The reader should be able to quantify the overall risk of anastomotic failure in emergency general surgery patients undergoing urgent/emergent anastomoses and identify the clinical scenarios associated with increased anastomotic failure rates. Specifically, the reader should understand the difference between handsewn and stapled techniques in this unique patient population. Additionally, understanding anastomosis timing and risk of failure in the patients managed with an open abdomen should be obtained after reading this work.
This work represents a fifteen-institution collaboration examining 595 patients with 649 urgent/emergent anastomoses (comparing handsewn and stapled techniques) performed for emergency general surgery indications over a 2.5 year period, which is the largest study to date addressing this topic.
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