A Comparative Study of Single Layer Versus Double layer Intestinal Anastomosis

Authors

  • Amar Gurung Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Santosh Shrestha Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Devendra Shrestha Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Suresh Raj Paudel Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • David Shrestha Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Anup Shrestha Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Dilip Baral Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

DOI:

https://doi.org/10.3126/mjpahs.v1i2.23403

Keywords:

Anastamosis, leakage, technique

Abstract

Objective: To determine the efficacy of single layer intestinal anastomosis to double layer technique in terms of anastomotic healing.

Materials and Methods: Fifty patients who underwent intestinal anastomosis in the Department of Surgery, Western Regional Hospital from June 2014 to May 2016 were taken for this comparative study and divided equally in two groups, 25 each (single layer and double layer).

Results: Of the total fifty cases, twenty-five cases included in each group, there was no leakage in single layer group while 1 patient had leakage in double layer group which was statistically insignificant.

Conclusion: Single layer interrupted intestinal anastomosis is simple to carry out and is as efficacious as double layer anastomosis in terms of postoperative anastomotic leak.

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Author Biographies

Amar Gurung, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

Santosh Shrestha, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

Devendra Shrestha, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

Suresh Raj Paudel, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

David Shrestha, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

Anup Shrestha, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

Dilip Baral, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Department of Surgery

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Published

2018-12-31

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Section

Articles