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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