Abstract
We have designed an adapter called the “Kumacone II”, being a bottle-shaped rubber device which greatly aids in placing a purse-string suture, even at the lowest level near the anorectal junction of the rectum. When this adapter is used, performing the anastomosis is much less time-consuming and not as much training is needed as for low anterior resection using conventional manual suturing. In a clinical study, the incidence of leakage and incontinence was nil in five out of five patients.
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Kumashiro, R., Maekawa, T., Sano, C. et al. Kumacone II: An adapter to aid in the placement of a purse-string suture in very low anterior rectal resection. Surg Today 23, 1032–1034 (1993). https://doi.org/10.1007/BF00308985
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DOI: https://doi.org/10.1007/BF00308985