Background. This targeted chart review study reports the first ever detailed global account of clinical approaches adopted to\ndetect and manage anastomotic leaks identified during surgery in routine clinical practice. Method. 156 surgeons from eight\ncountries retrospectively extracted data from surgical records of 458 patients who underwent colorectal surgery with an identified\nintraoperative leak at the circular anastomosis. Demographic details, procedures, and outcomes were analyzed descriptively, by\ncountry. Results. Most surgeries were performed laparoscopically (57.6%), followed by open surgeries (35.8%). The burden of\nintraoperative leaks on the healthcare system is driven in large part by the additional interventions such as using a sealant,\nrecreating the anastomosis, and diverting the anastomosis to a colostomy bag, undertaken to manage the leak.The mean duration\nof hospitalization was 19.9 days. Postoperative anastomotic leaks occurred in 62 patients (13.5%), most frequently 4 to 7 days after\nsurgery. Overall, country-specific differences were observed in patient characteristics, surgical procedures, method of diagnosis\nof intraoperative leak, interventions, and length of hospital stay. Conclusion. The potential cost of time and material needed to\nrepair intraoperative leaks during surgery is substantial and often hidden to the healthcare system, potentially leading to an\nunderestimation of the impact of this complication.
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