Single-layer continuous colon and rectal anastomosis using mononofilament absorbable suture (Maxon (R)) - Study of 500 cases

PURPOSE: The study purpose was to evaluate the results of continuous, singl e-layer colon and rectal anastomoses using a monofilament absorbable suture material (Maxon). METHODS: Four hundred ninety-two consecutive patients un dergoing five hundred colon and rectal anastomoses with the above technique were evaluated for outcome, including anastomotic leakage, stricture, and other complications, by means of chart review. RESULTS: Three patients (0.6 percent) died after surgery and 7 (1.4 percent) developed clinical evidenc e of anastomotic leakage. Twenty-four percent developed some postoperative complications, most of which were minor. CONCLUSIONS: Continuous, single-la yer colorectal anastomosis using monofilament absorbable suture can be perf ormed safely, quickly, and with a favorable cost ratio. Handsewn anastomose s should still be part of the armamentarium of the well-trained surgeon.