Title: Comparative Study of Gut Anastomosis Single Layer Hand Sewn v/s Stapler in our Institute

Authors: Dr Anurag Kumar, Dr Rajnish Chandran, Dr Pradeep Jaiswal, Dr Digvijay Kumar Singh, Dr Ashwini Kumar, Dr P.K Jha

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.149

Abstract

Bowel anastomosis is common practice in surgery deptt. of any hospital. Anastomosis can be done by various methods. Single layer hand sewn, double layer hand sewn , or stapler anastomosis. We are going to compare the single layer hand sewn to stapler anastomosis. In our institute IGIMS seikhpura, patna. we have included 71 pt. in the study of which 39 patients were in hand sewn group & 32 pt in stapler groups.

Keyword: bowel, anastomosis, hand sewn, stapler, cost.

References

  1. Adams W. Ctercteko G, Bilous M. Effect on an omental wrapon the healing and vasularity collagen synthesis. An intestinal anastomsose. Dic colom Rectum 1992:35731
  2. Aherendt GM, Tantry US, Barbul A. Intra- abdominal sepsis impairs colonic reparative collagen synthesis. AM J Surg 1996:171:102
  3. Burch JM, Franciose RJ, Moore EE Biffi WI, et al, single layer continuous versus double layer interrupted intestinal anastomosis, a prospective randomized trail Ann Surg 2000;231;832.
  4. BUYER, R. A AND MEIER,LA (1968) Ever ting suture of the bowel: experimental and clinical experience in duodenal closure and colorectal  anastomosis, Surgery, St. Louis 63,475.
  5. Nadeem Khan, Ataur Rahman, Muzaffarud Din Sadiq- single layer interrupted serosubmucosal (extra mucosal) intestinal anastomosis; J med Sci jan 2006:14(1);10-3
  6. Nudelman et al. Gastrointestinal anastomosis with the nickel titanium double ring W.J surg 2000:24:874-7.
  7. OLah A. Belagyi T, Neuberger G, Gamal EM-use of different absorbale suture for continuous single layer anastomosis I the gastrointestinal tract.A prospective, randomizes study. Dig Surg :2000, 17 (5) 483-5
  8. Satoru, Shikata, Yamagishi h, Taji Y, Shimada T, Noguchi Y, singled versus two layer intestinal anastomosis: A metaanalysis of randomize controlled trails. BMC surgery 2007, 6:2.
  9. Samiullah, Mohammad isar, Naik zada, dept of surgery, saidu group of teaching, swat, comparion of single layer interrupted intestinal  anastomosis with double layer intestinal anastomosis 2003, vol 17 no 2, page 263- 266.
  10. Horiberger K, Belding, Candians D :loop  ileostomy closure:comparions of cost effectiveness between suture and stapler; World J Sengery: 2010:34:2867-2871.

Corresponding Author

Dr P.K Jha

Additional Prof. & H.O.D, Gen. Surgery Deptt. IGIMS Patna