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J R Soc Med. 1981 January; 74(1): 44–48.
PMCID: PMC1438350

Single-layer anastomosis in the large bowel: ten years' experience.


Satisfactory experience with single-layer colorectal anastomosis during 1969-74 led to an analysis of the results of single-layer large bowel anastomosis during the subsequent years 1975-79. This technique has continued to be associated with a low incidence of anastomotic failure, but anastomotic integrity also depends on rigorous attitudes to bowel preparation, to bacterial contamination and to the avoidance of anastomosis when the risk of anastomotic failure is high.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bell CM, Lewis CB. Effect of neostigmine on integrity of ileorectal anastomoses. Br Med J. 1968 Sep 7;3(5618):587–588. [PMC free article] [PubMed]
  • Hewitt J, Reeve J, Rigby J, Cox AG. Whole-gut irrigation in preparation for large-bowel surgery. Lancet. 1973 Aug 18;2(7825):337–340. [PubMed]
  • Matheson NA, Irving AD. Single layer anastomosis after rectosigmoid resection. Br J Surg. 1975 Mar;62(3):239–242. [PubMed]
  • Matheson NA, Irving AD. Single layer anastomosis in the gastrointestinal tract. Surg Gynecol Obstet. 1976 Oct;143(4):619–624. [PubMed]
  • Matheson NA, Valerio D. Large-bowel surgery, 1979: self-assessment. Br Med J. 1980 Sep 13;281(6242):719–721. [PMC free article] [PubMed]
  • Stewart DJ, Matheson NA. Peritoneal lavage in appendicular peritonitis. Br J Surg. 1978 Jan;65(1):54–56. [PubMed]
  • Stewart DJ, Matheson NA. Peritoneal lavage in faecal peritonitis in the rat. Br J Surg. 1978 Jan;65(1):57–59. [PubMed]

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