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J R Soc Med. 1981 October; 74(10): 736–738.
PMCID: PMC1439251

Experience with single-layer rectal anastomosis.


Anastomotic dehiscence following resection of the large intestine is a serious complication. Satisfactory results of single-layer anastomosis depend upon meticulous technique and a scrupulously clean colon. Out of 65 single-layer anastomoses involving the rectum, significant leakage occurred in 4 patients. The results are reported in order to draw attention to the safety and efficacy of one-layer anastomosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Everett WG. A comparison of one layer and two layer techniques for colorectal anastomosis. Br J Surg. 1975 Feb;62(2):135–140. [PubMed]
  • Goligher JC, Lee PW, Simpkins KC, Lintott DJ. A controlled comparison one- and two-layer techniques of suture for high and low colorectal anastomoses. Br J Surg. 1977 Sep;64(9):609–614. [PubMed]
  • Hamilton JE. Reappraisal of open intestinal anastomoses. Ann Surg. 1967 Jun;165(6):917–924. [PubMed]
  • Letwin E, Williams HT, Harrison RC. The experimental healing of soft tissues. J R Coll Surg Edinb. 1967 Jan;12(2):121–132. [PubMed]
  • McAdams AJ, Meikle AG, Taylor JO. One layer or two layer colonic anastomoses? Am J Surg. 1970 Oct;120(4):546–550. [PubMed]
  • Matheson NA, Irving AD. Single layer anastomosis after rectosigmoid resection. Br J Surg. 1975 Mar;62(3):239–242. [PubMed]
  • Orr NW. A single-layer intestinal anastomosis. Br J Surg. 1969 Oct;56(10):771–774. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press