Background: Anastomotic leak and wound infection are the two feared complications of any bowel anastomosis. In this study a comparison between hand suturing and surgical stapling in patients undergoing elective gastrointestinal surgeries with regard to post-operative complications namely anastomotic leak and wound infection. Methods: A prospective study was conducted in 40 patients undergoing elective resection and anastomosis over a period of 1 year. Post-operatively patients were followed up for post-operative complications namely anastomotic leak and wound infection. Follow up for 30 days post-operative was done. Results: In total forty patients were studied out of which twenty patients underwent hand sewn and twenty patients underwent stapler anastomosis. There was anastomotic leak in 1 case of gastrojejunostomy in hand sewn group. No leak was observed in stapled anastomosis group. Wound infection was observed in 5 cases. 4 cases were in hand sewn group and 1 in stapled group. There was no mortality in either group post-operatively. A sub-group analysis was also done.
Conclusion:There was no significant difference in the incidence of post-operative complications namely anastomotic leak and wound infection with respect to hand sewn and staples techniques. Therefore both hand sewn and stapled anastomosis technique can be safely practiced.
Background: Bowel anastomosis is successful when there is accurate union with no tension.Previous literature has compared between hand suturing and stapling devices in retrospective andprospective designs with varying outcomes. In this study a comparison between hand suturing andsurgical stapling in patients undergoing bowel surgery is done. Methods: A prospective study designover a period of 12 months was conducted in 40 patients undergoing elective resection andanastomosis. Different time parameters for anastomisis procedure, time taken for bowel sounds toreturn, resumption of oral feeds, postoperative hospital stay were collected. Follow up for 30 dayspost-operative was done. Results: In total forty patients were studied out of which twenty patientsunderwent hand sewn and twenty patients underwent stapler anastomosis. Main group analysis inmean time durations between hand sewn and stapler anastomosis were respectively; 35.25 minutesand 12 minutes for anastomosis, 3.4 days and 3.35 days for return of bowel sounds, 4.08 days and4 days for resumotion of oral feeds, 9.35 days and 8.50 days for post-operative hospital stay. A sub-group analysis was also done.Conclusion: Stapler anastomosis had shorter anastomosis time andtotal duration of operation compared to hand sewn anastomosis. However no difference was seen inreturn of bowel activity, resumption of oral feeds and duration of hospital stay.
Introduction: Abductor deficiency can be a debilitating problem following hip arthroplasty surgery and causes severe pain, limp and instability Description of Technique: The authors had experienced abductor deficiency secondary to hemiarthroplasy following which a revision hemiarthroplasty was done and abductor reconstruction was performed using the anterior fibres of gluteus maximus. This flap served as a substitute for gluteus medius and minimus. Ultimately, both limp and pain showed prominent reduction.
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