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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,doi:10.1590/s1516-31801999000300001 pmid:10511726 fatcat:vot63dhpcnai3j6wjqjtzjowhm