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A prospective study on single layer bowel repair
British Journal of Surgery ; 109(Supplement 5):v140, 2022.
Article in English | EMBASE | ID: covidwho-2134896
ABSTRACT

Aim:

To determine The efficacy of single layer bowel repair with respect to postoperative complications such as leakage rates, duration of repair, overall length of hospital stay, cost effectiveness, to assess The morbidity, mortality and outcome. Method(s) This prospective study was done on 21 patients admitted under Department of Surgery from The period of January 2020 to September 2021. All The patients under bowel repair in continuous single layer extramucosal fashion for various etiology, follow up data was collected and analysed. Result(s) In our study, 81% (17 cases) of The single layer bowel repair were done in an Emergency setting. The study consisted of 42.9% (9 cases) of perforation repair and 57.1% (12 cases of resection and anastomosis of large or small bowel). The average time duration of anastomosis was 14.45 minutes with The average hospital stay of 13.2 days. Our study showed an anastomotic leak rate of 9.5% (2 cases) with an overall mortality of 19.04% (4 cases) which included 2 cases with COVID-19 related ARDS. Conclusion(s) Our study was determined to analyse The effectiveness of single layer bowel repair and found that it is a quicker and theoretically better technique for bowel repair which avoids unnecessary tissue ischemia. The leakage rates within The study was comparable with other studies published and The studies with double layer bowel repair technique in terms of leak rates and mortality. A meticulously done single layer repair will best double layer repair and Surgical trainees must be trained early to perfect The art of bowel anastomosis.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: British Journal of Surgery Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: British Journal of Surgery Year: 2022 Document Type: Article