contributions: Baek SJ mainly contributed to this paper; Kim J edited the paper; Kwak J and Kim SH reviewed the paper generally.
Correspondence to: Jin Kim, MD, PhD, Department of Surgery, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul 136-705, South Korea. mrgs@korea.ac.kr
Telephone: +82-2-9205346 Fax: +82-2-9281631
Received: April 10, 2013
Revised: June 16, 2013
Accepted: July 18, 2013
Published online: August 28, 2013
Revised: June 16, 2013
Accepted: July 18, 2013
Published online: August 28, 2013
Core Tip
Core tip: We have performed trans-anal reinforcing sutures after the double-stapled anastomotic technique to intensify the anastomotic line and to reduce leakage. As a result, we found that the rate of placement of a diverting ileostomy was significantly reduced in cases of performing the trans-anal reinforcing sutures although there was no significant decrease of anastomotic leakage.