COMPARATIVE STUDY OF SINGLE LAYER EXTRAMUCOSAL VERSES DOUBLE LAYER INTESTINAL ANASTOMOSIS ups_chandrika@yahoo.com

 

COMPARATIVE STUDY OF SINGLE LAYER EXTRAMUCOSAL VERSES DOUBLE LAYER INTESTINAL ANASTOMOSIS

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Nepal

Poster Exhibition only

Intestinal anastomosis is mostly performed procedure in both elective and emergency cases and therefore, it is necessary for surgeons and residents to be acquainted with the art of bowel anastomosis. This study is to determine the efficacy of single layer intestinal anastomosis in comparison with double layer intestinal anastomosis in terms of time duration required to perform anastomosis, postoperative complications like anastomotic leak, duration of hospital stay and cost effectiveness. This prospective comparative study carried out from July 2019 to June 2020 in the National Medical College and Teaching Hospital's Department of General Surgery.

This prospective comparative study was conducted in the Department of General Surgery, National Medical College and Teaching Hospital over the period of July 2019 to June 2020. Ethical approval was taken from Institutional Review Committee of National Medical College and Teaching Hospital. The sampling method was Non-Probability (Convenient Sampling). This study included 57 patients, and they were divided into two groups, group A (Double layer) and group B (Single layer) and cases were allotted to either groups after fulfilling inclusion and exclusion criteria. Single layer interrupted extra-mucosal anastomotic technique was done using vicryl 3-0 round bodies and double layer; first layer continuous technique with vicryl 3-0 round body & second layer seromuscular interrupted using 3-0 mersilk.

The study was conducted on 57 patients aged between 18-70 year who underwent resection and anastomosis in Department of Surgery at National Medical College and Teaching Hospital, Birgunj.Among 57

Single Layer is better than Double Layer Anastomosis