Bowel Anastomosis - Hand Sewn Versus Stapler: A Comparative Study
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Date
2018-07
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Society for Health Care & Research Development
Abstract
Background: Intestinal obstruction, peritonitis from a perforated bowel, abdominal trauma and diseases of bowel are common surgical problems throughout the world. The most commonly used method is Sutured anastomosis hand-sewn technique. To perform rapid intestinal anastomosis an alternative option like newer stapling devices has been provided. The main drawbacks of stapling devices are increased cost and less familiarity with its usage. Anastomosis can be done by suturing or stapling. Therefore, it is meaningful to study the two approaches to bowel anastomosis. Methods: This study was conducted in the Department of General Surgery at Teerthanker Mahaveer medical college and hospital, Moradabad. A total of 80 cases (40 in each group) which fulfill the inclusion and exclusion criteria were included in this hospital based prospective comparative study conducted for duration of 18 months. Results: The mean total operating time for group I (hand sewn anastomosis) was 270.36 minutes. On the other hand it was revealed from the results of the current study that the mean total operating time for group II (stapler anastomosis) was 250.42 minutes. The p value was insignificant >0.05. Findings of the current study suggest that both techniques of anastomosis hand sewn and stapler are safe with a little risk of anastmotic leak in oesophagogastricanastomosis. However, this risk of leak is statistically insignificant for both methods. Further, there was no difference in the time of appearance of bowel sounds, resumption of oral feeds and in total post-operative hospital stay. In addition results of the present study showed that stapler method is quicker in comparison of hand sewn technique. Therefore, stapler method can be helpful for the patients with poor health and for the patients who cannot tolerate prolonged anaesthesia. This study concludes that both techniques of anastomosis are equally effective and favourable for the patients. Conclusion: ?.
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Avtar Ram. Bowel Anastomosis - Hand Sewn Versus Stapler: A Comparative Study. Annals of International medical and Dental Research. 2018 Jul; 4(4): 33-36