A comparative prospective study of handsewn versus stapled anastomosis in lower gastrointestinal surgeries

Belbase, Narayan Prasad; Jalan, Aditya; Patowary, Bhupendra Nath; Kumar, Sandeep

doi:10.3126/jcmsn.v13i4.17165

Cited by 1 publication

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“…Moreover, the longitudinal interruption is frail therefore till deposition of collagen is recognized, the extrinsic care is vital within the lag phase for maintaining the continuity of tissues [13]. [14]. It has been proved previously that by using radioactive microspheres which are strong for anastomosis vascularization are maintained after continuous method.…”

Section: Discussionmentioning

confidence: 99%

Outcomes Assessment between Hand Sewn and Stapled Intestinal Anastomosis

Yousfani

Das

Atta

et al. 2021

JPRI

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Objective: This study was conducted at the Department of Surgery of Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan for comparing the effectiveness of both methods: hand sewn and stapled intestinal anastomosis and to find a better comparatively to be more efficient. Methods: A total of 70 patients were encompassed who underwent intestinal anastomoses from proximal jejunum to 2/3rd of proximal distal rectum. All patients were assigned to two different groups A and B each encompassing of 35 cases. In group A, the single layer continuous and in group B single layer patients intervallic serosubmucosal anastomosis was made by implementing the stitches approximately 6 mm at a distance integrating around 5.5 mm of the gut in its stretched direction axis evading individual mucosa. The patients were observed post operatively for anastomotic fiasco such as leakage. Results: Fourteen (14) out of 35 (2.5%) patients in group A developed anastomotic leakage . In group B, the interrupted serosubmucosal anastomoses were made in 26 patients in emergency and remaining were operated schedule wise. Five (7%) patients exhibited anastomotic leakage in group B. In group A, the continuous leakage in serousubmucosal anastomosis was 2.5% while in group B interrupted serousubmucosal anastomosis was 7%. Conclusion: It has observed in past studies that single layer interrupted stitches leakage is higher as compared to continuous. It is clear that anastomotic failure in group A is greater than group B but it not considerably substantial and hence both are remarkably efficient.

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Section: Discussionmentioning

confidence: 99%