Comparison of Single Layer Interrupted Extramucosal Anastomsis with Double Layer Continuous Anastomosis Among Patients with Benign Small Intestinal Pathology
Keywords:
Single layer interrupted anastomosis; double layer continuous anastomosis; leakage; intestinal pathologiesAbstract
Objective: To compare outcome of single layer interrupted extramucosal anastomsis with double layer continuous anastomosis among patients with benign small intestinal pathology such as perforation, tuberculosis, trauma or typhoid.
Methodology: This prospective randomized controlled trial was conducted at Surgical floor LGH/PGMI. The study was completed in six months using non-probability consecutive sampling. Two hundred patients with benign intestinal pathology requiring intestinal anastomosis were divided in two groups, 100 patients in each group were taken in group A patients were managed with single layer extramucosal interrupted anastomosis and in group B patients were treated with underwent double layer continuous anastomosis. Variable like leakage was described by frequency distribution table, Chi-square test was applied as a test for significance & p-value ≤ 0.05 was considered significant.
Results: Five (5%) patients in group A had leakage detected on seventh day, while 15 (15%) patients in group B had leakage detected on seventh day. No leakage was seen among 95 (95%) and 85 (85%) patient in group A and B, respectively. (p = 0.018)
Conclusions: Less leakage occurred with single layer anastomosis as compared with double layer anastomosis. Hence we recommend that single layer anastomosis should be adopted for patients with benign intestinal intestinal pathologies.
Downloads
Published
How to Cite
Issue
Section
License
The Journal of Fatima Jinnah Medical University follows the Attribution Creative Commons-Non commercial (CC BY-NC) license which allows the users to copy and redistribute the material in any medium or format, remix, transform and build upon the material. The users must give credit to the source and indicate, provide a link to the license, and indicate if changes were made. However, the CC By-NC license restricts the use of material for commercial purposes. For further details about the license please check the Creative Commons website. The editorial board of JFJMU strives hard for the authenticity and accuracy of the material published in the journal. However, findings and statements are views of the authors and do not necessarily represent views of the Editorial Board.
