• Optimal anastomosis requires adequate blood supply, free tension and reliable technique.
• Choose the right staple size for the tissue thickness.
• Compression must be exerted for at least 15 seconds to displace tissue fluids
• The correct use of the device is more important than the manufacturer of the device
• Consider harmonisation of anastomotic techniques between your surgical teams to reduce unnecessary variation
• Remember to test your right sided anastomosis (using the SAFE anastomosis principle)

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