STAPLED VERSUS HAND-SEWN INTESTINAL ANASTOMOSES: A SYSTEMATIC REVIEW
STAPLED VERSUS HAND-SEWN INTESTINAL ANASTOMOSES: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.51473/rcmos.v1i1.2025.913Keywords:
Intestinal anastomosis. Surgical stapler. Hand-sewn technique. Surgical complications.Abstract
To conduct a systematic review comparing the effectiveness and safety of mechanical staplers
versus hand-sewn techniques in intestinal anastomoses, focusing on postoperative
complications such as leaks, infections, and hospitalization time. Following PRISMA
guidelines, articles from 2018 to 2024 were retrieved from PubMed databases. Included
studies were randomized controlled trials, systematic reviews, and comparative analyses
focused on gastrointestinal anastomosis in humans. Twenty relevant studies were reviewed.
Most indicated reduced surgical time and lower stenosis rates with staplers. Anastomotic leak
rates were similar between techniques. Manual sutures showed cost-effectiveness and
adaptability, especially in pediatric or complex cases. Hybrid techniques also emerged as
promising alternatives. Both techniques have distinct advantages. Staplers offer technical
consistency and speed, while hand-sewn anastomoses remain viable for selected cases,
particularly where cost and anatomical variability are critical.
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Copyright (c) 2025 Letícia Meneses Teixeira, Yuri Fleury de Melo Prudente Guimarães, Leonardo de Oliveira Leite Coelho, Leo Ferreira Mattos de Miranda (Autor)
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