This approach has shown to be a viable option, resulting in enhanced recovery in comparison to open primary colorrhaphy [5-7].
The necrotic edges of the perforation were debrided, and colorrhaphy was performed with interrupted 3-0 Vicryl (Ethicon Inc., Somerville, NJ, USA) suture in a single layer technique.
The colorrhaphy itself consists of interrupted stitches with absorbable suture, usually in one layer to avoid narrowing of the lumen, especially in the sigmoid, and to minimize stretching of the serosal layer (Figure 1).
Primary colorrhaphy was successfully completed for management in all three cases.
Te remaining complication consisted of an intraabdominal abscess secondary to leakage at the site of the colorrhaphy, requiring sigmoid resection and end colostomy creation.