Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study

BackgroundPostoperative benign anastomotic rectal stenosis (BAS) has a significant incidence rate (2-30%). Recently, it has been shown that its incidence decreases with a larger anastomotic diameter (>= 31 mm). The level of awareness of this data and the interest in creating an intraoperative ana...

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Autores: Llorach-Perucho, N, Cayetano-Paniagua, L, Serra-Aracil, X
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p6526
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/6526
https://www.scopus.com/inward/record.uri?eid=2-s2.0-105008706090&doi=10.1007%2Fs10151-025-03157-9&partnerID=40&md5=aeee7c3829dff65ef6f9ba49497d0b2d
Access Level:acceso abierto
Palabra clave:Anastomotic stenosis
Rectal surgery
Circular stapler diameter
Colorectal anastomosis
Intraoperative dilation
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spelling Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational studyLlorach-Perucho, NCayetano-Paniagua, LSerra-Aracil, XAnastomotic stenosisRectal surgeryCircular stapler diameterColorectal anastomosisIntraoperative dilationBackgroundPostoperative benign anastomotic rectal stenosis (BAS) has a significant incidence rate (2-30%). Recently, it has been shown that its incidence decreases with a larger anastomotic diameter (>= 31 mm). The level of awareness of this data and the interest in creating an intraoperative anastomotic dilation system remain unknown. The aim of the study is to evaluate, using a survey sent to Spanish colorectal surgeons, the knowledge of postoperative strictures in rectal surgery as well as the use of methods to prevent them.MethodsAn observational cross-sectional study was conducted using a survey sent to 101 colorectal surgeons from 49 colorectal surgery units in Spanish hospitals in June 2024.ResultsEighty-seven responses were obtained (86.1%); 39 (44.8%) were aware of their BAS rate, 41 (47.1%) recognized it as similar to the rate reported by our group (16.3%), and 82 (94.3%) considered this rate too high. Regarding mechanical sutures, none used 25-mm sutures, 43/87 (49.4%) used 28-29-mm sutures, 39/87 (44.8%) used 31-mm sutures, and only 5/87 (5.7%) used 33-mm sutures; 72.4% (63/87) were unaware of the existence of dilation mechanisms, while 15 (17.2%) knew about or used some type of device. In an ideal dilation situation, mechanical dilation (60%) predominated over pneumatic, although the same number of surgeons would choose to use dilators (21/87) as would opt not to use them (22/87). Forty-three of 87 (43.9%) would tend to use larger anastomotic diameters (31 mm).ConclusionsThere is a significant lack of knowledge about the incidence of BAS and its relationship with the anastomotic diameter. Increased awareness of these issues is needed, aiming to use the widest possible mechanical sutures (> 31 mm) and considering the need for dilation devices to reduce the incidence of BAS.SPRINGER-VERLAG ITALIA SRL2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/6526https://www.scopus.com/inward/record.uri?eid=2-s2.0-105008706090&doi=10.1007%2Fs10151-025-03157-9&partnerID=40&md5=aeee7c3829dff65ef6f9ba49497d0b2dTechniques in ColoproctologyISSN: 11236337ISSNe: 1128045Xreponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p65262026-06-21T15:30:37Z
dc.title.none.fl_str_mv Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
title Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
spellingShingle Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
Llorach-Perucho, N
Anastomotic stenosis
Rectal surgery
Circular stapler diameter
Colorectal anastomosis
Intraoperative dilation
title_short Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
title_full Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
title_fullStr Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
title_full_unstemmed Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
title_sort Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study
dc.creator.none.fl_str_mv Llorach-Perucho, N
Cayetano-Paniagua, L
Serra-Aracil, X
author Llorach-Perucho, N
author_facet Llorach-Perucho, N
Cayetano-Paniagua, L
Serra-Aracil, X
author_role author
author2 Cayetano-Paniagua, L
Serra-Aracil, X
author2_role author
author
dc.subject.none.fl_str_mv Anastomotic stenosis
Rectal surgery
Circular stapler diameter
Colorectal anastomosis
Intraoperative dilation
topic Anastomotic stenosis
Rectal surgery
Circular stapler diameter
Colorectal anastomosis
Intraoperative dilation
description BackgroundPostoperative benign anastomotic rectal stenosis (BAS) has a significant incidence rate (2-30%). Recently, it has been shown that its incidence decreases with a larger anastomotic diameter (>= 31 mm). The level of awareness of this data and the interest in creating an intraoperative anastomotic dilation system remain unknown. The aim of the study is to evaluate, using a survey sent to Spanish colorectal surgeons, the knowledge of postoperative strictures in rectal surgery as well as the use of methods to prevent them.MethodsAn observational cross-sectional study was conducted using a survey sent to 101 colorectal surgeons from 49 colorectal surgery units in Spanish hospitals in June 2024.ResultsEighty-seven responses were obtained (86.1%); 39 (44.8%) were aware of their BAS rate, 41 (47.1%) recognized it as similar to the rate reported by our group (16.3%), and 82 (94.3%) considered this rate too high. Regarding mechanical sutures, none used 25-mm sutures, 43/87 (49.4%) used 28-29-mm sutures, 39/87 (44.8%) used 31-mm sutures, and only 5/87 (5.7%) used 33-mm sutures; 72.4% (63/87) were unaware of the existence of dilation mechanisms, while 15 (17.2%) knew about or used some type of device. In an ideal dilation situation, mechanical dilation (60%) predominated over pneumatic, although the same number of surgeons would choose to use dilators (21/87) as would opt not to use them (22/87). Forty-three of 87 (43.9%) would tend to use larger anastomotic diameters (31 mm).ConclusionsThere is a significant lack of knowledge about the incidence of BAS and its relationship with the anastomotic diameter. Increased awareness of these issues is needed, aiming to use the widest possible mechanical sutures (> 31 mm) and considering the need for dilation devices to reduce the incidence of BAS.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/6526
https://www.scopus.com/inward/record.uri?eid=2-s2.0-105008706090&doi=10.1007%2Fs10151-025-03157-9&partnerID=40&md5=aeee7c3829dff65ef6f9ba49497d0b2d
url https://i3pt.portalinvestigacion.com/publicaciones/6526
https://www.scopus.com/inward/record.uri?eid=2-s2.0-105008706090&doi=10.1007%2Fs10151-025-03157-9&partnerID=40&md5=aeee7c3829dff65ef6f9ba49497d0b2d
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER-VERLAG ITALIA SRL
publisher.none.fl_str_mv SPRINGER-VERLAG ITALIA SRL
dc.source.none.fl_str_mv Techniques in Coloproctology
ISSN: 11236337
ISSNe: 1128045X
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
collection r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
repository.name.fl_str_mv
repository.mail.fl_str_mv
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