Role of single layer interrupted extramucosal anastomosis in small intestine in patients of abdominal trauma

ABSTRACT

To have recent local evidence behind to support the utilization of single layer interrupted extramucosal suturing technique in patients presenting with abdominal trauma. This case series study was carried out in the Department of General Surgery, DHQ [BBS] Hospital, Abottabad from July 2008 to July 2009. All the patients either male or female patients admitted through emergency with small intestinal trauma were included in the study. Patients were put in a single group. The details of each procedure were explained to each patient. Out of 125 patients most of the patients were seen in age between 21-30 years i.e. 50 [48%] patients. Age range was 16 to 55 years. Out of 125 patients, 86 [69%] patients were male and 39 [31%] were females. Among them 90 [72%] patients were from rural areas and the remaining 35 [28%] patients were residing in urban areas. Among 125 patients, the majority 50 [40%] patients got injuries, in road transport accidents. It was concluded from the study that single layered extramucosal interrupted anastomosis is associated with less risk of dehiscence than the full thickness and continuous extramucosal anastomosis