Introduction: In the 1980s, the change of suture techniques from double-layered handwriting went to the mechanical sutures due to their rapid execution and anastomosis, although they did not substantial decrease in anastomotic dehiscence with mortality (1). In 1985, some authors attempting to reduce anastomotic complications introduced a biofragmentable anastomotic device consisting of absorbable polyglycolic acid and 12.5% barium sulphate. The goal of this study and document the results obtained after using the BAR at our institution in unregulated elderly patients needed for colon resection. Materials and methods: From January 2006 to Dicemdre 2016 consulted the database of the company Policlinico G Rodolico of the University of Catania were hospitalized n 40 colon resuscitated patients with entero-colic anastomosis by Valtrac / BAR. Of these, 45% (18 cases) were females, 55% (22cases) were male. The median age was 72 years (range 62-82 years). Colonic resection patients were affected by the following pathology of the colon in 22 cases (55%), in 10 cases of diverticular disease (25%) and in the remaining 8 cases (20%) from a colon polyposis. The BAR was used for the construction of various types of anastomosis, including all procedures involving the upper and lower gastrointestinal tract. Results: The results were encouraging for this type of suture implemented: IN 10 cases the colo-colon anastomoses were implemented (27%) cases of right colectomy (aneurysms of colic) and 7 (17.5%) were made of sigmoid resections (colo-colic anastomosis) finally in 12 cases (30%) of sinus colectomy (colonoscopy anastomosis). Discussion : The BAR is a device that is synthesized with PGA, acid characterized by hydrolytic instability. Its degradation process is erosive following two steps during which the polymer is converted to glycolic acid. In the first stage, water is creeping in the non-crystalline amorphous regions of the material, breaking down the foreign bonds present; the second phase begins when the amorphous region is eroded, leaving the crystalline portion of the polymer exposed to the action of water. When the crystalline structure collapses, the polymer chain dissolves. In relation to the results obtained, the BAR is a viable alternative to the mechanical suturing machines in a colic elective surgery in patients with clinical conditions that you say, and there is no picture of generalized generalized floggies. Conclusions: Based on our experience,. Simplicity of technique, versatility and rapid execution makes the BAR still a valid, safe and interesting alternative as well as accommodating many patients for surgery without leaving sutures.
