SINGLE VS DOUBLE LAYERED INTESTINA ANASTOMOSIS

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Abstract

Objective: To compare the effectiveness of single layer and double layer techniques for intestinal anastomosis in
terms of anastomotic leaks.
Material and Methods: This study was conducted in Surgical Department Khalifa Gul Nawaz Teaching Hospital /
DHQ Hospital Bannu. The duration of study was 02 years i.e from Jan 2010 to December 2011. A total of 119 patients
in each group were included in the study to compare the effectiveness of single layer (Group A) and double layer
(Group B) techniques for intestinal anastomosis in terms of anastomotic leaks.
Results:The mean ages of patients in group A and B were 36.8 years + 10.2 and 37.1 years + 25SD respectively. In
group A, Ileostomy closure was done in 75 (63.03%) and ileocolic anastomosis was done in 44 (36.97%) patients. In
group B, ileostomy closure was performed in 80 (67.23%) patients and ileocolic anastomosis was done in 39
(32.77%) patients. The duration of hospital stay in group A was 6.7 days and group B was 7 days. In group A, the
intestinal anastomotic leak was observed in 6 (5.04%) patients and in group B, it was noted in 18 (15.12%) patients.
Conclusion: Single-layer intestinal anastomosis is superior to double layer anastomosis in efficacy.
Key words: Single layer intestinal anastomosis; Double layer intestinal anastomosis; Intestinal anastomosis leak.

Authors: 
Rashid Aslam2
Habib Khan Shamsi
Munir Ahmad1
Ayaz Gul
Gul Sharif1

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