A new method for the prevention of anastomotic leakage in terminal entero-enteroanastomoses in emergency cases

Abstract

The study investigates the importance of continuous intramesenteric blockade and lymphotropic therapy in preventing leakage in terminal entero-enteroanastomoses performed in emergency small intestine resections near the ileocecal valve (3–12 cm from the cecum). Clinical data from 97 patients were analyzed (54 in the main group with the applied method and 43 in the comparison group). Anastomotic leakage was observed in 2 (3.7%) patients in the main group versus 6 (14%) in the comparison group. The method improves local circulation, lymphatic drainage, and accelerates intestinal passage, reducing intraluminal pressure. Continuous intramesenteric blockade and lymphotropic therapy are recommended for preventing anastomotic leakage in terminal entero-enteroanastomoses in emergency surgical procedures.