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.
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