In surgery, primary anastomosis refers to the procedure in which a proximal part of the bowel is connected to a distal part.
Primary anastomosis is usually done following surgical resection of a part of bowel, which could be due to compromised blood supply, stricture, perforation, or a tumor, etc. After resecting the unhealthy bowel, the remaining ends are sutured together to form a primary anastomosis.
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These are known as primary elections or primaries.