Comparison of Single Layer Versus Double Layer Continuous Anastomotic Technique for Small Bowel Resection and Anastomosis.

ABSTRACT

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.