Evaluation of intestinal wall closure using vessel-sealing technology versus conventional closure: an in vivo study

Anastomotic leakage is a major postoperative complication of colorectal surgery. LigaSure™ is used commonly for vessel-sealing, but its use for intestinal anastomosis or closure, particularly the healing process, is underreported. We conducted this study to evaluate the feasibility of using LigaSure...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2024-11
Main Authors: Shiraishi, Toshio, Nonaka, Takashi, Tominaga, Tetsuro, Hashimoto, Shintaro, Maruta, Hiroshi, Noda, Keisuke, Sawai, Terumitsu, Matsumoto, Keitaro
Format: Article
Language:English
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Summary:Anastomotic leakage is a major postoperative complication of colorectal surgery. LigaSure™ is used commonly for vessel-sealing, but its use for intestinal anastomosis or closure, particularly the healing process, is underreported. We conducted this study to evaluate the feasibility of using LigaSure™ for intestinal wall closure, compared with hand-sewn methods. We performed intestinal wall closure of the cecum in rat laparotomy procedures, dividing subjects into a LigaSure™ group (LS) and a hand-sewn group (HS). We compared operation times, tissue structure changes, and pressure resistance from immediately post-operatively to postoperative day (POD) 14. No postoperative dehiscence or mortality occurred in either group. The LS group required significantly less closure time (113 s) than the HS group (321 s, p 
ISSN:0941-1291
1436-2813
1436-2813
DOI:10.1007/s00595-024-02961-4