HAND SEWN SINGLE LAYER SEROSUBMUCOSAL INTER-RUPTED VS. CONTINUOUS INTESTINAL ANASTOMOSIS

Abstract

Abstract

Objectives:  To compare the effectiveness of single layer serosubmucosal (extramucosal) continuous / interrupted intestinal anastomosis.

Design:  Prospective comparative study.

Setting:  Department of surgery Nawabshah Medical

Memon J.M.¹

Professor and Head of Surgery Department

Ghulam Muhammad Mahar Medical College, Sukkur

Solangi R.A.²

Professor of Surgery

Ghulam Muhammad Mahar Medical College, Sukkur

Baloch I.³

Assistant Professor of Surgery

Ghulam Muhammad Mahar Medical College, Sukkur

Memon M.R.⁴

Professor of Surgery

Ghulam Muhammad Mahar Medical College, Sukkur

Bozdar A.G.⁵

Associate Professor Surgery

Ghulam Muhammad Mahar Medical College, Sukkur

Naqvi S.Q.H.⁶

Professor of Pathology

People's University of Health and Medical Science, Nawabshah

College Hospital Nawabshah and GMMC Hospital sukkur.

Study Period:  From January 2007 to January 2012. For period of 6 year.

Subject:  Total of 174 patients undergoing construct-ion of intestinal anastomoses.

Evaluation:  For anastomotic leakage.

Results:  Overall 13 (7.47%) patients developed anas-tomotic leakage, 3 (1.72%) patients had sub-clinical and 10 (5.74%) clinical (obviously) anastomoitc leak-age. 7 (8.04%) patients and 6 (6.89%) developed ana-stomotic leakage, in group "A" and "B" respectively.

Conclusion:  Anastomotic failure is a reflection of operating skills, decision making of surgeon and post-operative care. There is no significant difference in anastomotic dehiscence between continuous and inter-rupted single layer serosubmucosal technique if pati-ents selection is proper, however interrupted method is comparatively easy to construct in less accessible site.