Anastomoses must be constructed without pulling on the tissue.
Surgical connections between two tubular anatomical structures, known as , are the backbone of gastrointestinal surgery. Whether you are a resident looking for a clear guide or a surgeon reviewing the latest methods, understanding these techniques is crucial for preventing complications like leaks, fistulas, and strictures.
The bowel ends should be inverted, or folded into themselves, to secure the mucosal surfaces. Manual Suture Techniques