% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{Eickhoff:852601,
      author       = {Eickhoff, Roman and Eickhoff, Simon and Katurman, Serdar
                      and Klink, Christian D. and Heise, Daniel and Kroh, Andreas
                      and Neumann, Ulf P. and Binnebösel, Marcel},
      title        = {{I}nfluence of suture technique on anastomotic leakage
                      rate—a retrospective analyses comparing
                      interrupted—versus continuous—sutures},
      journal      = {International journal of colorectal disease},
      volume       = {34},
      number       = {1},
      issn         = {0179-1958},
      address      = {Berlin},
      publisher    = {Springer},
      reportid     = {FZJ-2018-05505},
      pages        = {55-61},
      year         = {2019},
      abstract     = {Purpose While many hospitals consider a continuous sutured
                      colonic anastomosis with monofilamental fiber the current
                      state ofthe art, others have advocated for interrupted
                      sutures as the gold standard. The aim of the study was to
                      evaluate the influence ofsuture technique on leakage rate
                      (primary endpoint), wound infections, postoperative stay,
                      and mortality.Methods Retrospective analyses of 347 patients
                      (273 elective, 74 urgent) over 6 years with a handsewn
                      colonic anastomosis (190interrupted, 157 continuous),
                      excluding sigma and rectum anastomosis. Demographic and
                      surgical baseline characteristics wereused as competing
                      predictors.Results Overall leakage rate was $9\%$ but
                      strongly dependent on suture technique (interrupted: $16\%;$
                      continuous: $2.5\%;$ p = 0.001)yielding an odds ratio of
                      5.10 $[95\%$ CI: 2.55, 6.71] (relative risk of leakage). No
                      other variable showed a significant influence onleakage
                      rate. Postoperative stay was prolonged in the interrupted
                      suture group (23 ± 15 vs. 16 ± 11 days; p = 0.000,
                      attributableeffect 7.5 days [4.7, 10.3]).Conclusions Our
                      results indicate a highly significant reduction of
                      anastomotic leakage rate and postoperative stay that
                      generalizeto the underlying population by continuous sutures
                      in handsewn colonic anastomosis. In the absence of
                      randomized prospectivestudies, the current results provide
                      the yet strongest evidence for the superiority of continuous
                      sutures.Keywords Anastomotic leakage . Interrupted suture
                      technique . Continuous suture technique . Anastomotic
                      technique . Colonanastomosis},
      cin          = {INM-7},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-7-20090406},
      pnm          = {572 - (Dys-)function and Plasticity (POF3-572)},
      pid          = {G:(DE-HGF)POF3-572},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:30250969},
      UT           = {WOS:000455688100006},
      doi          = {10.1007/s00384-018-3168-6},
      url          = {https://juser.fz-juelich.de/record/852601},
}