Module 5: Summary
- Absorbable sutures are preferential, although these can be monofilament or multifilament dependant on surgeons preference
- Suture bites are recommended between 3-5 mm depth and spaced 3-5mm apart in healthy tissue. 10mm bites may be necessary in diseased bowel
- Single layer closure is sufficient, but must include the submucosa. Full-thickness bites may be preferential in diseased bowel to ensure all layers are taken.
- Interrupted sutures may be preferential in diseased bowel.
- Side-to-side configurations are most common, although no consensus around the optimal configuration exists.
- Remember to always check for a SAFE handsewn anastomosis.
"Choice of suture" Notes
"Choice of suture technique" Notes
"Choice of suture technique 2" Notes
"Harmonising handsewn anastomosis technique" Notes
"Alternative configurations" Notes
"Checking the handsewn anastomosis" Notes
