Single- versus two- layer intestinal anastomosis: a meta-analysis of randomized controlled trials

Abstract

Background: To compare single-with two-layer intestinal anastomosis after intestinal resection: a meta-analysis of randomized controlled trials.

Single Layered Intestinal Anastomosis: A Safe and Economic Technique

“…The complications rate that included anastomotic leak and abdominal abscess were similar to both groups and to the literature available (Table 6). This is further proved by the meta-analysis done by Shikata et al [6] which is the largest series available in literature presently. It analysed 670 participants showing that the combined risk ratio using DerSimonian-Laird methods was 0.91 (95 % CI 0.49-1.69), and indicated no significant difference between the anastomotic leaks for both the groups.…”

The Art of Bowel Anastomosis

“…Single layered anastomosis consist of one layer of interrupted or continuous absorbable sutures. A 2006 meta-analysis analyzing 670 patients concluded that there was no evidence that two-layer anastomosis yielded a lower rate of postoperative leakage than single-layer anastomosis (21).…”

Intestinale Anastomosen und Techniken im Bereich des unteren Gastrointestinaltraktes

“…Mann et al konnten nach einreihiger Anastomose sogar niedrigere Insuffizienzraten aufzeigen[8]. Bezogen auf Operationsdauer und chirurgische Komplexität ist die einreihige Naht daher heute die Technik der Wahl[7] (. Abb.…”