Handsewn or stapled colorectal anastomosis? Or how evidence based is surgical practice?

Delcio Matos, Suzana Angélica Silva Lustosa
1999 São Paulo Medical Journal  
Sao Paulo Med J/Rev Paul Med 1999; 117(3):99-100. Handsewn or stapled colorectal anastomosis? Or how evidence based is surgical practice? Responding to increasing demands for costeffectiveness relation a recent randomized trial which compared the cost of stapled and handsutured anastomosis in the gastrointestinal tract, has concluded that stapled anastomosis are not efficcient and should be reserved for individual indications. 1 However, one can admit that in the general surgical practice,
more » ... ical practice, preference for stapler is so overwhelming that cost-effectiveness approach is being neglected since the first anastomotic machine has been fired. As a matter of fact most surgeons do not regard this as an issue of concern and as a result it has not been considered as a major study endpoint in the literature. 2
doi:10.1590/s1516-31801999000300001 pmid:10511726 fatcat:vot63dhpcnai3j6wjqjtzjowhm