Seal-G MIST (Minimally Invasive Sealant/Spray Technology) System Safety Study [SEALAR Study]

Inclusion Criteria:

1. Subject \>18 years
2. Subject is scheduled for elective open or laparoscopic colorectal resection (including left colectomy, sigmoidectomy, anterior resection, subtotal colectomy) surgery (including robotic) involving the creation of circular stapler anastomosis
3. Subject signs and dates a written Informed Consent Form, indicates an understanding of the study procedures and follow-up requirements and is willing to comply with them

Exclusion Criteria:

1. Anastomosis is expected to be ≤ 10cm from anal verge
2. Surgery involves stoma creation
3. Subject who underwent a prior pelvic radiation therapy
4. Subject with a BMI \> 40 or \<19
5. Subject with American Society of Anesthesiologists (ASA) status higher than 3
6. Albumin level \< 3 gr/dl
7. Hemoglobin level \< 8 g/dl on day of surgery
8. Subject has a diagnosis of bowel strangulation, peritonitis, bowel perforation, local or systemic infection, ischemic bowel, and carcinomatosis
9. Subject treated with immunosuppressive agents within 28 days prior to study enrollment (including corticosteroids)
10. Serious or uncontrolled co-existent diseases (e.g. severe cardiovascular disease, congestive heart failure, recent myocardial infarction within 6 months from surgery, significant vascular disease, active or uncontrolled autoimmune disease, active or uncontrolled infection, uncontrolled diabetes mellitus with episodes of hospitalization due to hypo or hyperglycemia within 6 months of surgery)
11. Subject known to have distant metastases, such as liver, lung, bone etc. metastases (not including local and regional lymph nodes)
12. Subject with known sensitivity to Indigo carmine dye (E132)
13. Subject who according to the investigator clinical judgement is not suitable for participation in the study
14. Subject with a life expectancy of less than 1 year
15. Subject requires more than one anastomosis during the surgery
16. Subject is scheduled for another surgery during the follow up period of this study
17. Subject participating in any other study involving an investigational (unapproved) drug or device
18. Woman who is known to be pregnant or breast-feeding or woman who is planning pregnancy or breast-feeding in the 5 next months
19. Vulnerable subjects (e.g. mentally handicapped, prisoners, etc.)