A comparative study of single layer versus double layer small bowel anastomosis

Authors

  • Jenishkumar Vijaykumar Modi Department of General Surgery, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat, India
  • Namrata Puwar Department of General Surgery, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20231386

Keywords:

Single layer and double layer bowel anastomosis, Intraoperative time, Post operative complications

Abstract

Background: There are various gastrointestinal surgeries in which we require small bowel anastomosis. Bowel anastomosis is quite common in different bowel pathology. Bowel anastomosis can be done by hand sewn or y stapler. In hand sewn anastomosis, we can do single layer or double layer anastomosis.

Method: The study was carried out in 50 patients between August 2019 to March 2020. In this study, we have included all the patients who require small bowel end to end anastomosis in either elective surgeries or emergency surgeries. Patients who require proximal stoma formation and other than small bowel anastomosis are excluded. In present study, patients were randomly allocated in two groups: group A (n=25) includes single layer(interrupted) hand sewn bowel anastomosis and group B two layer (Connell and seromuscular) handsewn bowel anastomosis. Author have compared two groups in terms of intraoperative time and postoperative leak.

Results: This shows that there is significantly reduce in intraoperative time in group A patient while there is no significant difference in postoperative complication or postoperative leak between two groups.

Conclusions: There is no significant difference in single layer and double layer technique of bowel anastomosis.

References

Goulder F, Bowel anastomosis: the theory, the practice and the evidence base world J Gastrointestinal Surg. 20124(9):208-13.

Hautefeuille P. Reflexions sur les sutures digestives: a propos de 570 sutures accomplies depuis 5 ans au surjet monoplane de monorin. Chirurgie. 1976;102:153-65.

Harder F, Vogelbach P. single layer end on continuous suture of colonic anastomosis. Am J Surg. 1988;155:611-4.

Sarin S, Lightwood RG. Continuous single layer gastrointestinal anastomosis: a prospective audit. Br J Surg. 1989;76:493-5.

Irwin ST, Krukowski ZH, Matheson NA. Single layer anastomosis in upper gastrointestinal tract. Br J Surg. 1990;77:643-4.

Max E, Sweeney B, Bailey HR. Results of 1000 single layer continuous polypropylene imtestinal anastomosis. AM J Surg. 1991;162:461-7.

Ceraldi CM, Rypins EB, Monahan M. Comparison of continuous single layer polypropylene anastomosis with double layer and stapled anastomosis in elective colon resections. AM Surg. 1993;59:168-71.

Steele RJC. Continuous single layer serosumucosal anastomosis in the upper gastrointestinal tract. Br J Surg. 1993;80:1416-7.

Shikata S, Yamagishi H, Taji Y, Shimada T, Noguchi Y, Single versus Two layer intestinal anastomosis: a meta analysis of randomized controlled trials. BMC Surg. 2006;6:2.

Askarpour S, Sarmast M, Peyvastech M, Gholizadeh B. Comparison of single and double layer intestinal anastomosis in Ahwaz educational hospitals (2005-2006). Internet J Surg. 2009;23.

Burch JM, Franciose RJ, Moore EE, Biffl WL, Offner PJ. Single layer continuous versus two layer interrupted intestinal anastomosis: a prospective randomized trial. Annals Surg. 2000;231(6):832-7.

Max E, Sweeney WB, Bailey HR, Oommen SC Butts DR, Smith KW et al. Results of 1000 single layer continuous polypropylene intestinal anastomoses. Am J Surg. 1991;162(5):461-7.

Leslie A, Steele RJC. The interrupted serosubmucosal anastomosis-still the gold standard. Colorectal Dis. 2003;5(4):362-6.

Maurya SD, Gupta HC, Tewari A, Khan SS, Sharma BD. Double layer versus single layer intestinal anastomosis: a clinical trials. Int Surg. 1984;69(4):339-40.

Chittmittrapap S, Kitisin P, Navicharern P. one layer continuous anastomosis of the alimentary tract with absorbable polydiaxanone suture. J Med Assoc Thai. 1993;76(5):264-70.

Saboo R, Deshmukh SD, Sonarkar R, Agrawal VP, Shah P. A comparative study of single layer continuous suture versus double layer interrupted suture in intestinal anastomosis. IJBAR. 2015;6(3):264-8.

Downloads

Published

2023-04-29

Issue

Section

Original Research Articles