A Comparative Study of Single Layer Versus Double layer Intestinal Anastomosis
Comparative Study of Single Layer Versus Double layer Intestinal Anastomosis
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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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References

1. Matheson NA, McIntosh CA, krukowski ZH.Continuing experiencen with single layers apprositional anastomosis in the large
bowel. Br J Surg 1985;72:S104
2. Carty NJ ,keating J, Campbell J,et al. prospective audit of an extramucosal technique for intestinal anastomosis. Br J surg
1991;78:1439
3. Orr NWN. A single layer anastomosis .Br J surg 1969;56:771-44. Dedas HT,Dhompson FB . A critical review ofcoletctomy with
anastomosis. Surg gynaecol obstet 1973;135:747
5. Schrock TR, Deveney CW, dunphy JE . factors contributing to leakage of colonic anastomosis . ann surg 1973 May;177(5)513-518
6. Mirza SM, Khalid K, Hanif F. Single layer interrupted intestinal anastomosis. JSPS 2002; 12: 583-7
7. Adams MC, Mcikle AG, Taylor JO. One layer or two layer colonic anastomosis. Ann Surg 1970; 120: 546-50
8. Matheson NA, Irving AD. Single layer anastomosis after rectosigmoid resection. Br J Surg 1975; 62: 239-42
9. Samiullah, Mohammed Israr, Naik Zada. Comparison of single layer interrupted intestinal anastomoses with
double layer anastomosis. Journal of Postgraduate Medical Institute2003; 17: 263-66
10. Wayand W, Rieger R, Umalauft M. Single or double layer? A controlled prospective study on the comparison of
two suture techniques in gastrointestinal anastomosis. Chirurg1984; 55: 650-652
11. Burch JM, Franciose RJ, Moore EE, Biffl WL, Offner PJ. Single-Layer Continuous Versus Two-Layer Interrupted
Intestinal Anastomosis: A Prospective Randomized Trial. Annals of Surgery. 2000;231(6):832-37.
12. S. T. Irwin, Z. H. Krukowski, N.A. Matheson. Single layer anastomosis in the upper gastrointestinal tract. Br J Surg 1990; 77: 643-44
13. Kelly TJ, Krukowski ZH. Intestinal anastomosis. Surgery 1999; 46: 197-200
14. Letwin PE, William HTG, Harrison RC. The experimental healing of soft tissue. J of Coll Surg Edin 1967; 12: 121-32
15. Shaukat Mahmood Mirza, Kamran Khalid and Faisal Hanif. Single layer serosubmucosal intestinal anastomosis – an equally
safe alternative. JCPSP 2002; 12: 583

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