Intraoperative bowel perfusion assessment methods and their effects on anastomotic leak rates: meta-analysis.

Maxwell S Renna^1,2, Mariusz T Grzeda¹, James Bailey³, Alison Hainsworth², Sebastien Ourselin^1,4, Michael Ebner⁴, Tom Vercauteren^1,4, Alexis Schizas², Jonathan Shapey^1,4,5

¹School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

²Department of General Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.

³Department of General Surgery, University of Nottingham, Nottingham, UK.

⁴Hypervision Surgical Ltd, London, UK.

⁵Department of Neurosurgery, King's College Hospital, London, UK.

PubMed PMC DOI PDF

Abstract

BACKGROUND: Anastomotic leak is one of the most feared complications of colorectal surgery, and probably linked to poor blood supply to the anastomotic site. Several technologies have been described for intraoperative assessment of bowel perfusion. This systematic review and meta-analysis aimed to evaluate the most frequently used bowel perfusion assessment modalities in elective colorectal proced…

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