Reoperative surgery following colorectal anastomotic leaks

Intestinal anastomotic leak (AL) is one of the most dreaded and challenging complications encountered after bowel surgery. Despite advances in surgical technique and innovation, anastomotic leak rates remain relatively unchanged over the past several decades. Management of an anastomotic leak typically necessitates a lengthy hospitalization often associated with considerable morbidity, suffering as well as overwhelming cost and resource utilization. The aim of this article is to provide evidence-based and experience-driven advice to a practicing surgeon on the management and reoperative strategies following an anastomotic leak.