Rational (II)

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• The type of anastomosis (iso or anti) does not show any significant clinical difference.  Preference is surgeon related, however, iso peristaltic anastomosis is preferred.

• Closure of the common enterotomy is most commonly done by suture closure.  A two layer, running absorbable suture, technique is the preferred method.  A 3-0, 180 day, 15 cm in length with a CV23 needle V-lock is my preferred suture.

• The common enterotomy may be closed with the stapler as well

• The mesenteric defect is left open

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