International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064


Downloads: 152

Research Paper | Medical Surgical | India | Volume 6 Issue 1, January 2017


Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad

Dr A. Y. Kshirsagar, Dr. Karan Singla, Dr. Aditya Phadke, Dr. Gayatri Bhagaria


Abstract: Background There is a lack of studies comparing stapled suturing and hand-sewn suturing in GI surgeries in tier 2 towns of India. Methods Data were retrospectively collected from 499 patients who underwent GI surgeries from January 2016 to December 2016. The patients were divided into two groups according to the method of digestive tract reconstruction 296 patients received stapled suturing and 203 patients received hand-sewn suturing. The operation time, postoperative hospital stay, postoperative recovery and complications of the patients were evaluated and compared between the two groups. Results The stapling procedure took shorter operative time compared to the hand-sewn procedure for gastric carcinoma, colorectal cancer and esophageal carcinoma (P < 0.05). There was no significant difference between the two groups in postoperative hospital stay (P > 0.05). Patients receiving hand sewn suturing also showed shorter recovery for gastric cancer, colorectal cancer, and shorter time to recovery of normal gastrocolorectal motility compared with patients in the stapled suturing group (P < 0.05) in rural areas. However, there was no difference between the two groups in terms of normal time to commencing liquid diet for esophageal cancer patients (P > 0.05). We also found that the stapled procedure showed a lower incidence of anastomotic leakage, anastomotic hemorrhage and stump leakage in treating colorectal cancer or gastric carcinoma compared with the hand-sewn procedure (P < 0.05). However the cost of staplers was too high for patients in tier 2 towns making in unaffordable for most of them. Conclusions Application of the stapler in GI surgeries demonstrated no better effects on patients in terms of surgical operation time, recovery time to normal functions, and occurrence of complications compared to hand-sewn anastomosis, especially in gastric carcinoma and colorectal cancer.


Keywords: Stapler, Gastrocolorectal tumor, Anastomosis, Surgery


Edition: Volume 6 Issue 1, January 2017,


Pages: 97 - 100


How to Cite this Article?

Dr A. Y. Kshirsagar, Dr. Karan Singla, Dr. Aditya Phadke, Dr. Gayatri Bhagaria, "Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART20163961, Volume 6 Issue 1, January 2017, 97 - 100

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'Stapler'

Downloads: 118

Research Paper, Medical Surgical, India, Volume 5 Issue 12, December 2016

Pages: 1230 - 1233

Comparative Study of 40 Cases of Bowel Surgery to See Use Efficacy of Hand Sutures Versus Stapled Sutures

Ankur Kothari, Rajkamal Kanojiya, Ankur Avesthi, Mudunuri Ravi Teja, Sanjay Singhal

Share this Article

Downloads: 132

Research Paper, Medical Surgical, India, Volume 8 Issue 2, February 2019

Pages: 1763 - 1767

Comparative Study of Stapler Anastomosis Over Hand Sewn Anastomosis in Elective Gastrointestinal Surgeries

Ankur Jain

Share this Article

Similar Articles with Keyword 'Anastomosis'

Downloads: 109

Research Paper, Medical Surgical, India, Volume 6 Issue 1, January 2017

Pages: 2251 - 2255

Study on Treatment and Management of Ileal Perforation

Dr. Binay Kumar, Dr. D. K. Sinha, Dr. Manoj Kumar

Share this Article

Downloads: 109

Case Studies, Medical Surgical, India, Volume 6 Issue 12, December 2017

Pages: 1428 - 1429

Perforated Jejunal Diverticulum ? A Rare Acute Abdomen Presentation

Manish Verma, Anuj Kumar, Udipt Shringi, Zaheen Khan, M G Vashist

Share this Article

Similar Articles with Keyword 'Surgery'

Downloads: 138

Research Paper, Medical Surgical, India, Volume 6 Issue 1, January 2017

Pages: 552 - 554

Axial Lumbar Interbody Fusion-A Critical Analysis

Dr Shashivadhanan

Share this Article

Downloads: 1

Research Paper, Medical Surgical, Saudi Arabia, Volume 10 Issue 7, July 2021

Pages: 921 - 928

Attitude and Scope of Practice of Minor Surgical Procedures among PHC Physicians in Dammam, Alkhobarand Al-Qatif Cities

Zahra AlHubail, Fatimah Alnemer, Dr. Ammr Bamana

Share this Article
Top