Intestinal Anastomosis Single Layer versus Double Layer - A Prospective Study

Sharma, Shweta; Mohanty, Sudhansu Shekhar; Das, Sushanta K.

doi:10.18410/jebmh/2020/146

Cited by 1 publication

(4 citation statements)

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“…However, in the study by Sharma et ), the difference in the mean duration of hospital stay between the two groups was found to be significant [8,10,11].…”

Section: Discussionmentioning

confidence: 86%

“…Mittal et al reported an 8.3% occurrence of post-operative intra-abdominal collections [15]. Sharma et al reported a single patient of post-op intra-abdominal abscess in their study [8].…”

Section: Discussionmentioning

confidence: 90%

“…The most common condition requiring GIA in the study by Sharma et al was a terminal ileal perforation in a total of 12 out of 50 patients (24%). The next most common indication was status ileostomy in 10 out of the 50 patients (20%) [8]. In a study of 50 cases by Patro et al (n=50), resection of the terminal ileum and ileoileal anastomosis was performed in a maximum number (26%) of patients [9].…”

Section: Discussionmentioning

confidence: 99%

“…Patil et al,Kumar et al, Sharma et al, and Patro et al, where EE anastomoses were the most commonly done anastomosis[5,6,8,9]. In all the studies mentioned above, only the study conducted by Kumar et al reported two patients undergoing a colorectal (CR) anastomosis for Ca rectum as a part of a low anterior resection (LAR)[5].The mean (±SD) duration of anastomosis for the SL group was 19.57 ± 2.25 minutes, for the DL group was 30 ± 2.59 minutes, the difference in the duration of anastomosis was statistically significant (p=0.002).…”

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confidence: 99%

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A Comparative Study of Single-Layered Versus Double-Layered Intestinal Anastomosis

Singh¹,

Najmi²,

Chahal³

et al. 2022

Cureus

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Background: Intestinal perforations requiring resection anastomosis of the gastrointestinal tract (GIT) or the formation and closure of temporary intestinal stoma are prevalent worldwide. This prospective comparative study was done to assess the efficacy and safety of single-layered anastomosis compared to a double-layered anastomosis.Methods: Patients undergoing intestinal anastomosis with either of these two techniques were observed prospectively for various outcome parameters like time taken for anastomosis, and that for entire surgery, postoperative complications, etc. Data obtained were analyzed for statistical significance by applying the chi-square test and student's "t-test."Results: Duration for fashioning the anastomosis was significantly lesser for a single layer anastomosis than double (mean [±SD] for single layer was 19.57 ± 2.25 minutes and for double layer group was 30 ± 2.59 minutes, p=0.002). There was no statistical difference in the postoperative complications between the two groups. The postoperative incomplete intestinal obstruction was reported in three cases of the double layer group.Conclusion: Single-layered gastrointestinal anastomosis (GIA) resulted in a significant reduction in time, without any difference in complications. Additionally, it is easier to train surgical residents in the singlelayered technique which is particularly important in the setting of a teaching institute and can be recommended for intestinal anastomosis.

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“…However, in the study by Sharma et ), the difference in the mean duration of hospital stay between the two groups was found to be significant [8,10,11].…”

Section: Discussionmentioning

confidence: 86%

“…Mittal et al reported an 8.3% occurrence of post-operative intra-abdominal collections [15]. Sharma et al reported a single patient of post-op intra-abdominal abscess in their study [8].…”

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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