COMPARISON OF EFFICACY OF INTESTINAL ANASTOMOSIS SUTURED IN SINGLE LAYER VERSUS TWO LAYER

Objective: To evaluate the safety of an extra mucosal intestinal anastomosis in a single layer compared to conventional double-layer intestinal anastomosis.

Study design: A case control study.

Configuration and Duration: In the Surgical Unit II of Services Hospital Lahore for six months duration from January 2018 to June 2018.

Methodology: All patients needs intestinal anastomosis were selected. The two groups of patients were made. In A group, an extra-mucosal interrupted anastomosis of a single layer was performed with vicryl 2/0, while in group B, with vicryl 2/0 a conventional double-layered anastomosis was done. The results of the two techniques were compared in terms of morbidity, mortality and cost-effectiveness.

Results: Ninety patients were included in the study (42 in group A and 48 in group B). The mean age of the group A was 37.5 and the B group was 40.2 years, respectively. Entero-colostomy, colo-colostomy and Entero-enterostomy were done in 10(23.8%), 2(4.7%) and 30(71.4%) patients in-group A and 10(20.8%), 3(6.3%) and 35(72.9%) patients in group B respectively. Two patients (4.7%) in Group A and four patients (8.3%) in group B developed anastomotic leaks with a general mortality rate of 0% and 4.1% in group B.

Conclusion: Single layer interrupted extra mucosal intestinal can be formed in less time with a less complication compared to the two-layer technique. Surgical training program can be entered safely in this regard.

Key Words: Anastomosis, Fugue, monolayer interruption, morbidity and mortality.