Immediate outcomes of gastroenterostomies and interintestinal anastomoses performed using "aseptic" serous-muscular sutures

There are a large number of methods for imposing anastomosis on the gastrointestinal tract. In particular, the so-called closed and aseptic methods of gastroenterostomy and interintestinal anastomosis are described. It would seem that the widespread use of antibiotics in clinical practice should exclude the occurrence of peritonitis in the postoperative period, and the formation of anastomoses by the open or closed method is not essential. But it is known that antibiotic-resistant microorganisms have appeared, and peritonitis after operations on the gastrointestinal tract, especially on the large intestine, as well as in cancer patients, continues to be the main cause of postoperative mortality (H. N. Petrov, 1956; I. Ya. Deineka, 1960). This is confirmed by reports from other authors. The mortality rate from peritonitis after large intestine surgeries is especially high - from 37% to 74%. Peritonitis is also observed after gastroenterostomy, especially in patients with cancerous lesions of the stomach (KL Berezov, 1960). According to N.I. Krakovsky (1960), in hospitals of the RSFSR, postoperative mortality from gastroenterostomies in gastric ulcers was 7%, and in gastric cancer — 13%.