Comparison of Single Layer Versus Double Layer Continuous Anastomotic Technique for Small Bowel Resection and Anastomosis.
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Date
2014-12
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Abstract
Small intestinal resection and anastomosis
is an important surgical procedure. Aims and Objectives :
To study efficacy and safety of single layer intestinal
anastomosis using non absorbable suture material against
conventional double layer anastomosis. Single layer
anastomosis will decrease surgery time and minimize
incorporation of foreign body [sutures]. Materials and
Methods : Present study carried out in Pravara rural hospital,
Loni. It is a prospective study of 50 patients who underwent
elective and emergency resection and anastomosis of small
intestine from May 2004 to Oct 2006. Observations : Majority
of patients were in the age group of 40-50 yrs and children.
Intestinal obstruction with gangrene was the most common
indication for anastomosis. Significant difference was found
in recovery and complications between two methods after
applying Z-test. Discussion : Forty seven patients required
resection and anastomosis and 3 patients operated for
ileostomy closure. Single layer anastomosis has superior
results as compared to double layer anastomosis of small
intestine. Conclusion : Arithmetical means of these endpoints
suggest that single layer method offers same or better results
than double layer method.
Description
Keywords
methods and complications of resection and anastomosis of small intestine
Citation
Baviskar P K, Shah B A, Jorwekar G J, Jain Paresh, Dandekar K N. Comparison of Single Layer Versus Double Layer Continuous Anastomotic Technique for Small Bowel Resection and Anastomosis. Indian Medical Gazette. 2014 Dec ; 148 (12): 453-456.