Year 2022 Vol. 30 No 1




Azerbaijan Medical University, Baku,
Republic of Azerbaijan

The failure of intestinal anastomotic suture is one of the urgent and dangerous problems in abdominal surgery. This problem not only complicates the course of the early postoperative period and increases financial costs, but it is also the main cause of deaths, the rate of which remains quite high with generalized peritonitis. The problem of the intestinal anastomotic leakage in the postoperative period forces researchers to develop various methods of preoperative preparation of patients, ways to strengthen the line of stitched ends of the intestine, new protocols for managing patients in the postoperative period. Despite the use of atraumatic and minimally invasive techniques as well as various stapling devices, and biopolymers of various compositions, the morbidity rate for an anastomotic leak remains quite high. The literature analysis demonstrates a tendency of preservation high rates of the suture failure of intestinal anastomosis. The actuality of this problem is especially clearly observed in case of emergency and urgent resection of the intestine against the background of acute intestinal obstruction, cancer intoxication and generalized peritonitis. The risk of anastomotic failure is believed to be caused by the age and general condition of a patient, the nature of the underlying disease, the presence of concomitant chronic diseases, the type of surgical operation, as well as the method and localization of the anastomosis being created. Despite the fact that there are a lot of sources devoted to the analysis of the causes of this problem, there is no consensus on the significance of risk factors and the effectiveness of the preventive methods used. In a number of publications there are contradictory data concerning the effectiveness of some preventive methods. Therefore, the solution of this problem requires new fundamental researches.

Keywords: intestinal anastomosis stitches failure, bowel resection, prevention of the anastomosis leakage, risk factors, reinforcement of anastomosis, biological impermeability of intestinal sutures, postoperative peritonitis
p. 86-94 of the original issue
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Address for correspondence:
AZ 1022, Republic of Azerbaijan
Baku, A. Kasumzade Str., 14,
Azerbaijan Medical University,
General Surgery Department,
tel.:+994 50 312 44 19,
Aghayev Elchin Kamil Ogly
Information about the authors:
Aghayev Elchin K., MD, Professor, Head of the General Surgery Department, Azerbaijan Medical University, Baku, Republic of Azerbaijan
Ismayilova Zulfiya E., PhD, Associate Professor of the General Surgery Department, Azerbaijan Medical University, Baku, Republic of Azerbaijan.
Mammadov Tapdig E., Senior Laboratory Assistant of the General Surgery Department, Azerbaijan Medical University, Baku, Republic of Azerbaijan.
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