Hand-sewn colorectal anastomosis with running sutures

This figure depicts an anastomosis of the proximal colon and upper rectum using a single-layer closure with a running silk suture. One suture is placed on the mesenteric border and another is placed on the antimesenteric border. The posterior wall is anastomosed first, the bowel is turned, and the anterior portion is completed. Sutures are placed in the seromuscular layer.