Surgical principles of intestinal anastamosis

These may be summarised thus;

• Good blood supply; Ensure that both ends of the bowel that are being used for anastamosis have a good blood supply.
• No tension; The ends joined together must not be under tension.
• No distal obstruction; There must be no distal obstruction.
• Stapled or Hand sewn provided done well.
• Healthy tissues; The area where the anastamosis is formed should be healthy, it is not a good idea to put the anastamosis in an abscess cavity etc. The patient must in in reasonable shape and nutrition, without jaundice, Zn and Vitamin C deficiency.