RESUMO
Small intestinal resection and anastomosis is an important surgical procedure. Aims and Objectives : To study efficacy and safety of single layer intestinal anastomosis using non absorbable suture material against conventional double layer anastomosis. Single layer anastomosis will decrease surgery time and minimize incorporation of foreign body [sutures]. Materials and Methods : Present study carried out in Pravara rural hospital, Loni. It is a prospective study of 50 patients who underwent elective and emergency resection and anastomosis of small intestine from May 2004 to Oct 2006. Observations : Majority of patients were in the age group of 40-50 yrs and children. Intestinal obstruction with gangrene was the most common indication for anastomosis. Significant difference was found in recovery and complications between two methods after applying Z-test. Discussion : Forty seven patients required resection and anastomosis and 3 patients operated for ileostomy closure. Single layer anastomosis has superior results as compared to double layer anastomosis of small intestine. Conclusion : Arithmetical means of these endpoints suggest that single layer method offers same or better results than double layer method.
Assuntos
Adulto , Anastomose Cirúrgica/complicações , Anastomose Cirúrgica/métodos , Criança , Procedimentos Cirúrgicos do Sistema Digestório/complicações , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Feminino , Humanos , Lactente , Recém-Nascido , Enteropatias/cirurgia , Obstrução Intestinal/cirurgia , Intestino Delgado/cirurgia , Masculino , Pessoa de Meia-IdadeRESUMO
To evaluate the efficacy of esophageal guide wire dilatation of stricture after surgical treatment of esophageal atresia. This prospective and descriptive study was carried out at Department of Pediatric Surgery, The children's hospital, Pakistan Institute of Medical Sciences [PIMS], Islamabad from January 2008 to December 2011. It included 23 patients, 15 males and 8 females, aged one month to 3 years with esophageal stricture secondary to esophageal atresia who underwent guide wire esophageal dilatation with savary Gilliard Dilators. All procedures were performed under general anesthesia. Associated gastroesophageal reflux [GER]. was noted in 13 patients. Dilatation relieved the stricture in all patients over a follow-up period varying from 3 months to 3 years. Only two patients developed esophageal perforation, which was treated conservatively. Guide wire dilatation is a safe and effective method of treatment in the management of strictures secondary to surgical repair of esophageal atresia