PROSPECTIVE STUDY OF EXTRAMUCOSAL SINGLE LAYER INTERRUPTED SUTURE VERSUS CONVENTIONAL TWO LAYER REPAIR OF INTESTINAL ANASTOMOSIS

Dr. Arun Rathore; Prof. (Dr.). Prashant Gupta; Dr. Pratagya Kumar

Volume : IX, Issue : XII, December - 2019

PROSPECTIVE STUDY OF EXTRAMUCOSAL SINGLE LAYER INTERRUPTED SUTURE VERSUS CONVENTIONAL TWO LAYER REPAIR OF INTESTINAL ANASTOMOSIS

Dr. Arun Rathore, Prof. Dr. . Prashant Gupta, Dr. Pratagya Kumar

Abstract :

Objective: To compare the stricture formation after anastomosis .To study the retain of bowel function. Post–operative anastomosis leakage. To compare duration required to perform single and double layered intestinal anastomosis. To compare cost effective of suture material used in single and double layered intestinal anastomosis. Methods: The patients selected for this study are those who were admit with various clinical conditions requiring resection and anastomosis of small or large bowel. A total of 50 patients were included in the study. The patients were alternatively allotted single–layered intestinal anastomosis group and double layered group. Results: The mean age in group A was 41.4 years and in group B was 41.72 years. Ileal stricture was diagnosed in maximum number of patients i.e. 17 (34%) cases. In group A mean duration to perform anastomosis was 19.04 minutes to perform a single layer anastomosis and 28.8in Group B. The mean difference between two groups was 9.76 minutes, and P value was <0.001 highly significant. In group A leak was observed in 1 (4%) and in Group B in 2 (8%) patients. The p value was not significant. One patient in Group B died due to septicemia and the other two recovered. Conclusion: Single layer extra mucosal interrupted intestinal anastomosis can be constructed in significantly shorter duration. No dogmatic evidence was found that double layered anastomosis is superior to single layered closure of bowel anastomosis.