A COMPARATIVE STUDY OF SINGLE LAYER CONTINUOUS GASTROINTESTINAL ANASTOMOSIS VERSUS SINGLE LAYER INTERRUPTED GASTROINTESTINAL ANASTOMOSIS

Dr. Ridima Behl; Dr. Albail Singh Yadav; Dr. Surya Prakash; Dr. Rajeev Sinha

Volume : X, Issue : VIII, August - 2020

A COMPARATIVE STUDY OF SINGLE LAYER CONTINUOUS GASTROINTESTINAL ANASTOMOSIS VERSUS SINGLE LAYER INTERRUPTED GASTROINTESTINAL ANASTOMOSIS

Dr. Ridima Behl, Dr. Albail Singh Yadav, Dr. Surya Prakash, Dr. Rajeev Sinha

Abstract :

Aim: A comparative study of single layer continuous gastrointestinal anastomosis versus single layer interrupted gastrointestinal anastomosis. Material and Methods:The comparative study was done on patients presenting to Department of Surgery, M.L.B. Medical College & Hospital, Jhansi, either in emergency or elective undergoing resection anastomosis of bowel from August 2017 to September 2019.A total of 100 patients would be included in each group. Result: Patients presenting to Deparment of surgery, MLB Medical College Jhansi either in emergency or elective undergoing resection and anastomosis of bowel from 2017–2019 were maximally between 20–50 years of age showing male predominance. The number of patients presenting as an emergency(43.5%) were slightly less thanthe number of patients presenting with chronic conditions (56.5%) Maximum number of anastomosis were performed at entero–enteric level, followed by entero–colic level and colo–colic level and least at gastro–jejunostomy site. Single layer sero muscular continuous anastomosis can be done in shorter time as compared to single layer sero muscular interrupted anastomosis. Length of post–operative hospital stay in both the techniques for anastomosis was found to be similar. Wound infection rates were found to be similar in both the groups. Rate of anastomotic dehiscence was twice in interrupted group when compared to continuous group which was statistically insignificant. Mortality observed in continuous group was found to be double of the interrupted group but none related to the outcome of anastomoses. Increased rates of complications like wound infection and anastomotic leak were observed in emergency situations when compared to elective surgeries. Conclusion: Thus, we conclude that single layer seromuscular continuous anastomosis is easy to learn and can be done in shorter time as compared to single layer seromuscular interrupted anastomosis. At the same time it gives comparable mortality and morbidity figures. Thus single layer seromuscular continuous anastomosis can be taken up by all gastrointestinal surgeons depending upon their individual preference. The study needs further larger series of patients to arrive at a final conclusion.