Factors influencing anastomoses
Anastomotic healing is influenced by many
factors and it is difficult to assess the influence of any single factor
especially in the clinical situation. Healing depends on fibroblastic response
and on the formation of plentiful collagen in the submucosa round the
anastomosis. The general, specific and local factors influencing anastomotic
healing are listed in Table 49.2.
The
surgeon should be aware of good techniques relating to the main sites of
anastomoses (Table 49.3).