The efficacy of intraoperative methylene blue enemas to assess the integrity of a colonic anastomosis

摘要: Intraoperative testing of colonic anastomoses is routine in assuring anastamotic integrity. We sought to determine the efficacy methylene blue enema (MBE) as an intraoperative test for anastomotic leaks. This study a retrospective review consecutive operations performed from January 2001 December 2004 community hospital setting by general surgical group that uses MBE exclusively. All featuring anastomosis and were studied (n = 229). via rectal tube was used diagnostic test. leak (IOL) rate clinically significant postoperative (POL) outcome measures. The IOL 4.5% proximal anastomoses, 8% distal 7% total anastomoses. POL 3% anastomosis. There no other methods employed. POLs cases where led concomitant repair. 0.8% 3%, stapled 1% hand sewn 5%. comparable published rates testing. can be applied Patients who found have IOL, underwent immediate repair, did not develop clinical POL.